Treatment for Younger Siblings of Participants in a Home-Based Intensive Paediatric Feeding Programme in Australia

IF 1.5 4区 心理学 Q3 PSYCHOLOGY, CLINICAL Behaviour Change Pub Date : 2020-11-26 DOI:10.1017/bec.2020.14
Tessa Taylor, Alayna T. Haberlin
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引用次数: 1

Abstract

Abstract Early childhood feeding problems can be challenging. Children who limit their food consumption may significantly impact multiple critical areas of development. Effective treatment should be accessed as early as possible but has been limited to a handful of US hospital programmes. Feeding problems affect both children with and without disability, and families may struggle with multiple children having feeding difficulties. We provided short-term (less than 2 weeks), in-home, intensive, behaviour-analytic feeding intervention to two children with typical development who were younger siblings of children already in the programme. We used a withdrawal/reversal design to assess the effects of nonremoval of the spoon, re-presentation, contingent and noncontingent access to tangibles, differential attention, and response cost. This multi-component intervention was effective in increasing the consumption of a wide variety of foods at regular texture and self-feeding for both participants. Variety was increased to over 60 foods from all food groups. Admission goals were met (100%). We trained caregivers to high procedural integrity and generalised the protocol. We provided actual plate picture examples of family meals consumed where the brothers and parents ate the same meal. Caregiver satisfaction and social acceptability were high. Gains were maintained at 3-year follow-up where parents reported problems were fully resolved.
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澳大利亚以家庭为基础的强化儿科喂养计划参与者的弟弟妹妹的治疗
摘要幼儿喂养问题可能具有挑战性。限制食物消费的儿童可能会对发育的多个关键领域产生重大影响。应尽早获得有效治疗,但仅限于少数美国医院项目。喂养问题影响残疾儿童和非残疾儿童,家庭可能会与多个有喂养困难的儿童作斗争。我们为两名具有典型发育的儿童提供了短期(不到2周)的家庭强化行为分析喂养干预,这两名儿童是已经参加该计划的儿童的弟弟妹妹。我们使用撤回/逆转设计来评估勺子的不可移动性、重新呈现、有形资产的偶然和非接触访问、差异注意力和响应成本的影响。这种多组分干预措施有效地增加了两名参与者对各种有规律质地和自我喂养的食物的消费。所有食物组的食物种类增加到60多种。达到入学目标(100%)。我们对护理人员进行了高程序完整性的培训,并推广了该方案。我们提供了兄弟和父母吃同一顿饭的家庭用餐的实际盘子图片示例。护理人员的满意度和社会接受度都很高。在父母报告的问题得到完全解决的3年随访中,收益保持不变。
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来源期刊
Behaviour Change
Behaviour Change PSYCHOLOGY, CLINICAL-
CiteScore
2.70
自引率
0.00%
发文量
24
期刊介绍: Behaviour Change is the journal of the Australian Association for Cognitive and Behavioural Therapy and has long been considered a leader in its field. It is a quarterly journal that publishes research involving the application of behavioural and cognitive-behavioural principles and techniques to the assessment and treatment of various problems. Features of Behaviour Change include: original empirical studies using either single subject or group comparison methodologies review articles case studies brief technical and clinical notes book reviews special issues dealing with particular topics in depth.
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