文章基本信息

标题：COMPARISON OF UPRIGHT AND FLIPPED SPOON PRESENTATIONS TO GUIDE TREATMENT OF FOOD REFUSAL
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作者：William G Sharp ; Ashley Odom ; David L Jaquess 等
期刊名称：Journal of Applied Behavior Analysis
印刷版ISSN：0021-8855
电子版ISSN：1938-3703
出版年度：2012
卷号：45
期号：1
页码：83-96
DOI：10.1901/jaba.2012.45-83
语种：English
出版社：University of Kansas - Dept Human Development
摘要：The current study examined the effects of bite placement with a flipped versus upright spoon on expulsion and mouth clean (product measure of swallowing) in the treatment of 3 children diagnosed with a pediatric feeding disorder and oral-motor deficits. For all 3 participants, extinction in the form of nonremoval of the spoon led to improvements in inappropriate mealtime behavior and acceptance of bites; however, re-presentation did not reduce expulsion or improve mouth clean. Results showed a lower level of expulsion and higher percentage of mouth clean during flipped spoon presentations and re-presentations for all participants. Findings from follow-up analyses supported transitioning back to an upright spoon in all 3 cases, although the time required for this to occur differed across participants.
关键词：alternating treatments; antecedent manipulation; bite presentation; expulsions; escape extinction; flipped spoon; pediatric feeding disorders; oral-motor deficits