Evaluation of a finger prompt variation in the treatment of pediatric feeding disorders

J Appl Behav Anal. 2020 Apr;53(2):956-972. doi: 10.1002/jaba.658. Epub 2019 Oct 25.

Abstract

Children with feeding disorders often engage in refusal behavior to escape or avoid eating. Escape extinction combined with reinforcement is a well-established intervention to treat food refusal. Physical guidance procedures (e.g., jaw prompt, finger prompt) have been shown to increase food acceptance and decrease inappropriate mealtime behavior when more commonly employed escape extinction (e.g., nonremoval of the spoon) procedures are ineffective. The finger prompt, however, has not been extensively evaluated as a treatment adjunct to target food refusal, thus necessitating further examination. The purpose of this prospective study was to assess a variation of a finger prompt procedure to treat food refusal and to assess caregivers' acceptability of the procedure. Three children age 1 to 4 years admitted to an intensive feeding disorders program and their caregivers participated. The finger prompt was effective in increasing bite acceptance across all participants and decreasing or maintaining low levels of inappropriate behavior for 2 participants. The procedure was also acceptable to all caregivers.

Keywords: feeding disorders; finger prompt; food acceptance; physical guidance; social validity.

MeSH terms

  • Behavior Therapy
  • Child
  • Child Behavior Disorders*
  • Child, Preschool
  • Extinction, Psychological
  • Feeding Behavior
  • Feeding and Eating Disorders of Childhood* / therapy
  • Feeding and Eating Disorders* / therapy
  • Humans
  • Infant
  • Prospective Studies