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Use of a Move-on Component to Increase Consumption for a Clinical Paediatric Feeding Case In-Home

Published online by Cambridge University Press:  14 September 2021

Tessa Taylor Open the ORCID record for Tessa Taylor [Opens in a new window]
Tessa Taylor*
Affiliation:
Department of Psychology, Speech & Hearing; Department of Health Sciences, University of Canterbury/Te Whare Wānanga o Waitaha, Christchurch, New Zealand Paediatric Feeding International, Sydney, New South Wales, Australia
*
*Corresponding author: Tessa Taylor, Department of Psychology, Speech & Hearing; Department of Health Sciences, University of Canterbury/Te Whare Wānanga o Waitaha, Private Bag 4800, Christchurch 8140, New Zealand. Email: drtaylor@paediatricfeedingintl.com
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Abstract

Research from specialised hospital feeding programmes in the United States has shown effectiveness of a variety of treatments for packing (not swallowing food or liquid in the mouth) to increase swallowing and consumption. One potential component used in clinical practice has not been evaluated in the literature to our knowledge. This component is move-on and involves moving on to the next bite presentation rather than waiting for swallowing (i.e., clean mouth). A 5-year-old female with autism spectrum disorder and avoidant/restrictive food intake disorder participated in a home setting in Australia. We used a withdrawal/reversal single-case experimental design for a move-on component added to a treatment package. With move-on added, latency to clean mouth decreased and consumption increased to 100%. After the treatment evaluation, additional procedures (interspersal, redistribution) were needed in full plate and portion meals. Food variety was increased to 116 regular texture foods across all food groups. All (100%) of admission goals were met. Parents were trained to high procedural integrity, and the protocol was generalised to the community. Gains maintained to 1-month follow-up.

Keywords

packingmove-oninappropriate mealtime behaviourpaediatric feeding disordersfood selectivityavoidant/restrictive food intake disorder (ARFID)autism spectrum disorder
Type
Standard Paper
Information
Behaviour Change , Volume 39 , Issue 1 , April 2022 , pp. 51 - 63
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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