|Bon Appetite...From One Bite to a Meal!|
|Sunday, May 27, 2012|
|3:30 PM–4:50 PM |
|Area: AUT/DDA; Domain: Applied Research|
|Chair: Natalie P. Croteau (Surrey Place Centre)|
|Discussant: Nancy Freeman (Surrey Place Centre)|
|CE Instructor: Natalie P. Croteau, M.A.|
A pediatric feeding disorder is defined as a child not consuming enough food to gain weight and grow. As a result, children diagnosed with feeding disorders can fail to thrive and meet physical developmental milestones and are at greater risk for cognitive developmental impairments. For all children developing, food consumption can impact learning. For children diagnosed with autism, many of whom have cognitive impairments; food consumption is paramount to maximize learning potential. The purpose of these studies is to investigate the effectiveness of a multicomponent behavioural feeding treatment plan consisting of increasing food consumption, decreasing escape behaviours and systematically shaping the types and textures of foods from puree to solids. The investigators will measure food consumption and calorie intake, escape behavior frequency (e.g. head turning, hand pushing spoon away, gagging, and vomiting) and food types and textures. Essentially, we wish to investigate how to effectively increase food consumption and whether the feeding behavior can be maintained and generalized to the participant's natural environment.
|Keyword(s): autism, food consumption, food refusal, parent training|
There's More to Food Than Just Mush: A Behavioural Intervention to Decrease Food Refusal
|NATALIE P. CROTEAU (Surrey Place Centre), Rachel Koffman (The Etobicoke Children's Centre), Erin Lemcke (Geneva Centre for Autism)|
A feeding disorder can occur when a child does not consume a sufficient volume of food to gain weight and grow normally. As a result, children diagnosed with feeding disorders can fail to thrive and meet physical developmental milestones and are at greater risk for cognitive developmental impairments. For all children developing, food consumption can impact learning. For children diagnosed with autism, many of whom have cognitive impairments; food consumption is paramount to maximize learning potential. Feeding disorders are serious with many implications, and as such, it is imperative that the behavioural treatment plan is individualized. The purpose of this study was to decrease escape behaviours exhibited during food refusal of a child diagnosed with autism and a feeding disorder. The treatment plan included data collection on head turning, hand pushing spoon, gagging, and vomiting behaviours. A level spoon was placed at the top of the child's lip and remained there until the bite was accepted. The child was required to swallow a bite before the next bite was presented and was required to swallow the last bite presented before the session was terminated, as was determined by the amount established through data collected at baseline.
Just One Bit...You Might Like It: Increasing Food and Calorie Consumption of a Child Diagnosed With Autism
|RACHEL KOFFMAN (The Etobicoke Children's Centre), Natalie P. Croteau (Surrey Place Centre)|
A pediatric feeding disorder is defined as a child not consuming enough food to gain weight and grow. The purpose of the current study is to effectively increase food and calorie consumption of a 6-year-old boy diagnosed with autism. Furthermore, the individualized treatment plan involves data collection on percentage of food acceptance, calorie intake, child's weight, and duration of meal. Four foods were presented during each feeding session and the order the foods presented varied randomly within and across the sessions. Foods were initially presented in a puree texture and enriched with a high-calorie supplement such as cream and butter. Two feeding sessions were conducted daily. Initially, all feeding sessions occurred in the treatment centre and were approximately 3-hours apart. The feeder presented a bite of food and the s(d) "take a bite." Bites were presented approximately every 30 seconds.
You Do It There, Now lLt's Teach You Here: A Parent Training Treatment Plan to Implement and Maintain Feeding Behaviour
|ERIN LEMCKE (Geneva Centre for Autism), Natalie P. Croteau (Surrey Place Centre)|
The aim of this study was to evaluate whether the feeding behaviour could be maintained and generalized to the participants natural environment. The treatment involved nutrition education, food preparation training, and simple data recording for parents, all of which are important components to maintaining feeding behaviours in order to meet child developmental milestones. Consumption data was measured after each session and behaviours were coded via videotape at a later date. Food was prepared using a blender or food processor and systematically increased in gradient from puree to solid. The puree phase was conducted in the clinical setting to fade the contrived components of the treatment plan such as: high chair, second prompter, reinforcement schedule, etc. Further phases are to be implemented such as: increased textures and volume to be introduced in the clinical setting and generalized to other environments the child will be expected to eat (i.e., home). Training consisted of providing nutritional information, modeling, verbal instructions and in the moment feedback; all of which were provided in the treatment centre and the childs home. Further generalization of this elaborate treatment plan is ongoing.