Chin prompt plus re-presentation as treatment for expulsion in children with feeding disorders.
Expulsion (spitting out food) is a problem behavior observed in many children with feeding disorders. In the current investigation, we identified 4 children diagnosed with a feeding disorder who exhibited high rates of expulsion. Treatment with re-presentation (placing expelled liquids or solids back into the child's mouth) was not effective in reducing expulsion. Therefore, we added a chin-prompt procedure (the feeder applied gentle upward pressure to the child's chin and lower lip) for the initial presentation and the re-presentation. Chin prompt plus re-presentation resulted in low rates of expulsion for all 4 children. The results are discussed in terms of the potential underlying mechanisms behind the effectiveness of the chin-prompt procedure.
['Wilkins|Jonathan W|JW|', 'Piazza|Cathleen C|CC|', 'Groff|Rebecca A|RA|', 'Vaz|Petula C M|PC|']
D001521:Behavior Therapy D002648:Child D002675:Child, Preschool D002680:Chin D004750:Enteral Nutrition D005247:Feeding Behavior D019959:Feeding and Eating Disorders of Childhood D005260:Female D006801:Humans D007223:Infant D008297:Male D010781:Photography D012054:Reinforcement, Psychology
chin prompt re-presentation expulsion feeding disorder escape extinction negative reinforcement pediatric feeding disorder