Bite size and texture assessments to prescribe treatment for severe food selectivity in autism
Abstract
Separate evaluations of bite size (amount of food on the spoon) and food texture were used to prescribe treatment changes in a feeding protocol for a 3‐year‐old male with autism and severe food selectivity. Each evaluation revealed distinct behavioral topographies, with an increase in disruptive behaviors associated with increased bite sizes and decreased swallowing and higher rates of gagging associated with higher textures. The results of each evaluation were used to successfully guide increases in volume and texture during therapeutic meals. Results highlight the importance of considering both aversion to food as well as oral motor skills when designing treatment for children with food selectivity. Copyright © 2009 John Wiley & Sons, Ltd.
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Oral nutritional supplements can be a useful way to ensure adequate intake of macro- and micronutrients for those not getting enough food to meet calorific or nutritional needs.
“For those not getting enough food to meet calorific or nutritional needs, oral nutritional supplements can be a useful way to ensure the adequate intake of macro-and micronutrients.39,42,74”
From Avoidant/Restrictive Food Intake Disorder and Severe Food Selectivity in Children and Young People with Autism: A Scoping Review (2022) · cites this paper as [42]
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- Authors
- Sharp, W. G., & Jaquess, D. L.
- Affiliations
- Emory University (US)
- Corresponding author
- Sharp, William G.
- Venue
- Behavioral Interventions
- Publisher
- Wiley
- Published
- 2009-04-17
- Volume
- 24
- Issue
- 3
- Pages
- 157-170
- ISSN
- 1072-0847 (ISSN-L)
- 1099-078X
- OpenAlex
- W1994917338
- Cited by
- 32
- References
- 10
- Citations by year
- 2026: 2 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 1 · 2015: 2 · 2014: 3 · 2013: 4 · 2012: 2
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Interventions (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- picky eating, autism spectrum disorder, bite size, food texture, feeding protocol, oral motor skills, gagging, swallowing, food aversion, disruptive behavior, preschool children, treatment prescription
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