A Family-Centered Positive Behavior Support Approach to the Amelioration of Food Refusal Behavior: An Empirical Case Study
Abstract
The purpose of this study was to evaluate the effectiveness of a family-centered positive behavior support approach to the amelioration of food refusal behavior in a child with autism. The study was conducted with the child and his family in their home. It employed an empirical case study design with one meal routine: snack time. Following training and support with the child's mother, results show high levels of child food acceptance, successful child participation in observed snack routines, and high parental ratings of social validity and contextual fit. Improvements maintained up to 26 months postintervention. Implementation also was associated with generalization of the child's eating behavior to new foods and to his father's supporting him during snack time. Child behavioral improvements also were associated with parental reports of gains in family quality of life. Results are discussed in terms of implications for practitioners and researchers involved in behavioral feeding interventions.
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Sensory-based food preferences in children and young people with autism have been shown to result in gagging, spitting, vomiting, self-injury, and aggression.
“This has been shown to result in gagging, spitting, vomiting, self-injury, and aggression.47,[49][50][51]”
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 [49]
Fear- or phobia-based avoidance or restriction of intake has been evidenced amongst children and young people with autism, with anxieties relating to swallowing, contamination, fears of trying new foods, and choking preceded by a traumatic event.
“The second example of ARFID presentation, a fear-or phobia-based avoidance or restriction of intake, has also been evidenced amongst children and young people with autism, with anxieties relating to swallowing, 53 contamination, 6 fears of trying new foods, 49 and choking preceded by a traumatic event.54”
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 [49]
The literature evidences eight case studies, one pilot trial, one RCT, and one retrospective chart review reporting on family-centred or caregiver/teacher-led interventions used to treat food avoidance, increase consumption, and tackle challenging mealtime behaviours.
“Finally, the literature on children and young people with autism with severe food restriction evidences eight case studies, one pilot trial, one RCT, and one retrospective chart review reporting on family-centred or caregiver/teacher-led interventions used to treat food avoidance, increase consumption, and tackle challenging mealtime behaviours.36,44,49,51,56,57,60,[81][82][83][84]”
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 [49]
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Bourne, L., Mandy, W., & Bryant‐Waugh, R. (2022) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15139 · Cited by 110 · see citing works
- Authors
- Binnendyk, L., & Lucyshyn, J. M.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- Lucyshyn, Joseph M.
- ORCID
- Lucyshyn, Joseph M.
- Venue
- Journal of Positive Behavior Interventions
- Publisher
- SAGE Publications
- Published
- 2008-07-01
- Volume
- 11
- Issue
- 1
- Pages
- 47-62
- ISSN
- 1098-3007 (ISSN-L)
- 1538-4772
- OpenAlex
- W2036528284
- Cited by
- 58
- References
- 57
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 5 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 2 · 2015: 6 · 2014: 3 · 2013: 3 · 2012: 6
- FWCI
- 2.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Positive Behavior 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
- food refusal, autism spectrum disorder, positive behavior support, family-centered intervention, mealtime routines, snack time, food acceptance, parent training, social validity, family quality of life
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