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Treatment of Food Selectivity in a Child with Avoidant/Restrictive Food Intake Disorder Through Parent Teleconsultation

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Abstract

Avoidant/restrictive food intake disorder (ARFID) is a diagnosis for those who display impaired and distressing eating behaviors and symptoms. Behavioral feeding strategies have been shown to be effective at improving food variety and decrease problematic mealtime behaviors in children and adolescents. This study examined the use of teleconsultation for the implementation of a behavioral feeding intervention to increase food variety with a child with avoidant/restrictive food intake disorder. A series of changing criterion designs across foods and food groups was used. Results show that there was an increase in the frequency of bites of nonpreferred foods consumed following successive increases in the criteria. High levels of acceptability of the intervention and technology process were also noted. Additionally, high levels of interobserver agreement, high levels of consultant procedural integrity, and high levels of parent treatment integrity were observed.

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Funding

This study was supported by a grant from the Autism Council of Utah.

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Authors and Affiliations

  1. University of Utah, 1721 Campus Center Drive, SAEC 3220, Salt Lake City, UT, 84112, USA

    Bradley S. Bloomfield, Aaron J. Fischer & Racheal R. Clark

  2. University of Massachusetts, Dartmouth, North Dartmouth, MA, 02747, USA

    Meredith B. Dove

Authors
  1. Bradley S. Bloomfield
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  2. Aaron J. Fischer
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  3. Racheal R. Clark
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  4. Meredith B. Dove
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Corresponding author

Correspondence to Bradley S. Bloomfield.

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Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with animals performed by any of the authors; all procedures with human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and comparable ethical standards.

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Informed consent was obtained in accordance with the institutional research committee standards.

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Highlights

• Preliminary evidence into the effectiveness of parent teleconsultation in the treatment of ARFID using behavioral intervention

• Highlights practical utility of parent-implemented treatment as a feasible and acceptable modality in the natural environment

• Replication of previous research on the use of behavior interventions as a means to treat ARFID

• Use of a series of changing criterion designs to evaluate effectiveness of interventions across foods

• Highlights important considerations for future research regarding behavioral feeding intervention modalities as clinic services are currently geographically limited

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Bloomfield, B.S., Fischer, A.J., Clark, R.R. et al. Treatment of Food Selectivity in a Child with Avoidant/Restrictive Food Intake Disorder Through Parent Teleconsultation. Behav Analysis Practice 12, 33–43 (2019). https://doi.org/10.1007/s40617-018-0251-y

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  • DOI: https://doi.org/10.1007/s40617-018-0251-y

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