Abstract
Objectives
This study evaluated the effects of a video-enhanced activity schedule on the dangerous food stuffing (rapid eating) of a child with pervasive developmental disorder-not otherwise specified (PDD-NOS).
Methods
An iPad Mini and the software application My Pictures Talk were used to deliver the video-enhanced activity schedule intervention. A multiple baseline across meals with an embedded ABAB design was used to evaluate changes in food stuffing behavior.
Results
A reduction in food stuffing across breakfast, lunch, and snack was demonstrated with experimental control. Generalization probes with the child’s mother suggested the improvement generalized to meals without the therapist but caution in conclusions regarding generalization is limited by the small number of generalization probes. The child’s mother provided anecdotal social validity data indicating the intervention approach was acceptable, treatment goals were meaningful, and outcomes were positive.
Conclusions
This study replicates previous research demonstrating the potential benefit of video-enhanced activity schedules and extends previous research by reducing inappropriate mealtime behavior in a child with PDD-NOS.
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References
Anglesea, M. M., Hoch, H., & Taylor, B. A. (2008). Reducing rapid eating in teenagers with autism: use of a pager prompt. Journal of Applied Behavior Analysis, 41, 107–111. https://doi.org/10.1901/jaba.2008.41-107.
Bryan, L. C., & Gast, D. L. (2000). Teaching on-task and on-schedule behaviors to high-functioning children with autism via picture activity schedules. Journal of Autism and Developmental Disorders, 30, 553–567. https://doi.org/10.1023/A:1005687310346.
Echeverria, F., & Miltenberger, R. G. (2013). Reducing rapid eating in adults with intellectual disabilities. Behavioral Interventions, 28, 131–142. https://doi.org/10.1002/bin.135.
Ledbetter-Cho, K., Lang, R., Moore, M., Davenport, K., Murphy, C., Lee, A., et al. (2017). Effects of video-enhanced activity schedules on academic skills and collateral behaviors in children with autism. International Journal of Developmental Disabilities, 63, 228–237. https://doi.org/10.1080/20473869.2017.1290022.
Lennox, D. B., Miltenberger, R. G., & Donnelly, D. R. (1987). Response interruption and DRL for the reduction of rapid eating. Journal of Applied Behavior Analysis, 20, 279–284. https://doi.org/10.1901/jaba.1987.20-279.
Miltenberger, C. A., & Charlop, M. H. (2015). The comparative effectiveness of portable video modeling vs. traditional video modeling interventions with children with autism spectrum disorders. Journal of Developmental and Physical Disabilities, 27, 341–358. https://doi.org/10.1007/s10882-014-9416-y.
Page, S. V., Griffith, K., & Penrod, B. (2017). Reduction of rapid eating in an adolescent female with autism. Behavior Analysis in Practice, 10, 87–91. https://doi.org/10.1007/s40617-016-0143-y.
Schopler, E., Van Bourgondien, M. E., Wellman, G. J., & Love, S. R. (2010). Childhood autism rating scale (2nd ed.). Los Angeles: Western Psychological Services.
Silbaugh, B. C., Swinnea, S., & Penrod, B. (2018). Synthesis of applied behavior analytic interventions for packing in pediatric feeding disorders. Behavior Modification, 42, 249–272. https://doi.org/10.1177/0145445517724541.
Spriggs, A. D., Knight, V., & Sherrow, L. (2015). Talking picture schedules: embedding video models into visual activity schedules to increase independence for students with ASD. Journal of Autism and Developmental Disorders, 45, 3846–3861. https://doi.org/10.1007/s10803-014-2315-3.
Wright, C. S., & Vollmer, T. R. (2002). Evaluation of a treatment package to reduce rapid eating. Journal of Applied Behavior Analysis, 35, 89–93. https://doi.org/10.1901/jaba.2002.35-89.
Acknowledgements
The authors appreciate the assistance of Xiaoning Sun with data collection.
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MK: designed and executed the study, analyzed the data, and wrote the paper. RL: supervised the research process, contributed to the design of the study, assisted with data analysis, and collaborated in writing and editing the final manuscript. AL: assisted with executing the study and data analysis. KLC: collaborated in writing and editing the manuscript. All authors made meaningful contributions to the content presented in the discussion.
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All procedures performed in studies involving human participants were in accordance with the guidelines of the research ethics committee of Texas State University-San Marcos.
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Informed consent was obtained from all participants in the study.
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Kirkpatrick, M., Lang, R., Lee, A. et al. A Video-Enhanced Activity Schedule Reduces Food Stuffing in Child with Pervasive Developmental Disability: a Single Subject Design Case Study. Adv Neurodev Disord 3, 281–286 (2019). https://doi.org/10.1007/s41252-019-00100-6
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DOI: https://doi.org/10.1007/s41252-019-00100-6