A review of the use of escape extinction for the reduction of inappropriate mealtime behavior
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Food selectivity and inappropriate mealtime behaviors (IMB) can disrupt a child’s ability to consume the necessary calories and nutrients necessary for growth and development. This literature review examined whether escape extinction was a necessary treatment component for the treatment of IMB. Studies were included in the review if (a) the primary and secondary dependent variables were IMB or a behavior that is topologically equivalent (e.g., food refusal) and acceptance of solid food or liquids, and (b) the study compares an intervention utilizing escape extinction to an intervention that does not utilize escape extinction or an intervention that uses a different form of escape extinction. Studies were evaluated based on the following variables: types of treatment evaluated, most effective treatment, inclusion of a functional analysis, intervention setting, interventionist, and the inclusion of social validity measures. For all participants but one, some form of escape extinction was necessary to reduce IMB and increase food acceptance.
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M.S.