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Journal of applied behavior analysis
06, 2022;55 (3): 704-726.

Relapse during the treatment of pediatric feeding disorders.

Sarah D Haney, Brian D Greer, Daniel R Mitteer, Kayla R Randall
Author Information
  1. Sarah D Haney: Kennedy Krieger Institute. ORCID
  2. Brian D Greer: Children's Specialized Hospital-Rutgers University Center for Autism Research, Education, and Services (CSH-RUCARES). ORCID
  3. Daniel R Mitteer: Children's Specialized Hospital-Rutgers University Center for Autism Research, Education, and Services (CSH-RUCARES). ORCID
  4. Kayla R Randall: Center for Pediatric Behavioral Health. ORCID
PMID: 35318658 DOI: 10.1002/jaba.913

Abstract

Resurgence and renewal are treatment-relapse phenomena in which previously extinguished behavior returns after the conditions for an alternative response worsen or the context changes, respectively. Recently, researchers have evaluated the prevalence of resurgence and renewal when treating destructive behavior with functional communication training. However, resurgence of inappropriate mealtime behavior has yet to be evaluated; perhaps because treatments involve qualitatively different resurgence opportunities (e.g., increased bite-presentation rate). We evaluated the prevalence of resurgence and renewal of inappropriate mealtime behavior across 22 and 25 applications of extinction-based treatments, respectively. Resurgence occurred in 41% (9/22) of applications, most often following presentation-rate increases. Renewal occurred in 52% (13/25) of applications, most often following feeder changes from therapist to caregiver. We discuss these findings in terms of their ability to inform relapse-mitigation strategies for resurgence and renewal of inappropriate mealtime behavior.

Keywords

inappropriate mealtime behavior pediatric feeding disorder renewal resurgence treatment relapse

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Grants

  1. 2R01HD079113/National Institute of Child Health and Human Development
  2. R01 HD079113/NICHD NIH HHS
  3. 5R01HD093734/National Institute of Child Health and Human Development
  4. R01 HD093734/NICHD NIH HHS
  5. 5R01HD083214/National Institute of Child Health and Human Development
  6. R01 HD083214/NICHD NIH HHS

MeSH Term

Child
Conditioning, Operant
Extinction, Psychological
Feeding and Eating Disorders
Humans
Problem Behavior
Recurrence
Reinforcement Schedule
Reinforcement, Psychology
Journal Article Research Support, N.I.H., Extramural

Word Cloud

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