Increasing calorie consumption in children with cystic fibrosis: replication with 2-year follow-up.
Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.
Stark
L J
LJ
Brown University School of Medicine, Providence, Rhode Island 02903.
Knapp
L G
LG
Bowen
A M
AM
Powers
S W
SW
Jelalian
E
E
Evans
S
S
Passero
M A
MA
Mulvihill
M M
MM
Hovell
M
M
D001521:Behavior Therapy; D001835:Body Weight; D002648:Child; D002675:Child, Preschool; D003550:Cystic Fibrosis / Q000523:psychology / Q000628:therapy*; D002149:Energy Intake; D005247:Feeding Behavior; D001068:Feeding and Eating Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008176:Lung Volume Measurements; D008297:Male; D010290:Parents / Q000193:education*; D011502:Protein-Energy Malnutrition / Q000523:psychology / Q000628:therapy*; D011615:Psychotherapy, Group