title: Sequential treatment of a feeding problem using a pacifier and flipped spoon.
abstract: Parents may be reluctant to treat the feeding disorder of a chronically ill child who exhibits distressed behavior during feeding. In this study, we identified a child with chronic medical problems and a feeding disorder who cried during feedings. We introduced treatment components sequentially to address parental concerns about crying. First, we used a pacifier to reduce crying, and then we used a flipped spoon to increase mouth clean. The results showed that a sequential approach to treatment can be effective for children with complex medical and behavioral problems.
authors.affiliation: University of Nebraska Medical Center, Munroe-Meyer Institute, Omaha, Nebraska, USA.
authors.forename: Kristi D
authors.initials: KD
authors.lastname: Rivas
authors.forename: Cathleen C
authors.initials: CC
authors.lastname: Piazza
authors.forename: Heather J
authors.initials: HJ
authors.lastname: Kadey
authors.forename: Valerie M
authors.initials: VM
authors.lastname: Volkert
authors.forename: Victoria
authors.initials: V
authors.lastname: Stewart
mesh_terms: D003448:Crying / Q000523:psychology; D005247:Feeding Behavior / Q000502:physiology*; D005248:Feeding Methods / Q000295:instrumentation*; D001068:Feeding and Eating Disorders / Q000534:rehabilitation*; D006801:Humans; D007223:Infant; D008297:Male; D041361:Pacifiers; D010290:Parents / Q000523:psychology