title: Chin prompt plus re-presentation as treatment for expulsion in children with feeding disorders.
abstract: Expulsion (spitting out food) is a problem behavior observed in many children with feeding disorders. In the current investigation, we identified 4 children diagnosed with a feeding disorder who exhibited high rates of expulsion. Treatment with re-presentation (placing expelled liquids or solids back into the child's mouth) was not effective in reducing expulsion. Therefore, we added a chin-prompt procedure (the feeder applied gentle upward pressure to the child's chin and lower lip) for the initial presentation and the re-presentation. Chin prompt plus re-presentation resulted in low rates of expulsion for all 4 children. The results are discussed in terms of the potential underlying mechanisms behind the effectiveness of the chin-prompt procedure.
authors.affiliation: University of Nebraska Medical Center's Munroe-Meyer Institute, Omaha, Nebraska 68198, USA.
authors.forename: Jonathan W
authors.initials: JW
authors.lastname: Wilkins
authors.forename: Cathleen C
authors.initials: CC
authors.lastname: Piazza
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Groff
authors.forename: Petula C M
authors.initials: PC
authors.lastname: Vaz
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D002680:Chin / Q000503:physiopathology*; D004750:Enteral Nutrition; D005247:Feeding Behavior / Q000502:physiology*; D019959:Feeding and Eating Disorders of Childhood / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010781:Photography / Q000379:methods; D012054:Reinforcement, Psychology