We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Parent treatment of complex pica in a teen with autism.
- Authors
Thomas, Benjamin R.; Bowman, Matthew D.; Sanchez, Aaron; Strohmeier, Craig W.
- Abstract
Pica is a severe behavior disorder involving the persistent consumption of nonnutritive substances. Due to health complications and risks for fatality, designing effective behavioral treatments that are feasible for implementation by family members at home is imperative. This case report presents a parent‐conducted functional analysis and treatment evaluation of automatically maintained pica in a teenager with autism spectrum disorder. Initial treatment with a competing stimulus was effective when paired with response interruption and redirection. Although effective, this combination of treatment components required very close parental proximity and led to increases in untargeted body‐oriented pica (e.g., ingestion of skin, hair, and nails). Upon extending treatment to include the second topography of pica, both the originally targeted (object‐oriented) pica and body‐oriented pica decreased. Nonetheless, treatment effects were not sustained while fading parent proximity. The treatment was then augmented a third time with response cost. This final treatment package produced clinically significant reductions in all pica, facilitated parent proximity fading until the participant was alone, extended to their home, and maintained over a year of follow up.
- Subjects
DISTRACTION; BEHAVIOR therapy; MEDICAL care; AUTISM in adolescence; FAMILY-centered care; TREATMENT effectiveness; FUNCTIONAL assessment; PICA (Pathology); PARENT-child relationships; SOCIAL skills education; EVALUATION; ADOLESCENCE
- Publication
Behavioral Interventions, 2023, Vol 38, Issue 3, p611
- ISSN
1072-0847
- Publication type
Article
- DOI
10.1002/bin.1956