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- Title
Efficacy of functional analysis for informing behavioral treatment of inappropriate mealtime behavior: A systematic review and meta‐analysis.
- Authors
Saini, Valdeep; Jessel, Joshua; Iannaccone, Julia A.; Agnew, Charlene
- Abstract
Children diagnosed with a feeding disorder often exhibit inappropriate mealtime behavior such as throwing or swiping food, which can exacerbate feeding difficulties during treatment. We conducted a meta‐analysis of 86 behavioral treatments for inappropriate mealtime behavior from 23 studies to assess the extent to which treatments based on a pretreatment functional analysis were more efficacious than those treatments not based on a functional analysis. Procedural escape extinction and attention extinction for inappropriate mealtime behavior, as well as differential reinforcement for food acceptance or consumption, represented the most common treatments independent of whether a functional analysis was conducted. No difference was detected between treatments that were and were not based on a functional analysis, and mean effect size across measures was identical (79%). The requirement of a pretreatment functional analysis for inappropriate mealtime behavior is equivocal given that standard care often includes efficacious treatment components that are not informed by a functional analysis.
- Subjects
BEHAVIOR therapy; EATING disorders; ERIC (Information retrieval system); FOOD habits; PSYCHOLOGY information storage &; retrieval systems; MEDLINE; META-analysis; ONLINE information services; REINFORCEMENT (Psychology); SYSTEMATIC reviews; EFFECT sizes (Statistics); FUNCTIONAL assessment; DESCRIPTIVE statistics
- Publication
Behavioral Interventions, 2019, Vol 34, Issue 2, p231
- ISSN
1072-0847
- Publication type
Article
- DOI
10.1002/bin.1664