Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior
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2022-07-10
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Chen, E., Borrero, C. S. W., Frank-Crawford, M. A., & Borrero, J. C. (2022). Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior. 37( 4), Behavioral Interventions, 1058– 1079. https://doi.org/10.1002/bin.1899
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This is the peer reviewed version of the following article: Chen, E., Borrero, C. S. W., Frank-Crawford, M. A., & Borrero, J. C. (2022). Accumulated- and distributed-reinforcer arrangements in the treatment of challenging mealtime behavior. 37( 4), Behavioral Interventions, 1058– 1079. https://doi.org/10.1002/bin.1899, which has been published in final form at https://doi.org/10.1002/bin.1899. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
Access to this item will begin on 07/10/2023.
Access to this item will begin on 07/10/2023.
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Abstract
Treatment for inappropriate mealtime behavior often includes extinction and differential reinforcement of alternative behavior (DRA) in a distributed arrangement in which delivery of brief reinforcer access immediately follows each appropriate mealtime response. Alternatively, DRA may be arranged using accumulated reinforcement wherein delivery of longer, continuous access to reinforcers follows the consumption of multiple consecutive bites. Research has suggested that individuals prefer and perform better under accumulated arrangements in academic settings; however, no research to date has evaluated the efficacy of accumulated arrangements with children with feeding disorders. We compared preference for and efficacy of distributed and accumulated (with and without tokens) reinforcement with nonremoval of the spoon. All three treatments effectively reduced inappropriate mealtime behavior and increased acceptance for two participants and decreased packing and increased mouth clean for one participant. Two participants preferred distributed reinforcement and one preferred accumulated reinforcement without tokens. Findings differ from some previous research, which demonstrated that participants favored accumulated arrangements in academic contexts.