Choose fading starting points by identifying a response already in the child's repertoire¶

Strategy · All strategies
Evidence · no claims cited

Description¶

The article proposes that when a child refuses a target consumable or utensil, the clinician should first identify a related response the child already performs and begin fading from that response. It states that "identification of a response that is in the child’s repertoire (in this case swallowing liquids on a spoon) might be one method for choosing initial starting points for fading." The therapist then gradually altered the utensil until the child consumed from the cup.

Design Implications¶

Context¶

Requirements¶

• A response already in the child's repertoire that is related to the target response (e.g., swallowing liquids on a spoon) must be identified

Constraints¶

• The article evaluated this approach with one participant and did not evaluate spoon-to-cup fading without a function-based extinction treatment

Target Learners¶

• children with pediatric feeding disorders, including children with intestinal failure

Target Learning Goals¶

• consuming liquids from a cup; transitioning to oral feeding

Related Strategies¶

Examples¶

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Key Sources¶

• Groff, R. A., Piazza, C. C., Zeleny, J. R., & Dempsey, J. R. (2011). Spoon-to-cup fading as treatment for cup drinking in a child with intestinal failure. Journal of Applied Behavior Analysis, 44, 949–954. https://doi.org/10.1901/jaba.2011.44-949