Intensive paediatric feeding treatment and the use of a side deposit for a clinical case within the home setting in Australia

Abstract

ABSTRACT Researchers have shown the effectiveness of physical guidance procedures in highly specialised hospital settings. We replicated use of a side deposit in a treatment package using a reversal design. We extended by translating to a home setting in Australia. We also evaluated the frequency and necessity of use over time to 13 months, choice and positive reinforcement alone prior, and food preferences before and after exposure. A 9-year-old male with autism, laxative and formula dependence, iron deficiency, history of nasogastric tube, and years of previous multidisciplinary failed treatments participated. Choice and contingent access, differential attention, nonremoval, and re-presentation were ineffective in increasing consumption, but it increased to 100% when the side deposit was added. Variety increased to 57 regular texture foods and water from a cup. He met 100% of goals. His parents reported high satisfaction and acceptability. Treatment gains maintained over a year in the absence of protocol implementation.