Behavior Analysis in Practice

, Volume 12, Issue 2, pp 301–309 | Cite as

An Evaluation of Sequential Meal Presentation with Picky Eaters

  • Colleen M. Whelan
  • Becky PenrodEmail author
Research Article


Results of previous research evaluating sequential presentation of nonpreferred (NP) and high-preferred (HP) foods have been mixed, and little is known about how preferences for foods and the manner in which they are presented impact consumption. In many households, NP and HP foods are presented together on the same plate (total meal presentation). This was true for the participants included in this study; thus, total meal presentation served as a baseline against which to compare the effects of an appetizer presentation method and subsequently sequential presentation (differential reinforcement). Results demonstrated that presenting NP foods as an appetizer was not successful in increasing consumption. Consumption only increased after HP foods were made contingent on consumption of the NP food.


Sequential presentation Food selectivity Differential reinforcement 


Compliance with Ethical Standards

Conflict of Interest

The first author declares that she has no conflict of interest. The second author declares that she has no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. Carruth, B. R., & Skinner, J. D. (2000). Revisiting the picky eater phenomenon: Neophobic behaviors of young children. Journal of the American College of Nutrition, 19(6), 771–780. Scholar
  2. Carruth, B. R., Ziegler, P. J., Gordon, A., & Barr, S. I. (2004). Prevalence of picky eaters among infants and toddlers and their caregivers’ decisions about offering a new food. Journal of the American Dietetic Association, 104, s57–s64. Scholar
  3. Cathey, M., & Gaylord, N. (2004). Picky eating: A toddler’s approach to mealtime. Pediatric Nursing, 30, 101–109 Retrieved from Scholar
  4. Ekstein, S., Laniado, D., & Glick, B. (2010). Does picky eating affect weight-for-length measurements in young children? Clinical Pediatrics, 49(3), 217–220. Scholar
  5. Fisher, W., Piazza, C. C., Bowman, L. G., Hagopian, L. P., Owens, J. C., & Slevin, I. (1992). A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. Journal of Applied Behavior Analysis, 25, 491–498. Scholar
  6. Food selectivity. (2017). Retrieved July 18, 2017, from
  7. Kerwin, M. E. (1999). Empirically supported treatments in pediatric psychology: Severe feeding problems. Journal of Pediatric Psychology, 24, 193–214 Retrieved from Scholar
  8. Levin, L., & Carr, E. G. (2001). Food selectivity and problem behavior in children with developmental disabilities: Analysis and intervention. Behavior Modification, 25, 443–470. Scholar
  9. Mascola, A. J., Bryson, S. W., & Agras, W. S. (2010). Picky eating during childhood: A longitudinal study to age 11 years. Eating Behavior, 11, 253–257. Scholar
  10. Najdowski, A. C., Wallace, M. D., Doney, J. K., & Ghezzi, P. M. (2003). Parental assessment and treatment of food selectivity in natural settings. Journal of Applied Behavior Analysis, 36, 383–386. Scholar
  11. Najdowski, A. D., Wallace, M. D., Reagon, K., Penrod, B., Higbee, T. S., & Tarbox, J. (2010). Utilizing a home-based parent training approach in the treatment of food selectivity. Behavioral Interventions, 25, 89–101. Scholar
  12. Penrod, B., & VanDalen, K. H. (2010). An evaluation of emerging preference for non-preferred foods targeted in the treatment of food selectivity. Behavioral Interventions, 25, 239–251. Scholar
  13. Penrod, B., Wallace, M. D., Reagon, K., Betz, A., & Higbee, T. S. (2010). A component analysis of a parent-conducted multi-component treatment for food selectivity. Behavioral Interventions, 25, 207–228. Scholar
  14. Piazza, C. C., Patel, M. R., Santana, C. M., Goh, H., Delia, M. D., & Lancaster, B. M. (2002). An evaluation of simultaneous and sequential presentation of preferred and nonpreferred food to treat food selectivity. Journal of Applied Behavior Analysis, 35, 259–270. Scholar
  15. Pizzo, B., Coyle, M., Seiverling, L., & Williams, K. (2012). Plate A-plate B: Use of sequential presentation in the treatment of food selectivity. Behavioral Interventions, 27, 175–184. Scholar
  16. Rogers, L. G., Magill-Evans, J., & Rempel, G. R. (2012). Mothers’ challenges in feeding their children with autism spectrum disorder: Managing more than just picky eating. Journal of Developmental Disabilities, 24, 19–33. Scholar
  17. Seiverling, L., Kokitus, A., & Williams, K. (2012). A clinical demonstration of a treatment package for food selectivity. The Behavior Analyst Today, 13, 11–16.CrossRefGoogle Scholar
  18. Taylor, C. M., Wernimont, S. M., Northstone, K., & Emmett, P. M. (2015). Picky/fussy eating in children: Review of definitions, assessment, prevalence, and dietary intakes. Appetite, 95, 349–359. Scholar

Copyright information

© Association for Behavior Analysis International 2018

Authors and Affiliations

  1. 1.Department of Psychology at California State UniversitySacramentoUSA

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