An Initial Evaluation of Trial-Based Functional Analyses of Inappropriate Mealtime Behavior

  • Abby Hodges
  • Stephanie Gerow
  • Tonya N. Davis
  • Supriya Radhakrishnan
  • Amy Feind
  • Nicole OGuinn
  • Christy Prawira
ORIGINAL ARTICLE
  • 15 Downloads

Abstract

Treatment of inappropriate mealtime behavior (IMB) should involve a functional analysis to determine variables maintaining the target behaviors. The purpose of the present study was to evaluate the trial-based functional analysis of IMB and assess correspondence of the results with a traditional functional analysis. The participants were two boys, ages 3 and 5 years old, diagnosed with developmental disabilities. A trial-based functional analysis and traditional analogue functional analysis of IMB were conducted with each participant, with the order of functional analyses counterbalanced across participants. The trial-based functional analysis resulted in differentially higher levels of IMB in one or more test conditions, indicating a social function of IMB for both participants. In addition, the results of the trial-based and traditional functional analysis corresponded for both participants. The subsequent function-based intervention, developed based on the results of the trial-based functional analysis, was associated with a decrease in IMB and an increase in appropriate feeding behaviors for both participants. The results of this study provide initial support for the use of trial-based functional analysis to assess the function of IMB.

Keywords

Trial-based functional analysis Feeding problems Function-based intervention Inappropriate mealtime behavior 

Notes

Compliance with Ethical Standards

Ethical Approval

Ethical Approval was obtained from the University's Review Board prior to the start of the study. 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 the caregivers of all individual participants included in the study.

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. Addison, L. R., Piazza, C. C., Patel, M. R., Bachmeyer, M. H., Rivas, K. M., Milnes, S. M., & Oddo, J. (2012). A comparison of sensory integrative and behavioral therapies as treatment for pediatric feeding disorders. Journal of Applied Behavior Analysis, 45, 455–471.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Allison, J., Wilder, D. A., Chong, I., Lugo, A., Pike, J., & Rudy, N. (2012). A comparison of differential reinforcement and noncontingent reinforcement to treat food selectivity in a child with autism. Journal of Applied Behavior Analysis, 45, 613–617.CrossRefPubMedPubMedCentralGoogle Scholar
  3. Bachmeyer, M. H., Piazza, C. C., Fredrick, L. D., Reed, G. K., Rivas, K. D., & Kadey, H. J. (2009). Functional analysis and treatment of multiply controlled inappropriate mealtime behavior. Journal of Applied Behavior Analysis, 42, 641–658.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Beavers, G. A., Iwata, B. A., & Lerman, D. C. (2013). Thirty years of research on the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 46, 1–21.CrossRefPubMedGoogle Scholar
  5. Bloom, S. E., Lambert, J. M., Dayton, E., & Samaha, A. L. (2013). Teacher-conducted trial-based functional analyses as the basis for intervention. Journal of Applied Behavior Analysis, 46, 208–218.CrossRefPubMedGoogle Scholar
  6. Borrero, C. S., England, J. D., Sarcia, B., & Woods, J. N. (2016). A comparison of descriptive and functional analyses of inappropriate mealtime behavior. Behavior Analysis in Practice, 9(4), 364–379.Google Scholar
  7. Cooper, J. O., Heron, T. E., & Heward, W. L. (2007). Applied behavior analysis (2 nd ed.). Upper Saddle River, NJ: Pearson Education, Inc..Google Scholar
  8. 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 to profound disabilities. Journal of Applied Behavior Analysis, 25, 491–498.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Girolami, P., Scotti, J. R. (2001). Use of analog functional analysis in assessing the function of mealtime behavior problems. Education and Training in Mental Retardation and Developmental Disabilities, 36(2), 207-223.Google Scholar
  10. Gonzalez, M. L., Rubio, E. K., & Taylor, T. (2014). Inappropriate mealtime behavior: the effects of noncontingent access to preferred tangibles on responding in functional analyses. Research in Developmental Disabilities, 35, 3655–3664.CrossRefPubMedGoogle Scholar
  11. Hanley, G. P., Iwata, B. A., & McCord, B. E. (2003). Functional analysis of problem behavior: a review. Journal of Applied Behavior Analysis, 36, 147–185.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Hodges, A., Davis, T., Crandall, M., Phipps, L., & Weston, R. (2017). Using shaping to increase foods consumed by children with autism. Journal of Autism and Developmental Disorders, 47(8), 2471–2479.CrossRefPubMedGoogle Scholar
  13. Iwata, B. A., Dorsey, M. F., Slifer, K. J., Bauman, K. E., & Richman, G. S. (1994). Toward a functional analysis of self-injury. Journal of Applied Behavior Analysis, 27, 197–209.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Kern, L., & Marder, T. J. (1995). A comparison of simultaneous and delayed reinforcement as treatments for food selectivity. Journal of Applied Behavior Analysis, 29, 243–246.CrossRefGoogle Scholar
  15. Koegel, R. L., Bharoocha, A. A., Ribnick, C. B., Ribnick, R. C., Bucio, M. O., Fredeen, R. M., & Koegel, L. K. (2012). Using individualized reinforcers and hierarchical exposure to increase food flexibility in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42(8), 1574–1581.CrossRefPubMedPubMedCentralGoogle Scholar
  16. Kunnavatana, S. S., Bloom, S. E., Samaha, A. L., Lignugaris/Kraft, B., Dayton, E., & Harris, S. K. (2013a). Using a modified pyramidal training model to teach special education teachers to conduct trial-based functional analyses. Teacher Education and Special Education, 36, 267–285.CrossRefGoogle Scholar
  17. Kunnavatana, S. S., Bloom, S. E., Samaha, A. L., & Dayton, E. (2013b). Training teachers to conduct trial-based functional analyses. Behavior Modification, 37, 707–722.CrossRefPubMedGoogle Scholar
  18. Lambert, J. M., Bloom, S. E., & Irvin, J. (2012). Trial-based functional analysis and functional communication training in an early childhood setting. Journal of Applied Behavior Analysis, 45, 579–584.CrossRefPubMedPubMedCentralGoogle Scholar
  19. Lambert, J. M., Bloom, S. E., Kunnavatana, S. S., Collins, S. D., & Clay, C. J. (2013). Training residential staff to conduct trial-based functional analyses. Journal of Applied Behavior Analysis, 46, 296–300.CrossRefPubMedGoogle Scholar
  20. LaRue, R. H., Stewart, V., Piazza, C. C., Volkert, V. M., Patel, M. R., & Zeleny, J. (2011). Escape as reinforcement and escape extinction in the treatment of feeding problems. Journal of Applied Behavior Analysis, 44, 719–735.CrossRefPubMedPubMedCentralGoogle Scholar
  21. Ledford, J. R., & Gast, D. L. (2006). Feeding problems in children with autism spectrum disorders: a review. Focus on Autism and Other Developmental Disabilities, 21, 156–166.CrossRefGoogle Scholar
  22. Manikam, R., & Perman, J. A. (2000). Pediatric feeding disorders. Journal of Clinical Gastroenterology, 30(1), 34–46.CrossRefPubMedGoogle Scholar
  23. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  24. O’Neill, R. E., Horner, R. H., Albin, R. W., Sprague, J. R., Storey, K., & Newton, J. S. (1997). Functional assessment and program development for problem behavior: A practical handbook. Pacific Grove: Brooks/Cole Publishing.Google Scholar
  25. Piazza, C. C., Fisher, W. W., Brown, K. A., Shore, B. A., Patel, M. R., Katz, R. M., et al. (2003). Functional analysis of inappropriate mealtime behaviors. Journal of Applied Behavior Analysis, 36, 187–204.CrossRefPubMedPubMedCentralGoogle Scholar
  26. Rispoli, M., Ninci, J., Neely, L., & Zaini, S. (2013). A systematic review of trial-based functional analysis of challenging behavior. Journal of Developmental and Physical Disabilities, 26, 271–283.CrossRefGoogle Scholar
  27. Rispoli, M., Burke, M. D., Hatton, H., Ninci, J., Zaini, S., & Sanchez, L. (2015). Training head start teachers to conduct trial-based functional analysis of challenging behavior. Journal of Positive Behavior Interventions, 17, 235–244.CrossRefGoogle Scholar
  28. 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 and Physical Disabilities, 24, 19–33.CrossRefGoogle Scholar
  29. Ruiz, S., & Kubina, R. M., Jr. (2017). Impact of trial-based functional analysis on challenging behavior and training: A review of the literature. Behavior Analysis: Research and Practice. Advance online publication.Google Scholar
  30. Schmidt, J. D., Drasgow, E., Halle, J. W., Martin, C. A., & Bliss, S. A. (2013). Discrete-trial functional analysis and functional communication training with three individuals with autism and severe problem behavior. Journal of Positive Behavior Interventions, 16, 44–55.CrossRefGoogle Scholar
  31. Sigafoos, J., & Meikle, B. (1996). Functional communication training for the treatment of multiply determined challenging behavior in two boys with autism. Behavior Modification, 20, 60–84.CrossRefPubMedGoogle Scholar
  32. Sigafoos, J., & Saggers, E. (1995). A discrete-trial approach to the functional analysis of aggressive behavior in two boys with autism. Australia & New Zealand Journal of Developmental Disabilities, 20, 287–297.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Baylor UniversityWacoUSA

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