A Family-Centered Feeding Intervention to Promote Food Acceptance and Decrease Challenging Behaviors in Children With ASD: Report of Follow-Up Data on a Train-the-Trainer Model Using EAT-UP Purpose This research note outlines the usefulness of Easing Anxiety Together with Understanding and Perseverance (EAT-UP), a train-the-trainer, family-centered feeding intervention, for promoting food acceptance of children with autism spectrum disorder (ASD). This report is a follow-up on a pilot study (n = 4) of the EAT-UP intervention previously completed ... Research Note
Research Note  |   February 06, 2018
A Family-Centered Feeding Intervention to Promote Food Acceptance and Decrease Challenging Behaviors in Children With ASD: Report of Follow-Up Data on a Train-the-Trainer Model Using EAT-UP
 
Author Affiliations & Notes
  • Deirdre Muldoon
    The College of Saint Rose, Albany, NY
  • Joanna Cosbey
    University of New Mexico, Albuquerque
  • Disclosure: The authors have declared that no competing interests existed at the time of publication.
    Disclosure: The authors have declared that no competing interests existed at the time of publication.×
  • Correspondence to Deirdre Muldoon: muldoond@strose.edu
  • Editor-in-Chief: Krista Wilkinson
    Editor-in-Chief: Krista Wilkinson×
  • Editor: Erinn Finke
    Editor: Erinn Finke×
Article Information
Swallowing, Dysphagia & Feeding Disorders / Special Populations / Autism Spectrum / Research Notes
Research Note   |   February 06, 2018
A Family-Centered Feeding Intervention to Promote Food Acceptance and Decrease Challenging Behaviors in Children With ASD: Report of Follow-Up Data on a Train-the-Trainer Model Using EAT-UP
American Journal of Speech-Language Pathology, February 2018, Vol. 27, 278-287. doi:10.1044/2017_AJSLP-17-0105
History: Received July 14, 2017 , Revised August 25, 2017 , Accepted September 29, 2017
 
American Journal of Speech-Language Pathology, February 2018, Vol. 27, 278-287. doi:10.1044/2017_AJSLP-17-0105
History: Received July 14, 2017; Revised August 25, 2017; Accepted September 29, 2017

Purpose This research note outlines the usefulness of Easing Anxiety Together with Understanding and Perseverance (EAT-UP), a train-the-trainer, family-centered feeding intervention, for promoting food acceptance of children with autism spectrum disorder (ASD). This report is a follow-up on a pilot study (n = 4) of the EAT-UP intervention previously completed by the same authors.

Method Participants were 3 families of children with ASD receiving services from an outpatient department of a larger rehabilitation hospital in the northeastern United States. Three professionals working with the families were also recruited and trained by the first author, a speech-language pathologist experienced with the EAT-UP method. Initial assessment was followed by a baseline period for each participant. An individual mealtime plan was drafted for each family. Data on acceptance of less preferred food and the presence of challenging mealtime behaviors were recorded using direct observation and pre-, mid-, and postintervention measures and questionnaires.

Results All children demonstrated increased food acceptance and dietary diversity and decreased challenging behaviors. Caregivers reported decreases in the frequency of problem behaviors and in the number of problem mealtime behaviors. Measures of procedural fidelity increased from 50% to 100% for registered behavior technicians and parents over the course of the EAT-UP intervention period.

Conclusions EAT-UP is an effective model for training professionals who work with families of children with ASD and challenging mealtime behavior. Implications for interprofessional practice and research are discussed.

Acknowledgment
This study was funded by internal funding to Joanna Cosbey from the Occupational Therapy Graduate Program, Department of Pediatrics, University of New Mexico.
This article was presented in part by Deirdre Muldoon at the annual Association for Behavior Analysis International Conference in May 2017.
Order a Subscription
Pay Per View
Entire American Journal of Speech-Language Pathology content & archive
24-hour access
This Article
24-hour access