Some Effects of Caregiver Integrity Given the Initiation of Training

Principal Investigator: Carrie Borrero

Behavioral treatment of pediatric feeding disorders focuses on weakening or eliminating environmental contingencies that support food refusal. Previous descriptive research evaluating parent-child interactions related to food refusal has identified removal of the spoon/cup, parent attention, and meal termination as the consequences most frequently observed following inappropriate mealtime behavior (Borrero et al., 2010; Woods et al., 2010). Behavioral parent training has been used successfully to teach parents how to implement mealtime protocols to treat pediatric food refusal (Mueller et al., 2003) and address the aforementioned common parent responses. However, the long term integrity of parent implementation of mealtime protocols has not been evaluated, nor have the possible effects of conducting parent training early in treatment vs. late in treatment.

The purpose of the current investigation is to use a retrospective record review (1) to evaluate parent integrity with recommended practices by comparing the conditional probability of parent responses following inappropriate mealtime behavior (IMB) in videotaped treatment sessions at the following phases of assessment: Pre-Training, Post-Training and Follow-Up, and (2) compare integrity measures between parents trained early and late in the treatment process. No other data will be collected and no contact with the patients will be involved.