A Literature Review Of Alternative Approaches To Escape Extinction In Feeding Protocols

Abstract

This literature review investigated different treatment packages for feeding protocols in children with autism spectrum disorder (ASD). A literature review was conducted on case studies with participants under the age of eighteen with at least one problem behavior related to feeding. The case studies included were peer-reviewed and published in a journal article in the past twelve years. The review considered a set of variables for each study that included: the number of children who were treated, the effectiveness of the treatment, consistency of results between participants, consistency of results across studies, and follow up treatment effectiveness. Based on the literature reviewed, the results indicated there was no single treatment package that consistently demonstrates a decrease in inappropriate mealtime behavior and an increase in acceptable mealtime behavior. High probability sequences, noncontingent reinforcement, behavioral skills training, least-to-most prompting, and lag schedules of reinforcement were at least moderately effective at decreasing inappropriate mealtime behavior and increasing appropriate mealtime behavior without using escape extinction.