Children with feeding disorders often display severe food selectivity. For many of these children, consuming highly textured foods may be aversive or potentially dangerous because of frequent gagging. Texture fading in the treatment of food selectivity displayed by 4 children. Treatment involved the gradual addition of higher textures based on the results of periodic probes. In addition, food acceptance and swallowing were reinforced, while food refusal and food expulsion were placed on extinction. Some patient with feeding disorders successfully advanced to consumption of age-appropriate texture and volume. The texture fading with intermittent probes at higher textures may be an effective method for the treatment of food selectivity by texture.
An evaluation of food type and texture indicated that both variables affected the expulsions of children with feeding problems. The evaluation were used to prescribe a treatment for reducing the texture of one food type that reduced expulsion.
Shore BA, et al. Use of texture fading in the treatment of food selectivity. J Appl Behav Anal. 1998 Winter;31(4):621-33.
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