Blending to Treat Expulsion in a Child with Food Refusal

The current study examined the effect of blending established foods and non-preferred foods to treat expulsions in a three-year-old girl with food refusal and gastrostomy-tube dependence. Treatment involving differential reinforcement of acceptance, non-removal of the spoon, and re-presentation increased consumption of 12 out of the 16 pureed foods; however, high levels of expulsion of four foods continued to disrupt meals. Results showed reduced rates of expulsion and increased mouth clean during blending, evaluated empirically using an ABAB design. Copyright (c) 2015 John Wiley & Sons, Ltd.