Food selectivity, refusal and pediatric feeding interventions.
Kristin L. Hathaway, Hannah Moore, Erin E. Gustafason, Anna Castro-Alcocer, Valerie M. Volkert
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William G. Sharp, Valerie M. Volkert, Meara X. H. McMahon, Sandhya Rajagopal, Tanisha M. Jordan
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Arshima Khan, Skye Nandi Adams, Christopher Cofie Kuzagbe, Edith Luhanga
What it found: In a South African Delphi study, 12 professionals reached full agreement on retaining AAC, shaping and modelling, family-based strategies, and integrated behavioural, sensory and nutritional approaches for autistic children’s feeding support, while escape extinction received low support.
Why it matters: These professional perspectives can inform individualised, multidisciplinary feeding planning and caregiver education, but do not establish intervention effectiveness.
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Bethany A. Hansen, Nicole C. Demchuk, Ilissa V. Frye, Angelica Ibarra, Tina Vo, Jennifer M. Kozisek et al.
What it found: In six participants, escape extinction paired with different feeder-attention schedules reduced inappropriate mealtime behavior and increased consumption of new foods, with attention potentially easing negative side effects and caregivers preferring treatments that included attention.
Why it matters: When using escape extinction for feeding difficulties, feeder attention may help reduce negative side effects and improve caregiver acceptance.
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Kowsalya M, Sujata Missal, Sugi S
What it found: In a seven-child case series, individualized sensory and behavioral strategies plus parent education were associated with increased acceptance of previously refused foods and reduced gagging, spitting, and vomiting during meals.
Why it matters: This approach may inform individualized feeding support with parent involvement, but the case series does not establish which components produced the improvements.
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Seda Önal, Aslı Uçar
What it found: In a cross-sectional study of 70 children with autism, 45.7% were classified as obese and 37.1% had feeding behavior challenges, which were associated with lower intake of several nutrients and higher body fat percentages.
Why it matters: ABA staff addressing feeding challenges should coordinate with nutrition professionals because excess body fat can coexist with inadequate nutrient intake.
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Miranda L. Frank, Shana M. Schuler, Elise K. Weber, Amy F. Sato
What it found: A retrospective study of 271 children with ARFID found cases across all BMI categories, no difference in fruit and vegetable intake by sensory sensitivity status, and an association between fewer accepted fruits and vegetables and higher BMI.
Why it matters: Feeding assessments should consider food variety rather than weight alone, because children with ARFID can have overweight or obesity as well as underweight.
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Denise Pichardo, Lesley A. Shawler, Elizabeth A. Masler, Alison M. Kozlowski, Jessica L. Becraft
What it found: In a replication involving eight caregivers, caregiver feeding-behavior data correlated significantly with trained-observer data for seven caregivers and agreed on treatment effects in 14 of 16 comparisons for inappropriate behavior and all 16 for appropriate behavior.
Why it matters: These preliminary findings suggest caregivers with little to no formal data collection training may help track feeding treatment effects when trained observers are unavailable.
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Rachele Sarnataro, Martina Siracusano, Roberta Campanile, Claudia Marcovecchio, Silvia Babolin, Assia Riccioni et al.
What it found: A retrospective study of 286 children with ASD found that those with food selectivity had lower adaptive skills and more behavioral problems than those without, despite similar cognition, autism symptom levels, and age.
Why it matters: These findings support assessing adaptive skills and behavioral concerns alongside food selectivity rather than treating restricted eating as an isolated concern.
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Sujeet Jaydeokar, Grace Talbot, Sherin Verghese, Anjan Mandara, Danny Acton
What it found: This scoping review of 10 articles examined ARFID signs and interventions in autistic children and young people, highlighting diagnostic overshadowing, misdiagnosis, and the importance of person-centred, multidisciplinary care.
Why it matters: ABA staff should avoid assuming food restriction is simply part of autism and collaborate with a multidisciplinary team to support ARFID identification and individualised care.
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Milagros Fuentes-Albero, Mayra Alejandra Mafla-España, José Martínez-Raga, Omar Cauli
What it found: This cross-sectional study of children and adolescents with autism found that feeding-problem frequency was associated with sleep disturbances after statistical adjustment, although unadjusted feeding-scale associations were not significant.
Why it matters: Staff should consider screening for both feeding and sleep concerns when either is reported, without assuming that one causes the other.
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Amy L. Delaney, Sarah Staskiewicz, Suzanne Evans Morris, Sarah Smith‐Simpson, Praveen S. Goday
What it found: A multidisciplinary expert panel developed a food texture framework with five main categories and three subcategories each, using food properties and oral motor skills rather than foods’ original forms.
Why it matters: The framework offers feeding teams a shared language for documenting food textures and studying texture progression, but does not yet establish age-based expectations or test feeding interventions.
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William G. Sharp, Jaclyn L. Pederson
What it found: This commentary examines proposed ARFID diagnostic revisions from a pediatric feeding disorder perspective and identifies diagnostic text changes, a shared diagnosis, and education and advocacy as areas for further consideration.
Why it matters: For feeding teams, it highlights ongoing diagnostic ambiguity and proposed changes that may help clarify communication about pediatric feeding and eating difficulties.
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Laura E. Phipps, Walker S. Arce, Seth G. Walker, James E. Gehringer
What it found: In a pilot study with six children receiving behavioral feeding intervention, synchronized wearable-sensor data and observations of happiness and unhappiness were feasible to collect and showed distinct physiological patterns across observed emotional states.
Why it matters: Pairing physiological measures with observations may help clinicians assess children's emotional experiences during feeding treatment alongside caregiver satisfaction, although some children may need support getting used to the wearable device.
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Ronald J. Clark, David A. Wilder
What it found: When staff practiced a feeding protocol with a role-play partner, one mastered it after written instructions and video modeling, one after opportunities for clarification, and three required live feedback and modeling.
Why it matters: Training staff to implement intensive feeding protocols may require live practice, feedback, and modeling rather than instructional materials alone.
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Articles come from peer-reviewed behavior-analytic journals through Crossref and OpenAlex. We show titles, summaries and links, not full text. Summaries are not clinical advice.