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Case report: behavioural intervention to increase oral food consumption in an adult with multiple disability and gastrostomy tube supplementation
- Authors:
- RANDALL John, MASALSKY Christopher J., LUISELLI James K.
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 27(1), March 2002, pp.5-13.
- Publisher:
- Taylor and Francis
The authors describe effective behavioural intervention with a 24-year-old man who had multiple disability, reduced food consumption, and gastrostomy tube supplementation. Intervention was implemented in a community-based habilitation setting and included the manipulation of social contingencies during meals and gradual fading of gastrostomy tube feedings. Before intervention, the man was fed by care providers, ate a limited food quantity, and was underweight. During intervention, he fed himself independently, had increased oral consumption, and gained weight. At conclusion of the study, gastrostomy tube feedings had been eliminated. All improvements were maintained at 3- and 6-month follow-up assessments.