ABA Fundamentals

Evaluation of Practice Trials to Increase Self-Drinking in a Child with a Feeding Disorder

Peterson et al. (2017) · Behavior Analysis in Practice 2017
★ The Verdict

Five empty-cup turns plus a tiny hurdle for adult help taught one toddler to drink alone in days.

✓ Read this if BCBAs treating liquid refusal or cup avoidance in clinic or home settings.
✗ Skip if Practitioners working only with verbal older clients who already drink independently.

01Research in Context

01

What this study did

Peterson et al. (2017) worked with one toddler who would not drink from a cup. The team made adult-fed drinking harder by adding extra steps. They also gave the child five quick practice turns with an empty cup before each meal.

The study used a single-case design. Sessions happened during normal meals at a clinic.

02

What they found

Self-drinking jumped once the two changes were in place. The child began to lift and swallow from the cup without help.

03

How this fits with other research

Vassos et al. (2023) took the same brief-practice idea into family homes via telehealth. They taught parents to use praise and small rewards for food selectivity. Both studies show that short, parent-led drills can fix feeding problems without long clinic stays.

Azrin et al. (1969) used a knob-turn to prime pill taking in adults. Like Peterson, they showed that a tiny, effort-based warm-up can spark a whole chain of self-care.

Zhang et al. (2012) tried mild electrical stimulation and saw small feeding gains in autistic children. Their medical route worked a little, but Peterson’s simple behavioral tweak gave a clear, fast change for one child.

04

Why it matters

You can copy this package tomorrow: make the old, easier way (spoon or bottle) a bit harder, then run five empty-cup trials before the drink. No extra staff or gadgets are needed. If telehealth families can learn similar drills, you can coach parents to do the same at kitchen tables.

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→ Action — try this Monday

Before lunch, place an empty cup in the child’s hand five times, then serve the drink only if the child reaches for it first.

02At a glance

Intervention
other
Design
single case other
Sample size
1
Population
feeding disorder
Finding
positive

03Original abstract

Self-drinking is an important skill for children to acquire as they transition from infancy to early childhood; however, the literature is limited (e.g., Collins, Gast, Wolery, Holcombe, & Leatherby, 1991; Peterson, Volkert, & Zeleny, 2015). We manipulated the consequences associated with self-drinking relative to those associated with being fed along the dimension of response effort. Results demonstrated that self-drinking increased when the child could either choose to self-feed one drink or be fed one drink and 5 practice trials with an empty cup.

Behavior Analysis in Practice, 2017 · doi:10.1007/s40617-016-0147-7