ABA Fundamentals

Evaluation of stimulus intensity fading on reduction of rapid eating in a child with autism

Valentino et al. (2018) · Journal of Applied Behavior Analysis 2018
★ The Verdict

Fade the strength of the vibrating cue, not how often it happens, to keep eating speed down.

✓ Read this if BCBAs treating rapid eating in kids or teens with autism.
✗ Skip if Clinicians working on food refusal or texture issues only.

01Research in Context

01

What this study did

Valentino et al. (2018) worked with one child with autism who ate too fast.

They taped a small vibrating pager to the child’s chest. The buzz told the child to pause.

Two fading plans were tested: make the buzz weaker (intensity fade) or give it less often (frequency fade).

02

What they found

The buzz alone slowed meals to a safe pace.

When the buzz was made weaker step-by-step, the child still ate slowly.

When the buzz was given less often, speed shot back up.

03

How this fits with other research

Diemer et al. (2023) kept the same pager but added a 5-minute food test, a simple rule, and brief response blocking. Their package worked for an older student, showing the pager idea can travel and grow.

LeFrancois et al. (1993) faded spoon type and food texture to treat food refusal. Their early work shows fading has helped feeding problems for decades, but Valentino et al. (2018) now tell us which part to fade—intensity, not frequency.

Capio et al. (2013) faded out a toy used during self-control training. Both studies ask the same practical question: what can you drop without losing the good behavior?

04

Why it matters

If you use a pager, watch, or other prompt to slow rapid eating, fade how strong it is, not how often it shows up. Keep the cue reliable; just make it gentler. This small choice keeps meals safe while you give control back to the learner.

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Keep the pager on every bite but turn the vibration dial one notch weaker each day.

02At a glance

Intervention
prompting and fading
Design
single case other
Sample size
1
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

This study assessed the effects of a vibrating pager on reduction of rapid eating. The study also evaluated two strategies for fading the pager, by intensity and by frequency. The pager was successful in decreasing the pace of eating to an appropriate level and the pager prompt was successfully faded. Fading by frequency was ineffective in maintaining an appropriate pace of eating while intensity fading was successful.

Journal of Applied Behavior Analysis, 2018 · doi:10.1002/jaba.433