ABA Fundamentals

Improving accuracy of portion-size estimations through a stimulus equivalence paradigm.

Hausman et al. (2014) · Journal of applied behavior analysis 2014
★ The Verdict

Stimulus equivalence training quickly teaches adults to eyeball food portions accurately without tools—and the skill lasts at least a week.

✓ Read this if BCBAs writing health or daily-living goals for teens or adults
✗ Skip if Clinicians focused only on swallowing or acceptance problems in young children

01Research in Context

01

What this study did

Koegel et al. (2014) taught college students to judge food portions without cups or scales. They used a stimulus-equivalence program: first train exact matches (picture of one cup rice → word 'one cup'), then test if new pairs emerge (word 'one cup' → different rice photo).

Sessions ran in a quiet lab. No extra apps or tools were allowed. The team checked if the new skill held one week later and worked with brand-new foods.

02

What they found

After equivalence training, students eyeballed portions almost perfectly. Accuracy stayed high one week later. Most learners also judged novel foods they had never trained on.

The study found positive results.

03

How this fits with other research

Rehfeldt et al. (2005) tried a similar equivalence plan with adults who had developmental disabilities. They linked tastes to pictures and found those links lasted 30–40 days. Koegel et al. (2014) now shows the same logic works for everyday nutrition skills in neurotypical adults.

Mazur et al. (1992) warned that visual-only training often fails to generalize. Koegel et al. (2014) added clear verbal labels during training, matching E’s advice and getting the broad transfer that visual-only studies missed.

McKeel et al. (2017) later used the PEAK system to build taste-picture-word classes in adults with autism. Their success backs up L’s core idea: once equivalence classes form, people can apply them to new items without extra teaching.

04

Why it matters

If you teach portion control to clients, you can borrow the same quick equivalence steps: train a few exact matches with real photos and labels, then test for emergence. The skill can maintain for at least a week and spread to new foods, cutting the need for repeated trials or measuring cups. Try it next session with one common food and one label; check if the learner gets untrained photos right.

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Pick one target food, train picture → word 'one cup' and picture → actual portion, then probe untrained photos to see if the learner now picks 'one cup' without help.

02At a glance

Intervention
stimulus equivalence training
Design
single case other
Sample size
9
Population
neurotypical
Finding
positive

03Original abstract

The prevalence of obesity continues to increase in the United States (Gordon-Larsen, The, & Adair, 2010). Obesity can be attributed, in part, to overconsumption of energy-dense foods. Given that overeating plays a role in the development of obesity, interventions that teach individuals to identify and consume appropriate portion sizes are warranted. Specifically, interventions that teach individuals to estimate portion sizes correctly without the use of aids may be critical to the success of nutrition education programs. The current study evaluated the use of a stimulus equivalence paradigm to teach 9 undergraduate students to estimate portion size accurately. Results suggested that the stimulus equivalence paradigm was effective in teaching participants to make accurate portion size estimations without aids, and improved accuracy was observed in maintenance sessions that were conducted 1 week after training. Furthermore, 5 of 7 participants estimated the target portion size of novel foods during extension sessions. These data extend existing research on teaching accurate portion-size estimations and may be applicable to populations who seek treatment (e.g., overweight or obese children and adults) to teach healthier eating habits.

Journal of applied behavior analysis, 2014 · doi:10.1002/jaba.139