ABA Fundamentals

The effect of informational feedback on food intake of adult burn patients.

Mahon et al. (1984) · Journal of applied behavior analysis 1984
★ The Verdict

Handing patients a quick card that compares prescribed and eaten calories boosts burn-unit food intake with no extra rewards.

✓ Read this if BCBAs working with adults on medical or rehabilitation units.
✗ Skip if Clinicians focused only on pediatric or non-medical feeding issues.

01Research in Context

01

What this study did

Davison et al. (1984) worked with four adult burn patients in a hospital unit. The team used a multiple-baseline design across participants. Each patient got a card after every meal that showed prescribed protein and calories next to what they actually ate.

Staff gave the card right after the tray was cleared. No extra rewards or coaching—just the numbers.

02

What they found

When patients saw the gap between target and actual intake, both protein and calorie eating went up. The gains held for every participant. Simple feedback was enough to change eating behavior.

03

How this fits with other research

Dudley et al. (2008) repeated the idea with computer workers. Real-time visual feedback on posture gave the same jump in healthy behavior. Both studies show that telling adults the difference between goal and fact works fast.

Neef et al. (1986) moved the trick to a cafeteria. A poster listing low-fat benefits raised healthy choices from 20% to 35%. Same low-cost prompt, new setting.

Goomas et al. (2017) added handheld computers. Instant visual/audio feedback cut order-picking errors in a food plant. The burn-unit rule—see the gap, fix the act—holds from hospital beds to factory floors.

04

Why it matters

You can raise intake, posture, or accuracy without tokens or praise. Just show the person the target and the real number right after the act. Try a simple tally card at the next meal session or add a live counter on a tablet. It takes seconds, costs pennies, and works for adults with or without disabilities.

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Print a two-column card: goal grams/protein on the left, actual intake on the right, give it right after every meal.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
4
Population
other
Finding
positive

03Original abstract

The effect of informational feedback on the protein and caloric consumption of burn patients was investigated using a multiple-baseline across subjects. The patients were four severely burned adult males who failed to consume sufficient foods to achieve prescribed levels of protein or kilocalories via standard burn unit procedures during recovery. Feedback consisted of informing patients of (a) their prescribed levels of protein and kilocalories, (b) the protein and kilocalorie content of hospital foods and beverages, and (c) their actual intake of protein and kilocalories. Following the provision of feedback, there was an increase in protein and kilocalorie intakes and in the number of days during which prescribed levels for protein and kilocalories were achieved. These results suggest that the informational feedback was effective for improving the oral caloric intake of burn patients.

Journal of applied behavior analysis, 1984 · doi:10.1901/jaba.1984.17-391