Behavior Analytic Feeding Interventions: Current State of the Literature.

Keith and colleagues read every recent feeding-intervention paper they could find. They grouped the studies by the problem tackled: food selectivity, chewing, packing, or tube weaning. Then they wrote a roadmap for the field.

The team flagged three gaps: we need more telehealth, longer follow-up, and stronger ethics training for staff.

Most new work still happens at clinic tables. Few teams track kids for more than a month after treatment ends.

Telehealth with parents is rising, but only in small demos. Big, long studies are missing.

Patel et al. (2023) and Bloomfield et al. (2021) prove telehealth can work. Their kids ate more and problem behavior dropped, even a year later. These single-case wins back the review’s call to scale up remote care.

TVEmerson et al. (2023) seems to disagree. Their mHealth app gave only tiny gains. The clash is about dose and design. Patel used live coaching several times a week; TVE used a self-guided phone game. Same screen, very different intensity.

Simeon et al. (2025) looked at 61 studies and also found thin evidence. Together, the two reviews say the same thing: lots of ideas, few solid data.

You can stop waiting for the perfect in-person slot. Start telehealth parent coaching now, but keep it frequent and hands-on. Track bites and follow up for months, not weeks. Build ethics checks into your consent and data sheets. These steps turn scattered demos into reliable care.