Assessment & Research

Behavioral treatment of drooling: a methodological critique of the literature with clinical guidelines and suggestions for future research.

Van der Burg et al. (2007) · Behavior modification 2007
★ The Verdict

Behavioral drooling treatments can work, but past studies are too weak to trust—use the paper’s checklist and single-case design to build solid proof.

✓ Read this if BCBAs serving children with developmental delay who drool at school or home.
✗ Skip if Clinicians only treating verbal adults or those without feeding or drooling goals.

01Research in Context

01

What this study did

Jones et al. (2007) read every behavioral drooling study they could find. They looked at how each study was built: how many kids, how long, how they measured drool, how they proved the treatment worked.

The kids had intellectual disability or developmental delay. The authors wrote a checklist so future studies can avoid the same mistakes.

02

What they found

Most studies got drooling to drop, but the proof was shaky. Tiny samples, no control phases, fuzzy measures. The authors say the field must raise its game before clinicians can trust the tricks.

03

How this fits with other research

Soto (2020) shows the fix: single-case designs that give each child their own control. These designs give strong proof with just a few kids.

Nickerson et al. (2015) used the same lens on parent training. They also found weak links between study methods and real-life use. Both papers push us to test, then teach, with tighter rules.

Repp et al. (1987) warned that pure operant work can miss medical facts. Drooling can have dental or neurological causes. Jones et al. (2007) echo this: measure anatomy first, then treat, then prove.

04

Why it matters

You can start using the drooling checklist today. Run a quick baseline: count bibs or shirt changes. Pick one clear tactic, like swallow practice or lip closure. Chart daily so you and the parents see the trend. If the data bounce or flat-line, change the plan and keep plotting. This turns soft advice into hard evidence one kid at a time.

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Start a simple baseline: count how many bibs or shirt changes one child needs each day for one week before trying any swallow-practice program.

02At a glance

Intervention
not applicable
Design
narrative review
Population
intellectual disability, developmental delay
Finding
not reported

03Original abstract

Many children with mental retardation and developmental disabilities suffer from the consequences of chronic drooling. Behavioral treatment for drooling should be considered before other, more intrusive treatments such as medication and surgery are implemented. However, empirical studies on behavioral procedures are scarce. This article reviews 19 behavioral studies published since 1970. Treatment procedures are (a) instruction, prompting, and positive reinforcement; (b) negative social reinforcement and declarative procedures; (c) cueing techniques; and (d) self-management procedures. Although these procedures yield positive results, critical examination of experimental methodology of the studies reveals several methodological shortcomings. Guidelines for clinical use of behavioral treatment for drooling are presented, and recommendations are given for future research in this area.

Behavior modification, 2007 · doi:10.1177/0145445506298723