Assessment & Research

Eating Challenges in Children with Autism Spectrum Disorder: Development and Validation of the "Aut-Eat" Questionnaire (AEQ).

Gal et al. (2022) · Journal of autism and developmental disorders 2022
★ The Verdict

The Aut-Eat Questionnaire is a reliable parent tool that flags eating problems specific to young children with autism.

✓ Read this if BCBAs who assess or treat feeding issues in preschool and early-elementary children with autism.
✗ Skip if Practitioners working only with verbal adolescents or adults.

01Research in Context

01

What this study did

The team built a new parent form called the Aut-Eat Questionnaire. They wanted a quick way to spot eating problems in young children with autism.

Parents filled out the form for kids with ASD and for typically developing kids. Then the researchers checked if the scores were steady and if they told the two groups apart.

02

What they found

The Aut-Eat form hung together well; items agreed with each other. Children with autism earned higher eating-problem scores than their typical peers.

The gap was big enough that a cutoff score could flag which child likely had ASD-related feeding issues.

03

How this fits with other research

MWFaught et al. (2021) already showed the Montreal Children’s Hospital Feeding Scale works for toddlers with ASD. Aut-Eat now gives you a second, autism-tuned option for the same age range.

Milane et al. (2025) surveyed the field and found BAMBI and BPFAS are the most-used tools. Aut-Eat enters as a newcomer; try it when you want a form built specifically for young kids with autism.

Bøttcher et al. (2013) validated the SWEAA, but that tool targets older, higher-functioning clients. Aut-Eat fills the gap for preschool and early-elementary children who may not self-report.

04

Why it matters

You now have a brief, free questionnaire that parents can finish in the waiting room. Use it during intake to decide who needs a full feeding assessment or referral. A clear score also gives you a baseline to track progress after you start any behavioral feeding intervention.

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→ Action — try this Monday

Print the Aut-Eat form, give it to the parent of your next 3- to 7-year-old client, and use the cutoff score to decide if a full feeding evaluation is needed.

02At a glance

Intervention
not applicable
Design
other
Sample size
203
Population
autism spectrum disorder, neurotypical
Finding
positive

03Original abstract

The Aut-Eat Questionnaire (AEQ) provides a novel and comprehensive assessment of eating problems and patterns in children with ASD. To establish the internal consistency and discriminant validity of the AEQ, parents of children with ASD (n = 105, Mage = 40.85, SD = 15.67 months) or typical development (TD; n = 98, Mage = 50.33, SD = 16.50 months) completed the AEQ. Questionnaire construction, content validity, factor analysis, internal consistency and discriminant validity are reported. The AEQ was reliable with high internal consistency in most domains. Significant differences were found between groups in all domains. The AEQ is a reliable and valid tool and may help to characterize eating difficulties in this population.

Journal of autism and developmental disorders, 2022 · doi:10.1007/s10882-005-4387-7