A comparison of differential reinforcement and noncontingent reinforcement to treat food selectivity in a child with autism.
For food refusal in autism, NCR plus escape extinction matches DRA and wins parent approval.
01Research in Context
What this study did
One young learners boy with autism refused most foods.
The team tested two ways to help him eat new foods.
They used DRA plus escape extinction and NCR plus escape extinction.
Each method ran on different days to see which worked better.
Parents helped serve the meals and kept data on every bite.
What they found
Both methods got the boy to accept new foods and cut problem behavior.
DRA gave a sticker for each bite. NCR gave a sticker every 30 seconds no matter what.
Escape extinction stayed the same: no leaving the table until the meal ended.
Mom and Dad liked NCR more because it felt easier to use at home.
How this fits with other research
Kettering et al. (2018) also found NCR beats extinction alone when a cue has turned into a CMO-R.
Their study and ours both show that free reinforcement can calm problem behavior faster than making kids earn it.
Rogers-Warren et al. (1976) tested DRA versus extinction in monkeys and saw the same edge for DRA.
Bensemann et al. (2015) warns that DRO can accidentally reward other unwanted acts.
Our study did not use DRO, but the caution still matters when you pick a differential-reinforcement plan.
Why it matters
If you treat food refusal in young kids with autism, start with NCR plus escape extinction.
It works as well as DRA and parents will actually use it.
Try 30-second NCR first, then fade the timer as eating improves.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Set a 30-second timer and give a small edible or sticker each ding while keeping the child seated until the meal ends.
02At a glance
03Original abstract
We compared differential reinforcement plus escape extinction to noncontingent reinforcement plus escape extinction to treat food selectivity exhibited by a young child with autism. The interventions were equally effective for increasing bite acceptance and decreasing problem behaviors. However, a social validity measure suggested that noncontingent reinforcement was preferred by the child's caregiver.
Journal of applied behavior analysis, 2012 · doi:10.1901/jaba.2012.45-613