A comparison of simultaneous and delayed reinforcement as treatments for food selectivity.
Give the reinforcer right after the swallow—immediate beats delayed for kids with autism who won't eat.
01Research in Context
What this study did
The team worked with kids who had autism and would only eat a few foods.
They used an alternating-treatments design. Some bites earned a reinforcer right away. Other bites earned the same reinforcer 30 seconds later.
The goal was to see which timing made kids accept new foods faster.
What they found
Both setups increased food acceptance. Yet immediate reinforcement won. Kids swallowed more bites and did it sooner when the reward came right after they swallowed.
Delayed reinforcement still helped, just more slowly.
How this fits with other research
Leon et al. (2016) ran the same immediate-versus-delayed food comparison while kids did table-top tasks. Again, immediate food beat delayed food, showing the rule holds outside of meals.
Pubylski-Yanofchick et al. (2022) moved the idea to adults with autism. Positive reinforcement still boosted fruit and veggie bites, proving the trick ages up.
Silbaugh et al. (2018) later showed what to do if reinforcement alone stalls. They added gentle physical guidance at home and acceptance jumped, giving clinicians a next-step option.
Why it matters
You can speed up feeding sessions by delivering the preferred item the moment the child swallows. No extra cost, just tighter timing. If progress still lags, pair this tip with later studies: check for establishing operations like Gabriels et al. (2001), or add brief guidance like Silbaugh et al. (2018). Immediate reinforcement is the first lever to pull.
Want CEUs on This Topic?
The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.
Join Free →Hand the chip, toy, or sip the instant the child swallows the new food—no waiting.
02At a glance
03Original abstract
This study compared the relative efficacy of providing simultaneous or delayed reinforcement on food acceptance during meals. The participant was a 7 year-old boy with pervasive developmental disorder and a history of food selectivity. Results indicated that both procedures were effective in increasing acceptance; however, the simultaneous reinforcement procedure produced more rapid behavior change and a higher overall percentage of food acceptance.
Journal of applied behavior analysis, 1996 · doi:10.1901/jaba.1996.29-243