Autism & Developmental

A comparison of simultaneous and delayed reinforcement as treatments for food selectivity.

Kern et al. (1996) · Journal of applied behavior analysis 1996
★ The Verdict

Give the reinforcer right after the swallow—immediate beats delayed for kids with autism who won't eat.

✓ Read this if BCBAs running feeding sessions for selective eaters with autism.
✗ Skip if Clinicians whose clients already accept a full diet without problem behavior.

01Research in Context

01

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.

02

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.

03

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.

04

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.

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Hand the chip, toy, or sip the instant the child swallows the new food—no waiting.

02At a glance

Intervention
feeding intervention
Design
alternating treatments
Sample size
1
Population
autism spectrum disorder
Finding
positive

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