A systematic evaluation of food textures to decrease packing and increase oral intake in children with pediatric feeding disorders.

Saunders et al. (2005) tested softer foods on three kids who packed food in their cheeks.

The team served the same meal in two textures: regular and blended.

They measured how much food stayed in the mouth and how many grams each child ate.

All three children stopped packing when they got the smoother texture.

They also ate more grams and gained weight during the study.

Lower texture alone produced quick, big gains without extra rewards or prompts.

The 2018 review by C et al. lists this paper as one key example of antecedent fixes for packing.

Later single-case studies added extra tools: Griffith et al. (2012) showed a drink chaser works, and Amore et al. (2011) added a flipped-spoon cue.

These newer papers do not contradict R et al.; they stack more tactics on top of the same low-texture base.

If a client packs, first check texture before adding complex procedures. Dropping to applesauce, yogurt, or finely blended table food can give you immediate gains with almost no risk. Once packing is low, you can layer in later tools like a chaser or flipped spoon if needed.