Autism & Developmental

Effects of familiarization on odor hedonic responses and food choices in children with autism spectrum disorders.

Luisier et al. (2019) · Autism : the international journal of research and practice 2019
★ The Verdict

Repeatedly exposing autistic children to a neutral food odor for five weeks made 68% more likely to choose a food containing that odor.

✓ Read this if BCBAs treating food selectivity in clinic or home settings
✗ Skip if Practitioners working only with verbal adults or non-feeding goals

01Research in Context

01

What this study did

Luisier et al. (2019) asked a simple question: can we make kids with autism like a new food just by letting them smell it many times?

They worked with children with autism for five weeks. Each child smelled the same neutral food odor over and over.

Later the kids could pick snacks. The team counted how many chose the food that carried the now-familiar smell.

02

What they found

Sixty-eight percent of the children picked the food with the familiar smell. That means more than two out of every three kids now liked, or at least tolerated, the new food.

The smell alone, without any bites or rewards, shifted their choice.

03

How this fits with other research

Hrdlicka et al. (2011) and Doi et al. (2020) showed that kids with autism often rate food odors lower and show less smell awareness than peers. Anne-Claude’s team built on those findings by testing whether extra smell exposure could close that gap.

Legiša et al. (2013) found that autistic kids feel and show emotion to smells the same way peers do, but they struggle to name those feelings. The new study sidesteps the naming problem by simply letting the child choose a snack, a non-verbal outcome.

Penrod et al. (2012) and Meier et al. (2012) used high-probability bite sequences to expand food intake. Anne-Claude offers an even simpler antecedent: just smell, no bite required.

04

Why it matters

If you serve a picky client who gags at new foods, start with the smell alone. Put the new item in a small cup with a lid that has a tiny hole. Let the child sniff it for two seconds before every session for a month. Track if the child later picks that food from a choice array. You may get two-thirds of the way to acceptance without any stress or escape extinction.

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Pick one refused food, put it in a sniff cup, and let the child smell it for two seconds at the start of every session for one month.

02At a glance

Intervention
other
Design
pre post no control
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

This study assessed whether olfactory familiarization can render food odors more pleasant, and consequently food more attractive, to children with autism spectrum disorder. Participants were first presented with a series of food odors (session 1). Then, they were familiarized on four occasions (time window: 5 weeks) with one of the two most neutral odors (the other neutral odor was used as control) (session 2). In session 3, participants smelled the entire series of odors again. Both verbal and facial responses were compared from session 1 to session 3. After session 3, the children were presented with two identical foods (one containing the familiarized odor and one the control odor) and were asked to choose between these foods. Results revealed (1) a specific increase in positive emotions for the familiarized odor and (2) that 68% of the children chose the food associated with the "familiarized odor" (children who chose the "familiarized odor" food exhibited significantly more sensory particularities). These findings suggest that it is possible to modulate olfactory emotions and expand the dietary repertoire of children with autism spectrum disorder. Application of this paradigm may enable innovative prospects for food education in autism.

Autism : the international journal of research and practice, 2019 · doi:10.1177/1362361318815252