Autism & Developmental

Targeted Nutritional and Behavioral Feeding Intervention for a Child with Autism Spectrum Disorder.

K et al. (2016) · 2016
★ The Verdict

One toddler got a mixed medical-behavior-nutrition feeding plan, but without data we cannot tell if it worked.

✓ Read this if BCBAs new to feeding cases who want a quick example of teaming with dietitians and doctors.
✗ Skip if Clinicians who already use telehealth parent-training with daily data sheets.

01Research in Context

01

What this study did

Lim et al. (2016) worked with one toddler who had autism and severe feeding problems. The team mixed medical checks, nutrition tweaks, and ABA tactics in a single plan. Parents helped in clinic sessions; no numbers were tracked.

02

What they found

The paper only describes the plan; it gives no data on bites eaten or problem behavior. The authors say the child "progressed," but they do not show how much or how fast.

03

How this fits with other research

Simeon et al. (2025) looked at 61 feeding studies for autism and found most are tiny case reports like this one. They warn that without numbers we cannot tell what really works.

Patel et al. (2023) and Bloomfield et al. (2021) took the next step. Both used single-case designs, tracked bites, and showed big gains done fully by parents over telehealth. Their data make the 2016 report look like a rough draft.

Schaaf et al. (2015) ran a small RCT of the Autism MEAL Plan two months before this case. They added numbers and a wait-list group, proving parent training can beat no treatment. The 2016 paper keeps the parent role but drops the measurement that shows success.

04

Why it matters

This case is a snapshot, not evidence. Use it as a checklist—medical clearance, diet tweaks, and behavior skills—but copy the newer models that actually count bites and measure fidelity. If you run feeding treatment, track data every meal and let caregivers lead; telehealth works just as well and gives you graphs you can trust.

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→ Action — try this Monday

Add a simple bite count sheet to any feeding plan and teach parents to fill it out after each meal.

02At a glance

Intervention
feeding intervention
Design
case study
Sample size
1
Population
autism spectrum disorder, feeding disorder
Finding
not reported

03Original abstract

A variety of feeding issues and concerns, including food aversion, food selectivity, and complete food refusal, are not uncommon among children with autism spectrum disorder (ASD). Other underlying issues are often comorbid with the concerns for feeding and ASD. These may include food allergies, gastrointestinal issues, oral motor issues, and swallowing disorders. The refusal to consume particular foods coupled with the inability to tolerate, digest, and absorb these foods can compromise an individual's overall nutrition status. Therefore, a child's behavior toward food and feeding activities has great impact on dietary intake, nutritional status, and growth. This case report is the first to document combined medical, behavioral, and nutritional intervention for a toddler with ASD and comorbid feeding disorder.

, 2016 · doi:10.1155/2016/1420549