Autism & Developmental

The Nature of Family Meals: A New Vision of Families of Children with Autism.

Curtiss et al. (2019) · Journal of autism and developmental disorders 2019
★ The Verdict

Autism family dinners are four-theme negotiation zones, and you can ease the struggle by tackling disruptive behavior before food selectivity.

✓ Read this if BCBAs doing parent coaching or feeding therapy in home settings.
✗ Skip if Clinicians who only run center-based DTT sessions with no mealtime component.

01Research in Context

01

What this study did

Titlestad et al. (2019) talked with 16 families who have kids with autism. They asked about what really happens at dinner.

The team recorded family stories and sorted them into themes. They wanted to see mealtimes through the parents' eyes.

02

What they found

Four big themes showed up: homework talk, eating battles, chore talk, and warm family chat. Meals were both hard and happy places.

Families called dinner a 'negotiation zone.' They traded bites of food for bites of conversation.

03

How this fits with other research

Bennett et al. (2017) asked 100-plus families to fill out surveys. They learned that disruptive table behavior—not picky eating—hurts co-parenting most. L et al. give the living-room view of that same stress.

Cosbey et al. (2017) then tested EAT-UP™, a parent-coached feeding plan. All three kids ate more foods and acted out less. The nightly 'negotiation' L et al. saw can be turned into a teachable plan.

Garrido et al. (2025) ran numbers on family quality of life. Mealtime trouble cut it down even after sleep problems were counted. L et al.'s stories help explain why those numbers drop.

04

Why it matters

You now have a map of what families juggle at dinner. Use it to pick targets: reduce disruptive behavior first, expand food list second, and weave in social talk. Ask parents which theme—homework, eating, chores, or intimate talk—feels hardest tonight, then start there.

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→ Action — try this Monday

Ask the parent: 'Which is tougher right now—keeping him seated, taking bites, or talking nicely?' Start your intervention with the part they name first.

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
16
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Families with children on the autism spectrum are often viewed in terms of their deficits rather than their strengths. Family meals are portrayed as sources of stress and struggle for parents and children. In this study, we take a resilience perspective to challenge underlying assumptions and get a more accurate picture of the nature of shared family meals. In-depth interviews were conducted and mealtimes were video recorded with 16 families for this thematic analysis. We identified four themes as being particularly salient to the mealtime experience: (1) schools and homework, (2) managing eating, (3) chores, and (4) intimate conversations. Our results elucidate the context of mealtimes as a site where parents struggle, yet negotiate, the challenges of everyday family life.

Journal of autism and developmental disorders, 2019 · doi:10.1007/s10803-018-3720-9