Autism & Developmental

Treating food selectivity as resistance to change in children with autism spectrum disorder

Crowley et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

Make new food the quicker path to the good stuff—kids with autism will choose it more often.

✓ Read this if BCBAs running feeding sessions for picky preschoolers with autism.
✗ Skip if Clinicians whose clients already accept 30-plus foods or who use texture-only diets.

01Research in Context

01

What this study did

Crowley et al. (2020) worked with seven preschoolers who had autism and very short menus. The team treated picky eating as "resistance to change." They wanted to see if kids would eat new foods when the payoff for trying was bigger than the payoff for refusing.

The children first got two plates: one with a favorite food and one with a new food. In the asymmetry phase, eating the new food earned the child the favorite food. Eating the favorite food earned nothing. The team also tested single-choice trials: only the new food was on the table. The design flipped back and forth to be sure the arrangement, not luck, caused any change.

02

What they found

Every child ate more of the new foods when the contingencies were lopsided or when only the new food was offered. When the rules flipped back, old patterns returned. When the rules flipped again, gains came back. Kids even tried foods that had never been trained.

No one had to hide or remove the child’s favorite foods. The team simply made eating new foods the easier way to win.

03

How this fits with other research

Vanderzell et al. (2025) later repeated the idea with autistic teens and adults in group homes. They added "synthesized reinforcement" for small steps and still saw 60–100% acceptance. This shows the matching-law trick works past preschool.

Pubylski-Yanofchick et al. (2022) tested the same asymmetry logic with one adult. Positive reinforcement beat negative reinforcement, matching Crowley’s kid-friendly results. The pattern holds across ages.

Silbaugh et al. (2018) took the opposite road: when praise and bites alone failed, they added gentle physical guidance and also won big gains. The two studies seem to clash—choice versus guidance—but they answer different questions. Crowley asks, "Can we make new food the easier choice?" Silbaugh asks, "What if the child still won’t bite?" Use Crowley first; save guidance for when reinforcement alone stalls.

04

Why it matters

You can widen a child’s diet without battles or hiding veggies. Put the new food and the favorite food on the table. Let the child earn the favorite by tasting the new one. If that is too hard, start with single-choice trials: only the new food sits there. Both tactics respect the child’s control while making acceptance pay off better than refusal. Try it during your next lunch session and track bites across days.

Free CEUs

Want CEUs on This Topic?

The ABA Clubhouse has 60+ free CEUs — live every Wednesday. Ethics, supervision & clinical topics.

Join Free →
→ Action — try this Monday

At the next meal, offer one bite of new food and immediate access to a favorite snack only after the bite is taken.

02At a glance

Intervention
feeding intervention
Design
reversal abab
Sample size
7
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

Change-resistant behavior, such as rigid and selective food consumption, is a core symptom of autism that can have significant negative consequences for the child (Flygare Wallén et al., 2018; Levy et al., 2019). In the current study, we used a matching-law-based intervention (Fisher et al., 2019) to treat the change-resistant feeding behavior of 7 young children with autism. The feeder gave the participant a choice between a change-resistant and an alternative food during free- and asymmetrical-choice conditions. Alternative-food consumption increased for 2 participants during asymmetrical choice when the feeder provided a preferred item for consuming the alternative food and no programmed consequence for consuming the change-resistant food. Alternative-food consumption increased for the other 5 participants after the feeder exposed at least 1 food to single choice in which the feeder guided the participant to put the bite of alternative food in his or her mouth if he or she did not do so within 8 s of presentation. Effects of the single-choice contingencies maintained during reversals and generalized to other alternative foods the feeder did not expose to single choice. These results are important because participants consumed alternative foods even when their change-resistant foods were present, which is similar to typical mealtime contexts in which children have choices among foods.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.711