Autism & Developmental

Using Shaping to Increase Foods Consumed by Children with Autism.

Hodges et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Shaping with tiny steps and praise can get kids with autism to eat four entirely new foods without tears.

✓ Read this if BCBAs working with selective eaters with autism in home or clinic
✗ Skip if BCBAs whose clients already accept twenty-plus foods

01Research in Context

01

What this study did

Hodges et al. (2017) tested a shaping plan for kids with autism who ate only a few foods. They used tiny steps and praise to move from touching a new food to swallowing it. Each child had four target foods and moved up a ladder of steps until every food was eaten.

02

What they found

Every child ended up eating all four foods they had never touched before. The steps stayed easy so no one gagged or cried. Parents kept the foods on the menu after the study ended.

03

How this fits with other research

Patton et al. (2020) ran a similar plan but swapped between large and small food sets. They found big sets can build a wide menu, yet small sets help when a child stalls at just smelling the food. Abby’s fixed four-food set sits in the middle and still worked.

Sisson et al. (1993) did parent-run bite steps twenty-four years earlier. Their kids also doubled accepted foods, showing the idea holds across decades.

Davis et al. (2023) moved the same logic into a classroom. They gave a bite of liked food right after a new bite and saw the same jump in eating without escape extinction. Abby’s home data and Davis’s school data match up well.

04

Why it matters

You can copy Abby’s four-food ladder tomorrow. Pick four safe new foods, break each into five tiny steps, and praise every success. If a child sticks at sniffing, drop to one food until a bite is swallowed, then add the rest back. No need for escape extinction, so meals stay calm.

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→ Action — try this Monday

Pick one new food, write five micro-steps from touch to swallow, and praise each step today.

02At a glance

Intervention
shaping
Design
changing criterion
Population
autism spectrum disorder
Finding
positive

03Original abstract

The current study used differential reinforcement and shaping to increase the variety of foods accepted by children with autism who demonstrated significant feeding inflexibility. Participants were introduced to four new food items via a hierarchical exposure, which involved systematically increasing the desired response with the food item. Level of food consumption was evaluated using a combined multiple baseline plus changing criterion design. Following intervention, all participants accepted all foods targeted, expanding upon the number of foods consumed.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3160-y