School & Classroom

Using reinforcement and cueing to increase healthy snack food choices in preschoolers.

Stark et al. (1986) · Journal of applied behavior analysis 1986
★ The Verdict

Stickers plus a green smiley tag on healthy snacks lift preschoolers’ choices at school, and the same tag sent home makes the habit stick at home.

✓ Read this if BCBAs running snack groups in preschool or daycare.
✗ Skip if Clinicians treating severe feeding disorders who need escape-extinction protocols.

01Research in Context

01

What this study did

The team worked with preschoolers who had no diagnoses. They wanted more kids to pick fruit or milk at snack time.

Teachers first gave stickers and praise when a child chose a healthy item. Later they added green smiley-face tags on the foods and sent the tags home with parents.

The study checked if choices rose at school and if they also rose at home.

02

What they found

Snack choices improved quickly at school when teachers used praise and stickers.

Home choices did not budge until parents also used the green smiley tags and praise.

Once parents joined in, healthy picks stayed high in both places.

03

How this fits with other research

Davis et al. (1974) got similar gains twelve years earlier. They used candy plus praise so low-income Head Start kids ate full meals. The 1986 study adds the cue piece and tests carry-over to home.

Seiverling et al. (2012) and Amore et al. (2011) took the parent part further. They taught parents full behavioral skills training to treat feeding disorders in autism. The snack-cue idea grew into a clinical tool.

Hausman et al. (2017) looks different at first glance. They taught portion size with stimulus equivalence, not snack choice. Yet both use candy reinforcers in preschool classrooms, showing the method keeps working across tiny health skills.

04

Why it matters

You can boost healthy choices tomorrow by putting a green smiley on fruit cups and praising each pick. If you want the habit at home, hand the tags to parents and show them how to praise. The combo costs pennies and takes minutes.

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→ Action — try this Monday

Put a green smiley sticker on every fruit or milk item at snack, praise each pick, and send five stickers home with a quick note: “Praise your child when they pick the marked healthy snack.”

02At a glance

Intervention
differential reinforcement
Design
single case other
Population
neurotypical
Finding
positive

03Original abstract

We examined the effects of behavioral procedures to modify the food choices of preschoolers during a snack period at school (training setting) and at home (generalization setting). In the first experiment, we evaluated the usefulness of nutrition training and a generalization programming strategy of cueing to improve healthy snacking; in the second experiment we investigated the effect of nutrition training alone. In addition, three cases are presented that illustrate individualized procedures to facilitate generalization of healthy snacking to home. Results indicated that children's healthy snack choices increased in the preschool training setting, that generalization to home was achieved only when procedures to program it were implemented, and that the best results were found when the generalization procedures were tailored to the individual child.

Journal of applied behavior analysis, 1986 · doi:10.1901/jaba.1986.19-367