Service Delivery

The effects of a behavioral skills training and general‐case training package on caregiver implementation of a food selectivity intervention

Alaimo et al. (2018) · Behavioral Interventions 2018
★ The Verdict

Adding general-case practice to BST helps caregivers run a feeding protocol right and keeps kids eating with less fuss.

✓ Read this if BCBAs doing home-based feeding therapy with picky eaters.
✗ Skip if Clinicians who only work on language or social skills.

01Research in Context

01

What this study did

Alaimo and team taught parents how to run a feeding program at home. They used behavioral skills training plus general-case training.

General-case training means parents practiced the steps with many foods, plates, and places. The goal was accurate follow-through later.

02

What they found

Parents hit high accuracy during meals and kept most of it later. Kids took more bites and had less crying or refusal.

The package worked for food selectivity and the gains held partly after coaching ended.

03

How this fits with other research

Burrell et al. (2023) later tested the same idea with autism families in the MEAL Plan. They found moms with more school and kids who talk more did best.

Richman et al. (2001) had parents do escape extinction plus praise years earlier, but without the clear BST steps. Their kids also ate more, yet parent errors were not tracked.

Aherne et al. (2019) showed some staff lose skill after BST unless they use a self-check. Alaimo added general-case training instead, and parents kept most of their accuracy.

04

Why it matters

You can copy this package next week. Teach the feeding steps with live model, practice, and feedback. Then run trials across different foods, bowls, and rooms the same day. This front-loads variability so parents are ready for real life. Expect fewer phone-backs and faster eating gains.

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

After you model the bite presentation, have the parent rehearse it with five different foods and two different spoons before you leave.

02At a glance

Intervention
caregiver coaching
Design
single case other
Sample size
3
Population
feeding disorder
Finding
positive

03Original abstract

We used behavioral skills training with general‐case training to teach 3 caregivers to implement a behavioral feeding intervention with their children. The percentage of correctly performed steps of the feeding intervention increased for all 3 caregivers and was maintained at follow‐up. For all 3 children, the number of bites consumed increased and the number of bites with inappropriate mealtime behavior decreased across treatment. Increases in bites consumed and bites without behavior problems were maintained for 2 participants at follow‐up.

Behavioral Interventions, 2018 · doi:10.1002/bin.1502