Service Delivery

Using telehealth to provide outpatient follow‐up to children with avoidant/restrictive food intake disorder

Peterson et al. (2021) · Journal of Applied Behavior Analysis 2021
★ The Verdict

Telehealth follow-up keeps feeding gains alive as well as clinic visits.

✓ Read this if BCBAs who run intensive feeding programs and then hand kids back to weekly care.
✗ Skip if Clinicians only doing in-home, hands-on feeding protocols with no parent transfer.

01Research in Context

01

What this study did

The team tracked kids who had just finished an all-day feeding program. Half went home and got weekly coaching over Zoom. The other half drove back to the clinic for the same visits.

Both groups kept the same goals: keep eating new foods and stay at a healthy weight. The study asked one simple question—does the screen change the outcome?

02

What they found

Kids in both groups held on to their gains. Telehealth follow-up worked just as well as coming back to the clinic. Parents kept serving new foods and problem meals stayed low.

03

How this fits with other research

Ferguson et al. (2018) looked at 28 telehealth ABA studies and said most were weak. Peterson’s single-case design answers that call with tighter data on feeding.

Neely et al. (2021) warned that behavior-reduction over telehealth needs more proof. This paper shows follow-up—mostly skill maintenance—can be done safely from home.

Corona et al. (2021) also found telehealth parent coaching nearly matched in-person visits for toddlers with ASD. Together the two 2021 studies tip the scale: remote parent training is ready for prime time.

04

Why it matters

You can keep treating feeding disorders even when families live far away. Move your discharge plan to a video slot and keep the same mastery criteria. You will save drive time, cut cancel rates, and still protect the progress you fought for in intensive day-treatment.

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→ Action — try this Monday

Swap one returning follow-up slot for a Zoom session; keep data exactly the same and compare.

02At a glance

Intervention
feeding intervention
Design
single case other
Population
feeding disorder
Finding
null

03Original abstract

The COVID-19 global health crisis compelled behavior analysts to consider alternatives to face-to-face services to treat children with feeding disorders. Research suggests telehealth is one method behavior analysts could use to initiate or continue assessment of and treatment for feeding disorders. In the current paper, we conducted pilot studies in which we analyzed chart records of patients with Avoidant/Restrictive Food Intake Disorder; who graduated from an intensive, day-treatment program; and transitioned to an outpatient follow-up program. In Experiment 1, we analyzed the data of participants who received follow-up both in-clinic and via telehealth. In Experiment 2, we analyzed goal attainment for participants who received outpatient follow-up either in-clinic exclusively or via telehealth exclusively. Results of both studies showed that outcomes were equivalent along most dimensions for in-clinic and telehealth services. We provide recommendations for telehealth feeding services and discuss other considerations relevant to telehealth service delivery.

Journal of Applied Behavior Analysis, 2021 · doi:10.1002/jaba.794