Traditionally children with developmental disabilities who develop feeding issues can be at great risk for malnutrition. Failure to eat adequate amounts of food and/or insistence on eating a limited range of foods can be detrimental to a child's health and can lead to other behavioral difficulties. Feeding problems are difficult to treat because high levels of physical prompting can quickly create an aversion to eating as well as cause stress for both parents and children. Behavioral problems that range from moderate to extremely maladaptive can ensue. The question the present study addressed was whether or not a treatment package including only positive reinforcement and fading for a non-preferred food would result in independent eating of the targeted non-preferred food.

The current study assessed the effectiveness of a training package, delivered in the form of a manual, to teach a parent to increase the variety and amount of food consumed by her son. The participant was a 5-year-old boy with Pervasive Developmental Disorder and limited food consumption. A changing criterion design across two variables, variety of food and quantity of food, was used. Results were that the parent who used the manual, with limited assistance from the experimenter, did succeed in increasing food variety and quantity of target foods.