Reducing abnormal drinking patterns in the severely disabled: a multiple baseline study

Abstract

The therapeutic effectiveness of an adapted cup combined with a programme of differential reinforcement was examined in three individuals with severe developmental disabilities. A multiple baseline design across subjects was employed. The intervention programme produced a partial improvement in drinking ability for two of the subjects. One subject with extensive oral motor dysfunction did not exhibit any positive response to the intervention. The argument is made that single subject strategies can assist rehabilitation specialists in documenting clinical change for individual patients and that future research should focus on the investigation of subject characteristics that influence treatment outcome.

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References

Schmidt P. Feeding assessment and therapy for the neurologically impaired. AAESPH Review 1976; 1: 19-27.

Ottenbacher K, Hicks , Roark A. , Swinea J. Oral sensorimotor therapy in the developmentally disabled. A multiple baseline study. Am J Occup Ther 1983; 37: 541-47.

Sobsey R. , Orelove FP Neurophysiological facilitation of feeding skills in children with severe handicaps. JASH 1984; 9: 98-110.

Wilson J ed. Oral-motor function and dysfunction in children. Chapel Hill: University of North Carolina, 1978.

Palmar MF Studies in clinical techniques of normalization of chewing-sucking and swallowing reflexes in cerebral palsy. J Speech Hear Dis 1977; 12: 415-18.

Jones TW Treatment of behavior-related eating problems in retarded students. A review of the literature. In: Hollis JH , Meyer CE eds. Life-threatening behavior: Analysis and intervention. Washington DC: American Association on Mental Deficiency, 1982.

Mueller HA : Facilitating feeding and pre-speech. In: Pearson PH , Williams CE eds. Physical therapy services in the developmental disabilities. Springfield: CC Thomas, 1972.

Morris SE Oral-motor problems and guidelines for treatment. In: Wilson J ed. Oral-motor function and dysfunction in children . Chapel Hill: University of North Carolina, 1978.

Petersen P. , Ottenbacher K. Use of applied behavior techniques and an adaptive device to teach lip closure to severely handicapped children. Am J Ment Def 1986; 90: 535-39.

10.

Tawney JW , Gast D. Single-subject research in special education. Columbus : Merrill, 1984.

11.

White OR , Harring NG Exceptional teaching. Columbus: Merrill: 1980.

12.

Barlow DH , Hersen M. Single-case experimental designs: strategies for studying behavioral change . New York: Pergamon Press, 1984.