ACHIEVING AND MAINTAINING COMPLIANCE WITH THE KETOGENIC DIET

Adrianna Amari · Nancy C. Grace · Wayne W. Fisher

40 citations0/0 files storedJournal of Applied Behavior Analysis

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Behavioral and Psychological Studies Diet and metabolism studies Child Nutrition and Feeding Issues

Abstract

The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.

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References

1992A COMPARISON OF TWO APPROACHES FOR IDENTIFYING REINFORCERS FOR PERSONS WITH SEVERE AND PROFOUND DISABILITIES

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1997Preference, choice, and persons with disabilities: A synopsis of assessments, interventions, and future directions 1999REINFORCEMENT OF COMPLIANCE WITH RESPIRATORY TREATMENT IN A CHILD WITH CYSTIC FIBROSIS

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