No Brainers
Treatment Elements
Operational Definitions
Day to day
Rule of Thumb
100

The protocol involves the feeder removing the feeding demand in response to refusal behaviors. 

What is Escape Baseline (Non-Self Feeder)

100

Involves the feeder providing attention in response to all appropriate mealtime behaviors and removing attention in response to any problem behaviors until the child re-engages in appropriate behavior

What is Differential Social Attention?

100

Score when the child opens their mouth, and the entire bite is deposit within five seconds of the initial presentation

What is Rapid Acceptance?

100

The process for generalizing treatment to a caregiver

What is Caregiver training?

100

When you take rapid swallow data on a large maroon spoon?

What is 1/4-level bolus

200

A procedure involving systematic increases in bite volume on stability of a child's appropriate mealtime behaviors 

What is Bolus Fading 

200

Reinforcement of alternative behavior for acceptance involves the feeder providing access to a preferred item and engaging in child-directed play following acceptance of the entire bite regardless of the length of time required to deposit the bite.

What is Differential Reinforcement of Alternative Behavior for Acceptance

200

Score when larger than a pea-size amount of food is visible in the child's mouth 30 seconds after the entire bolus was initially deposited

What is Pack?

200

The maximum amount of food (measured in unit) consumed in a protocol meal with therapist. 

What is Gram Cap?

200

The procedure for weighing emesis to account for grams

What is counting paper towels, the emesis bag towards the total weight when weighing?

300

This involves persisting with the presentation of food for a fixed amount of time. Vocal prompting is provided to take a bite at fixed intervals, no physical guidance to accept the bite is provided

What is Non-removal of the Plate

300

A form of escape extinction targeting expulsion of food. 

What is Representation?

300

After the spoon is place in the mouth, score when the upper and lower lip are in contact with the spoon

What is Lip Closure?

300
The first meal conducted on the initial day of day treatment.

What is Home Baseline?

300

The consistency that all purees should mimic to be appropriate to present in a protocol meal

What is yogurt consistency?

400

Involves providing continual access to a preferred tangible item throughout the session, regardless of the child's mealtime behavior. 

What is Non-Contingent Access?

400
A strategy involving the gradual introduction of non-preferred foods.

What is Variety Fading

400

Score each time the child's facial expression includes a wrinkled nose, lowered eyebrows and a twisted mouth

What is Grimace?

400

The drying time for bleach wipes

What is 4 minutes?

400

The case documentation that summarizes treatment implementations and responses for the day.

What is Progress Note?

500

Introduces a mealtime structure that involves exposing the patient to food items from four food groups, encouraging contact with each item by placement in mouth an minimal requirement of 1 chew and generating a food list based on the child's expressed preference

What is Choice Protocol?

500

A procedure to help establish self-feeding during a meal. It involves a least-to-most prompting sequence which the feeder systematically increases the level of support through a series of four increasingly supportive prompts. 

What is 4-Step Self Feeder Prompting 

500

When a chew tube/strip is presented midline on a child's tongue and the child moves the tube/strip over to the molars independently or following prompting on either side using their tongue

What is Lateralization?

500

The criteria to move from EscBL to NRS

What is 60% or fewer for rapid acceptance and 40% or great for IMBs and Neg Vocs with Case Manager approval

500

The category defined by dependence on enteral feeding

What is A3a chief complaint?