Increasing calorie consumption in children with cystic fibrosis: replication with 2-year follow-up

J Appl Behav Anal. 1993 Winter;26(4):435-50. doi: 10.1901/jaba.1993.26-435.

Abstract

Three mildly malnourished children with cystic fibrosis and their parents participated in a behavioral group-treatment program that focused on promoting and maintaining increased calorie consumption. Treatment included nutritional education, gradually increasing calorie goals, contingency management, and relaxation training, and was evaluated in a multiple baseline design across four meals. Children's calorie intake increased across meals, and total calorie intake was 32% to 60% above baseline at posttreatment. Increased calorie consumption was maintained at the 96-week follow-up (2 years posttreatment). The children's growth rates in weight and height were greater during the 2 years following treatment than the year prior to treatment. Increases in pace of eating and calories consumed per minute were also observed 1 year posttreatment. These findings replicated and extended earlier research supporting the efficacy of behavioral intervention in the treatment of malnutrition in children with cystic fibrosis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Behavior Therapy*
  • Body Weight
  • Child
  • Child, Preschool
  • Cystic Fibrosis / psychology
  • Cystic Fibrosis / therapy*
  • Energy Intake*
  • Feeding Behavior
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / therapy*
  • Female
  • Follow-Up Studies
  • Humans
  • Lung Volume Measurements
  • Male
  • Parents / education*
  • Protein-Energy Malnutrition / psychology
  • Protein-Energy Malnutrition / therapy*
  • Psychotherapy, Group*