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Journal of Pediatric Psychology 15(3) pp. 309-326, 1990
© 1990 Society of Pediatric Psychology


research-article

A Behavioral Approach to Increasing Calorie Consuption in Children With Cystic Fibrosis1

Lori J. Stark2, Anne M. Bowen, Vida L. Tyc, Sylvia Evans and Mary Ann Passero

Rhode Island Hosptial/Brown University Program in Medicine

2All correspondence should be sent to Lori J. Stark, Child and Family Psychiatry, Rhode Island Hospital, 593 Eddy St., Providence, RI 02903

To increase calorie consumption of 5 mildly malnourished children with cystic fibrosis (CF), intervention was implemented in multiple baseline fashion across snack and three meals. Intervention involved nutritional education establishing gradually increasing calories goals, teaching parents contingency management strategies, and a reward system for achieving calorie goals. Following 6 treatment sessions, the children's calorie intake increased across meals and total calorie intake was 25 to 43% above baseline. The calorie increase was maintained at 9-month follow-up. Significant changes in weight and height were made during treatment and the year following intervention. The results suggest that the long-term oral intake of children with CF can be modified by a short-term behavioral intervention.

Key words: cystic fibrosis; malnutrition; weight gain.


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