A small but growing body of research in pediatric feeding disorders asserts the importance of comprehensively measuring social significance of goals, procedures, and effects of intervention, and incorporating social validity into practice to inform treatment. This report sought to extend this literature by detailing procedures to measure and improve social validity during a clinical case of a 3.5‐year‐old during a home‐based intensive feeding program. A multiple baseline design demonstrated effectiveness of nonremoval and re‐presentation added to a treatment package. Repeated choice via direct child preference assessments informed demand fading and gradual progression across six feeding skill domains (medication, cup drinking, independence, texture, volume, variety) and arrangements of response effort (preference, skill) with layers of reinforcer parameters (quality, magnitude, rate, immediacy). Indices of happiness definitions were modified, and extinction bursts examined. Fostering a collaborative approach, caregivers provided detailed input on social validity measures pretreatment, at discharge, and long‐term follow‐up (6‐month, 1‐year), inclusive of both qualitative and quantitative responses, written and verbal communication, and permanent product data. Further implications for practitioners included detailing the process for caregiver training and generalization to family meals with siblings and community settings, and providing adaptable full‐text guidelines for free access/choice contexts.

中文翻译：

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将社会有效性纳入实践：儿科喂养技能领域的治疗进展

一小部分但不断增长的儿科喂养障碍研究表明，必须全面衡量干预措施的目标、程序和效果的社会意义，并将社会有效性纳入实践，为治疗提供信息。本报告试图通过详细说明在 3.5 岁儿童家庭强化喂养计划临床案例中测量和提高社会效度的程序来扩展该文献。多基线设计证明了治疗方案中添加不移除和重新呈现的有效性。通过直接儿童偏好评估进行的重复选择，了解了六个喂养技能领域（药物、杯子饮用、独立、质地、数量、品种）的需求衰减和逐步进展，以及响应努力（偏好、技能）与强化参数层（质量、幅度、速率、即时性）。幸福指数的定义被修改，灭绝爆发被检查。为了培养协作方法，护理人员提供了关于治疗前、出院时和长期随访（6 个月、1 年）的社会有效性测量的详细信息，包括定性和定量反应、书面和口头沟通以及永久随访。产品数据。对从业者的进一步影响包括详细说明护理人员培训的过程，并将其推广到与兄弟姐妹和社区环境一起的家庭聚餐，并为自由访问/选择环境提供适应性强的全文指南。