Teaching Self-Feeding using Backward Chaining through Parent Teleconsultation

This case study evaluated a parent-implemented, telehealth-delivered intervention to increase self-feeding in a 3-year-old child with autism and a pediatric feeding disorder. Initial treatment using differential reinforcement and prompting was ineffective, but a backward chaining procedure with graduated guidance led to rapid acquisition of independent self-feeding. The child achieved full independence with preferred foods and generalized skills to moderately preferred items. The parent implemented the intervention with high fidelity during telehealth sessions. Findings demonstrate the feasibility of using telehealth to coach caregivers in structured behavioral feeding interventions and highlight the potential for expanding access to underserved families.