Improving Beverage Choice in Adults with Developmental Disabilities: Implementation of a Token Reinforcement System in a Community Residential Setting

Brandon K. May, Kwadwo Britwum, Ginger E. Nicol

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Individuals with developmental disabilities (DD) are twice as likely to have obesity than non-disabled individuals. Replacing the consumption of sugar sweetened beverages (SSBs) with water has many health benefits, including weight reduction. In this study, a token reinforcement system was implemented to increase water consumption and decrease the consumption of SSBs with 14 adult participants with DD living in a community-based independent supported living (ISL) center. Token reinforcement reduced the consumption of SSBs, with associated reductions in calorie consumption and body weight. Findings are especially important for treatment settings where resources for individualized meal planning and staffing to support comprehensive behavioral interventions may be limited.

Original languageEnglish
Pages (from-to)1523-1535
Number of pages13
JournalJournal of autism and developmental disorders
Volume52
Issue number4
DOIs
StatePublished - Apr 2022

Keywords

  • Developmental disabilities
  • Obesity
  • Token reinforcement
  • Water consumption

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