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J Appl Behav Anal. 1995 Fall; 28(3): 341–342.
PMCID: PMC1279833
Achieving and maintaining compliance with the ketogenic diet.
A Amari, N C Grace, and W W Fisher
Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.
Abstract
The ketogenic diet, a treatment for intractable epilepsy, is rarely initiated because it requires strict compliance with a diet that is perceived to be unpalatable. In a case study of a 15-year-old girl with uncontrolled epilepsy, we used a stimulus-choice procedure to assess relative preferences of 33 foods from the diet and to develop two treatments based on Premack's principle. The results of a multielement analysis showed that both treatments increased dietary compliance. Compliance was maintained with generalization of treatment across settings, and was associated with a 40% reduction in seizures.
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