Search tips
Search criteria 


J Appl Behav Anal. 1995 Fall; 28(3): 341–342.
PMCID: PMC1279833

Achieving and maintaining compliance with the ketogenic diet.


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.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (466K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Fisher W, Piazza CC, Bowman LG, Hagopian LP, Owens JC, Slevin I. A comparison of two approaches for identifying reinforcers for persons with severe and profound disabilities. J Appl Behav Anal. 1992 Summer;25(2):491–498. [PMC free article] [PubMed]
  • Kinsman SL, Vining EP, Quaskey SA, Mellits D, Freeman JM. Efficacy of the ketogenic diet for intractable seizure disorders: review of 58 cases. Epilepsia. 1992 Nov-Dec;33(6):1132–1136. [PubMed]
  • PREMACK D. Reversibility of the reinforcement relation. Science. 1962 Apr 20;136(3512):255–257. [PubMed]

Articles from Journal of Applied Behavior Analysis are provided here courtesy of Society for the Experimental Analysis of Behavior