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

Achieving and maintaining compliance with the ketogenic diet.

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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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]

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