Practical Tips for Creating a Mealtime Routine for Autistic Children

Practical Tips for Creating a Mealtime Routine for Autistic Children

Mealtimes can be challenging for many families, but it can be particularly difficult for those with autistic children. Sensory sensitivities, rigid preferences, and difficulty with transitions can all contribute to mealtime stress. However, establishing a consistent routine can help make mealtimes more enjoyable and nutritious for everyone involved. Here are some practical tips for creating an effective mealtime routine for autistic children.

1. Establish a Consistent Schedule

Autistic children often thrive on predictability. Try to schedule meals and snacks at the same times each day. This consistency can help reduce anxiety and prepare the child for the upcoming activity [1].

2. Create a Visual Schedule

Many autistic children respond well to visual aids. Create a simple visual schedule that outlines the steps of the mealtime routine. This can include images representing washing hands, sitting at the table, eating, and cleaning up [2].

3. Prepare the Environment

Sensory sensitivities can significantly impact an autistic child's mealtime experience. Consider the following:

• Reduce noise and distractions
• Use comfortable, supportive seating with a foot rest if needed
• Offer utensils that are easy to grip
• Use plates and cups that suit the child's preferences (e.g., divided plates,     no-spill cups) [3]

4. Introduce New Foods Gradually

Many autistic children have limited food preferences. To expand their diet:

• Introduce new foods alongside familiar ones
• Start with small portions
• Allow the child to explore the food without pressure to eat it
• Be patient and persistent – it may take many exposures before a child accepts a new food [4]

5. Use Positive Reinforcement

Praise and reward your child for following the routine and trying new foods. This can be as simple as verbal praise or a favourite activity after the meal [5].

6. Involve Your Child in Meal Preparation

When appropriate, involve your child in meal planning and preparation. This can increase their interest in the food and provide opportunities to discuss nutrition [6].

7. Be Flexible Within Structure

While consistency is important, be prepared to make adjustments as needed. Every child is unique, and what works one day may not work the next. The goal is to create a routine that is generally predictable but can accommodate your child's changing needs [7].

8. Seek Professional Help if Needed

If mealtime challenges persist, consider consulting with professionals such as occupational therapists, speech-language pathologists, or registered dietitians who specialize in autism spectrum disorders [8].

Remember, creating an effective mealtime routine takes time and patience. Celebrate small victories and keep working towards a positive mealtime experience for your family.

References:

1. Curtin, C., et al. (2015). "Food Selectivity, Mealtime Behaviour Problems, Spousal Stress, and Family Food Choices in Children with and without Autism Spectrum Disorder." Journal of Autism and Developmental Disorders, 45(10), 3308-3315.
2. Dettmer, S., et al. (2000). "The use of visual supports to facilitate transitions of students with autism." Focus on Autism and Other Developmental Disabilities, 15(3), 163-169.
3. Cermak, S. A., et al. (2010). "Food selectivity and sensory sensitivity in children with autism spectrum disorders." Journal of the American Dietetic Association, 110(2), 238-246.
4. Marshall, J., et al. (2014). "Parental feeding practices, food selectivity, and mealtime behaviour problems in young children with autism spectrum disorder." Journal of Autism and Developmental Disorders, 44(10), 2497-2505.
5. Koegel, R. L., et al. (2012). "Improving motivation for academics in children with autism." Journal of Autism and Developmental Disorders, 42(9), 1057-1065.
6. Bandini, L. G., et al. (2017). "Food Selectivity in Children with Autism Spectrum Disorders and Typically Developing Children." The Journal of Pediatrics, 178, 253-258.
7. Sharp, W. G., et al. (2013). "Feeding Problems and Nutrient Intake in Children with Autism Spectrum Disorders: A Meta-analysis and Comprehensive Review of the Literature." Journal of Autism and Developmental Disorders, 43(9), 2159-2173.
8. Ledford, J. R., & Gast, D. L. (2006). "Feeding Problems in Children With Autism Spectrum Disorders: A Review." Focus on Autism and Other Developmental Disabilities, 21(3), 153-166.