A. Amari, NC. Grace and WW. Fisher (1995). Achieving and maintaining compliance with the ketogenic diet. Journal of applied behavior analysis, 28(3), 341-2. https://doi.org/10.1901/jaba.1995.28-341

PubMed 7592151

[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.