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Applied behavior analytic interventions have shown to be the most empirically supported interventions to treat pediatric feeding disorder. Caregivers play a crucial role in the maintenance of feeding gains achieved with a behavioral intervention in the child’s natural environment (e.g., home). Therefore, clinicians should train caregivers such that they can implement feeding interventions with high integrity across settings (e.g., clinic and home). However, despite caregivers implementing interventions with high integrity, the child’s inappropriate mealtime behavior may return when caregivers implement the intervention in the clinic or home; a phenomenon referred to as renewal (Ibañez et al., 2019; Kelley et al., 2018). Research is growing on how to prevent renewal of inappropriate mealtime behavior and how clinicians can improve the generality of behavioral interventions to the natural environment (Haney et al., 2021; Kelley et al., 2018). To further improve the likelihood that treatment gains will maintain in the natural environment, clinicians must also consider variables contributing to caregiver treatment adherence given that caregiver behavior, such as reinforcing problem behavior, may also return in the home setting (Mitteer et al., 2018). This talk will review considerations for preventing relapse of inappropriate mealtime behavior and improving caregiver treatment adherence during treatment of pediatric feeding disorder.