Within ACL 1.6, the person is usually aware of the fact that someone is feeding them and that some food is sticky. They can also drink from a cup when it is placed at their lips. Short recognition of hand-over-hand feeding may occur, but total assistance to maintain grasp and guide the motion will be required. Attention is rarely sustained longer than a minute or two.
Better food intake may occur when personal favourites are recognised. Cultural and childhood differences in food traditions start to enter the scale here and become important considerations in consuming an adequate diet. The strength of the taste is combined with the appearance of the food, which is a challenge with pureed diets.