Mealtime behaviours of young children with sensory food aversions: An observational study

Caldwell, Angela; Krause, Elise K.

doi:10.1111/1440-1630.12732

Cited by 7 publications

(11 citation statements)

References 33 publications

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“…Mealtime duration also decreased significantly, although it still took some children up to minutes to finish a meal. This length of time is consistent with other findings such as Caldwell and Krause’s (35) study, showing that children with sensory eating problems required between 8 and 26 minutes to finish a meal. Efficiency in oral skills (eg, not losing, pushing, or spitting food or liquid out of the mouth) increased during the participation in the “Graz model” of tube weaning.…”

Section: Discussionsupporting

confidence: 92%

The Association of Tube Weaning and Oral Skill Development in Infants With Tube Dependency: A Prospective Study

Pahsini¹,

Marinschek²,

Reininghaus³

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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Objective: This study was the first of its kind by assessing oral skills development during and after applying the “Graz Model” of tube weaning. Methods: This prospective case series study included data of 67 (35 females, 32 males, treated from March 2018 to April 2019) tube dependent children, who participated in the effective “Graz Model” of tube weaning. Parents filled out the standardized Pediatric Assessment Scale for Severe Feeding Problems (PASSFP) prior to and immediately after completion of the program. Paired sample t tests were conducted to examine pre-to-post changes in the children’s oral skills. Results: The study showed that oral skills increased significantly during tube weaning PASSFP score of 24.76 (standard deviation, SD = 12.38) prior to versus 47.97 (SD = 6.98) after completion of the program. Furthermore, significant changes in their sensory and tactile perception and in their general eating behavior were observed. Children also showed reduced oral aversion symptoms and food pocketing, could enjoy their meals, and increased their food repertoire. Mealtime duration could be decreased, and parents were less anxious about their infants’ intake and less frustrated because of their children’s eating behavior. Conclusion: The results of this study demonstrated for the first time that tube dependent children can improve their oral skills significantly during and after their participation in the child-led approach of the “Graz model” of tube weaning.

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Section: Discussionsupporting

confidence: 92%

The Association of Tube Weaning and Oral Skill Development in Infants With Tube Dependency: A Prospective Study

Pahsini¹,

Marinschek²,

Reininghaus³

et al. 2023

Journal of Pediatric Gastroenterology &Amp; Nutrition

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“…Differences in socioeconomic status may affect the access of support to services for CWDS (e.g., cost and quality of medical and therapeutical services, Caldwell & Krause, 2021).…”

Section: Parental Modelling Of Feeding Behaviours Has Been Observedmentioning

confidence: 99%

Observations of feeding practices of US parents of young children with Down syndrome

Surette

Smith‐Simpson²,

Fries

et al. 2023

Maternal & Child Nutrition

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Parental behaviours influence food acceptance in young children, but few studies have measured these behaviours using observational methods, especially among children with Down syndrome (CWDS). The overall goal of this study was to understand parent feeding practices used during snack time with young CWDS (N = 111, aged 11–58 months). A coding scheme was developed to focus on feeding practices used by parents of CWDS from a structured home‐use test involving tasting variously textured snack products. Behavioural coding was used to categorise parental feeding practices and quantify their frequencies (N = 212 video feeding sessions). A feeding prompt was coded as successful if the child ate the target food product or completed the prompt within 20 s of the prompt being given without a refusal behaviour. CWDS more frequently consumed the test foods and completed tasks in response to Autonomy‐Supportive Prompts to Eat (49.3%), than to Coercive‐Controlling Prompts to Eat (24.2%). By exploring the parent–CWDS relationship during feeding, we can identify potentially desirable parent practices to encourage successful feeding for CWDS. Future research should build upon the knowledge gained from this study to confirm longitudinal associations of parent practices with child behaviours during feeding.

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“…2. Top-down interventions (Weinstock-Zlotnick & Hinojosa, 2004): Direct work with the picky eater, focusing on developing self-feeding skills, and exposure to different foods and textures (Howe & Wang, 2013) by engaging the child in food play (Caldwell & Krause, 2021). In a systematic review and meta-analysis, Nekitsing et al (2018) investigated successful strategies to enhance vegetable intake in preschool children aged 2-5 years.…”

Section: Introductionmentioning

confidence: 99%

“…Some behaviours identified as ‘problematic’ in this study are consistent with those included under the picky eating umbrella. This study reported improvements in the child's problem eating; however, conclusions cannot be generalised to picky eating more specifically. Top‐down interventions (Weinstock‐Zlotnick & Hinojosa, 2004): Direct work with the picky eater, focusing on developing self‐feeding skills, and exposure to different foods and textures (Howe & Wang, 2013) by engaging the child in food play (Caldwell & Krause, 2021). In a systematic review and meta‐analysis, Nekitsing et al (2018) investigated successful strategies to enhance vegetable intake in preschool children aged 2–5 years.…”

Section: Introductionmentioning

confidence: 99%

Picky eating in children: Current clinical trends, practices, and observations within the Australian health‐care context

Chilman

Meredith

Kennedy‐Behr

et al. 2023

Aus Occup Therapy J

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Background/aim Childhood picky eating occurs when there is limited intake or variety of food and/or unwillingness to try new foods. Within research settings, standardised assessments are used to describe picky eating behaviours in children. However, little is known about assessment practices of occupational therapists. Similarly, occupational therapy interventions for picky eating in the literature focus on; providing strategies for parents, and working with the child on self‐feeding skills. Despite this, interventions and strategies utilised by occupational therapists in clinical practice within an Australian health‐care context are unknown. This study examines Australian health professionals' observations of picky eating behaviours, the use of childhood picky eating assessments and interventions, and differences between occupational therapists and other professionals. Methods Health professionals (n = 179) were recruited through professional organisations, such as Occupational Therapy Australia. Participants completed an online survey between March and May 2021. Independent variables were reported using descriptive statistics, with logistic regression used to consider differences between occupational therapists and other health professionals. Conventional content analysis was used to analyse responses to open‐ended questions. Results The final sample included 109 eligible participants, with an average of 8.5 years working with picky eaters. Results indicated picky eating behaviours aligned with those reported in the literature. Participants relied on clinical observations and workplace designed assessments. The most common interventions were education, coaching, and the sequential oral sensory approach to feeding. Occupational therapy participants were significantly more likely than other health professional participants to report always using coaching and education. Conclusion Although few health professionals used standardised or validated assessments, the use of education and coaching by occupational therapists aligned with the literature. Results highlight the need for more rigorous investigation to determine the sensitivity of current assessments to differentiate between clinical and typical picky eating, and the effectiveness of interventions for childhood picky eating.

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Mealtime behaviours of young children with sensory food aversions: An observational study

Cited by 7 publications

References 33 publications

The Association of Tube Weaning and Oral Skill Development in Infants With Tube Dependency: A Prospective Study

The Association of Tube Weaning and Oral Skill Development in Infants With Tube Dependency: A Prospective Study

Observations of feeding practices of US parents of young children with Down syndrome

Picky eating in children: Current clinical trends, practices, and observations within the Australian health‐care context

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