The Nature and Diversity of Problems Leading to Failure to Thrive

Humphry, Ruth

doi:10.1080/j003v09n02_05

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…Yet, for a young child, eating occurs as a co-occupation with the parent (Zemke & Clark, 1996). Effective assessment and intervention must address many different levels of the feeding process, including occupational performance of the parent (Humphry, 1995). To describe parents' expectations and attitudes about feeding, it was first necessary to develop instruments that examine these areas.…”

Section: Discussionmentioning

confidence: 99%

“…Mothers'of infants with gastroesophageal reflux report difficulty with their babies beyond those of providing good nutrition (Humphry & Rourk, 1991). In her review of infants with failure to thrive, Humphry (1995) points out that whether the feeding problem is categorized as organic or environmental failure to thrive, there can be secondary differences in parent-child interaction, problems with the parent's emotional wellbeing, and difficulty with the child's behaviors during meals.…”

Section: Influences On Feeding Practices Of Caregiversmentioning

confidence: 98%

“…Feeding the young child is a complex, two-person, interactive process that takes place within the family context. Humphry (1995) proposes a multisystem model for the feeding process. In this model, the parent is seen as a partner who thinks about various aspects of the feeding process.…”

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confidence: 99%

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Caregiver Role: Ideas about Feeding Infants and Toddlers

Humphry¹,

Thigpen-Beck²

1997

The Occupational Therapy Journal of Research

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Feeding the young child is a complex, two-person, interactive process that takes place within thefamily context. AbstractThis work represents an initial effort to describe expectations and attitudes that might contribute to variation in the caregiving role as it relates tofeeding young children. The study also investigates the impact ofperformance contexts on attitudes about one aspect of caregivingfeeding. One hundred twenty-four primary caregivers of typically developing infantsfrom 4 to 28 months were interviewed about theirexpectations for developmental milestones related to feeding and their attitudes about how a parent should respond to different meal-time behaviors of children. Reliability of the instruments was explored. Test-retest reliability ofcaregiver expectations for when milestones were expected, as captured on Feeding Skills Development, ranged from good (.87) to poor (not significant). Reliability of attitudes captured by the second instrument, Feeding Stories, ranged from moderate to poor. The multidimensional contributions of temporal and social contexts on the attitudes of caregivers aboutfeeding practices were examined. The older the particiDownloaded from pant the more relaxed approach to whatand when a baby ate. The pattern of association of social context and parental value was different for participants who were African American and those who were white. Results are discussed in the light of possible factors that contribute to caregivers' ideas about their young child with special needs andfeeding issues. It is suggested that these thoughts mightframe how the caregiver responds to feeding intervention suggestions.A lth ou gh there is literature on oral motor development, oral motor dysfunction, and feeding techniques, Bax (1989) points out that little has been written about the whole operation of feeding individuals with eating problems. Feeding the young child is a complex, two-person, interactive process that takes place within the family context. Humphry (1995) proposes a multisystem model for the feeding process. In this model, the parent is seen as a partner who thinks about various aspects of the feeding process. This view of the adult applied to clinical issues suggests that the parent of a child with eating problems uses his or her ideas about child development and beliefs about what constitutes appropriate feeding practices to frame his or her caregiver role. These ideas can act as a filter for occupational therapy recommendations. Understanding the impact of parenting ideas is complicated by the fact that most research is based on instruments that are frequently poorly validated and developed using a small sample size (Holden & Edwards, 1989). The purposes of this project were to better understand the components related to feeding as one task of caregiver for a young child and to examine the impact of contextual factors on attitudes about feeding. Because it was necessary to develop instruments to study parental expectations for feeding milestones and attitudes about appropriate...

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Section: Discussionmentioning

confidence: 99%

Section: Influences On Feeding Practices Of Caregiversmentioning

confidence: 98%

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Caregiver Role: Ideas about Feeding Infants and Toddlers

Humphry¹,

Thigpen-Beck²

1997

The Occupational Therapy Journal of Research

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“…C hildren labeled with failure to thrive are frequently referred to occupational therapy due to delays in physical growth, feeding difficulties, or behavior problems (Denton, 1986;Wavrek, 1995). Traditionally, failure to thrive has been classified as organic (e.g., biological impairment in the child) or nonorganic (e.g., impairment in the environment or parent-child interactions); however, these categories may be too simplistic and overlook the complex interaction among biological and psychological factors (Denton, 1986;Homer & Ludwig, 1981;Humphry, 1995).…”

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confidence: 99%

Parent–Child Interactions and Everyday Routines in Young Children With Failure To Thrive

Stewart¹,

Meyer²

2004

The American Journal of Occupational Therapy

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Interagency practice in children with non-organic failure to thrive: is there a gap between health and social care?

Taylor

Daniel

1999

Child Abuse Rev.

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Failure to thrive is a child protection issue that crosses the boundaries between many professional groups. It is a condition that places children at risk of negative developmental, social, physical and emotional consequences, but it has complex causal roots. Although there are known to be links between neglect, emotional abuse and failure to thrive, health and social care providers have differing responses and interventions with children who are failing to thrive. An examination of recent Scottish statistics supports the argument that there may be a gap between health and social care that some children may be falling through. Evidence from the literature regarding interagency roles and responsibilities is ambiguous, and the different, albeit overlapping, professional constructions of failure to thrive may result in a gap in care for some vulnerable children. It is only by beginning to understand the crucial links between different professions that we can contribute towards effective interagency child protection policy and practice. Copyright © 1999 John Wiley & Sons, Ltd.

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The Nature and Diversity of Problems Leading to Failure to Thrive

Cited by 4 publications

References 29 publications

Caregiver Role: Ideas about Feeding Infants and Toddlers

Caregiver Role: Ideas about Feeding Infants and Toddlers

Parent–Child Interactions and Everyday Routines in Young Children With Failure To Thrive

Interagency practice in children with non-organic failure to thrive: is there a gap between health and social care?

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