Characterization and Impact of a Multidisciplinary Outpatient Pediatric Feeding and Swallowing Program
Pediatric feeding disorders are common and are often associated with chronic medical conditions and developmental disorders. A multidisciplinary treatment approach may be offered through outpatient or intensive programs. Benefit has been demonstrated with intensive programs, but there is little data...
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| Published in | Journal of developmental and physical disabilities Vol. 36; no. 5; pp. 885 - 902 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
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New York
Springer US
01.10.2024
Springer Nature B.V |
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| Online Access | Get full text |
| ISSN | 1056-263X 1573-3580 |
| DOI | 10.1007/s10882-024-09946-8 |
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| Abstract | Pediatric feeding disorders are common and are often associated with chronic medical conditions and developmental disorders. A multidisciplinary treatment approach may be offered through outpatient or intensive programs. Benefit has been demonstrated with intensive programs, but there is little data regarding outpatient approaches. We described outcomes from a well-established outpatient feeding assessment program related to the referral base and program outcomes. Study packets collecting demographics and self-reported feeding skills were distributed to the referral population and redistributed three months later. Standardized surveys implemented included Montreal Children’s Hospital Feeding Scale (MCH-FS) and parenting stress index (PSI-SF). One hundred and ninety-eight subjects completed the initial packet. MCH-FS was elevated in all subjects indicating a broad range of feeding concerns. PSI elevation was present in a broad range of comorbidities compared to group without comorbidities. At 3 months (n = 55), MCH-FS and feeding skills improved without change in PSI-SF. The quality of therapy overall was deemed excellent to above average by most subjects. A multidisciplinary outpatient program has a role in managing infants and children with feeding disorders regardless of comorbidity. Severely affected individuals may benefit from more intensive programs and/or may require long-term care to effect significant change. |
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| AbstractList | Pediatric feeding disorders are common and are often associated with chronic medical conditions and developmental disorders. A multidisciplinary treatment approach may be offered through outpatient or intensive programs. Benefit has been demonstrated with intensive programs, but there is little data regarding outpatient approaches. We described outcomes from a well-established outpatient feeding assessment program related to the referral base and program outcomes. Study packets collecting demographics and self-reported feeding skills were distributed to the referral population and redistributed three months later. Standardized surveys implemented included Montreal Children’s Hospital Feeding Scale (MCH-FS) and parenting stress index (PSI-SF). One hundred and ninety-eight subjects completed the initial packet. MCH-FS was elevated in all subjects indicating a broad range of feeding concerns. PSI elevation was present in a broad range of comorbidities compared to group without comorbidities. At 3 months (n = 55), MCH-FS and feeding skills improved without change in PSI-SF. The quality of therapy overall was deemed excellent to above average by most subjects. A multidisciplinary outpatient program has a role in managing infants and children with feeding disorders regardless of comorbidity. Severely affected individuals may benefit from more intensive programs and/or may require long-term care to effect significant change. Pediatric feeding disorders are common and are often associated with chronic medical conditions and developmental disorders. A multidisciplinary treatment approach may be offered through outpatient or intensive programs. Benefit has been demonstrated with intensive programs, but there is little data regarding outpatient approaches. We described outcomes from a well-established outpatient feeding assessment program related to the referral base and program outcomes. Study packets collecting demographics and self-reported feeding skills were distributed to the referral population and redistributed three months later. Standardized surveys implemented included Montreal Children’s Hospital Feeding Scale (MCH-FS) and parenting stress index (PSI-SF). One hundred and ninety-eight subjects completed the initial packet. MCH-FS was elevated in all subjects indicating a broad range of feeding concerns. PSI elevation was present in a broad range of comorbidities compared to group without comorbidities. At 3 months (n = 55), MCH-FS and feeding skills improved without change in PSI-SF. The quality of therapy overall was deemed excellent to above average by most subjects. A multidisciplinary outpatient program has a role in managing infants and children with feeding disorders regardless of comorbidity. Severely affected individuals may benefit from more intensive programs and/or may require long-term care to effect significant change. |
| Author | Nalepa, Nicole Benton, Kathryn Delzell, Darcie Fishbein, Mark |
| Author_xml | – sequence: 1 givenname: Kathryn surname: Benton fullname: Benton, Kathryn organization: Division of Developmental and Behavioral Health, Children’s Mercy Hospital – sequence: 2 givenname: Darcie surname: Delzell fullname: Delzell, Darcie organization: Grubhub – sequence: 3 givenname: Nicole surname: Nalepa fullname: Nalepa, Nicole organization: Northwestern Medicine at Central DuPage Hospital – sequence: 4 givenname: Mark surname: Fishbein fullname: Fishbein, Mark email: mfishbein@luriechildrens.org organization: Feinberg School of Medicine at Northwestern University, Ann and Robert H Lurie Children’s Hospital of Chicago |
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| SubjectTerms | Behavioral Science and Psychology Child and School Psychology Chronic illnesses Comorbidity Developmental disorders Eating disorders Infants Interdisciplinary aspects Long term health care Medical conditions Original Article Parental stress Parents & parenting Pediatrics Psychology Public Health Referral Referrals |
| Title | Characterization and Impact of a Multidisciplinary Outpatient Pediatric Feeding and Swallowing Program |
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