ABSTRACT Objective: The aim of the study was to determine whether operant conditioning (OC) or systematic desensitization (SysD) intervention resulted in more improvements dietary variety/intake, and reductions difficult mealtime behaviors. Methods: Children 2 6 years with autism spectrum disorder a nonmedically complex history were recruited. Feeding difficulties confirmed based on clinical assessment. Participants randomized receive 10 OC SysD sessions (parents could opt for once per week,...

Disease-modifying agents (DMAs) for the treatment of spinal muscular atrophy (SMA) have evolved SMA phenotype with improved survival. Ongoing oropharyngeal dysphagia and respiratory complications are reported. The extent morbidity in this population, since DMAs' introduction, has not been well described.

Clinician experience and confidence can negatively impact pediatric feeding service availability, but limited research has investigated what training allied health professionals (AHPs) need to increase these factors. This study developed distributed a survey investigating Australian AHPs' self-reported anxiousness, needs, factors impacting access, preferences.This was conducted over two phases. Phase 1 involved development refinement of the survey, 2 distribution AHPs. Questions pertained...

Abstract Aim The aim of this study was to investigate the influence children's autism characteristics, sensory profiles and feeding difficulties on caregiver‐reported impact at mealtimes. Background Caregivers children (5–12 years) with a diagnosis Autism Spectrum Disorder completed an online survey examining (a) demographic (b) characteristics (Social Communication Questionnaire), (c) (Sensory Profile 2–short form), (d) (Behavioural Paediatrics Feeding Assessment Scale, BPFAS)...

Although up to 89% of autistic children experience feeding difficulties, little is known about the impact these difficulties on mealtime participation. The aim this study was explore participation and their families based caregiver experiences. Participants were 78 caregivers who completed online surveys for 80 (5-12 years) with a formal diagnosis Autism Spectrum Disorder (ASD). survey contained eight open-ended questions exploring how participated in mealtimes at home, community,...

For families with autistic children living in rural areas, limited access to services partly results from a shortage of providers and extensive travel time. Telehealth brings the possibility implementing alternative delivery modalities Parent Mediated Interventions (PMIs) potential decrease barriers accessing services. This study aimed evaluate feasibility acceptability World Health Organization-Caregivers Skills Training program (WHO-CST) via an online, synchronous group format Missouri. We...

The aim of this study was to document information from allied health clinicians about children on their caseload with autism spectrum disorders and feeding difficulties. An electronic survey disseminated working group around Australia, where 150 responses were returned 96 able be analysed. Variability in observed for service delivery models, frequency input, referral reasons, intervention choices. majority respondents identified limited-to-average knowledge therapy options population....

ABSTRACT Objectives: The primary aim of this study was to describe and compare the clinical characteristics 2 groups children presenting a feeding clinic: with autism spectrum disorder (ASD) nonmedically complex history (NMC). A secondary participants according degree oral motor impairment, presence hypersensitivity, clinically significant parent stress. Methods: Children difficulties ages between 6 years were recruited. Prospective data collected on dietary intake, general development,...

Abstract Project ECHO ® is a virtual, interprofessional, cased-based peer-learning model. To date, no studies have explored as model for pediatric feeding education. This study examined the outcomes of establishing network. Using prospective, mixed-methods design, two cohorts allied health professionals were recruited. Each cohort participated in eight, 90-min videoconference sessions incorporating didactic presentation and clinical case presentation. The was presented by participant, with...

Aims This study aimed to collect data on A ustralian children with regard feeding difficulties using a standardised questionnaire, compare these international collected the same tool, assess short‐term reliability of this tool and determine sensitivity specificity in detecting difficulties. Methods Parents completed B ehavioral P ediatric F eeding ssessment S cale. Data 54 typically developing 81 aged 2–6 years are presented. Results Our sample performed comparably normative from C anada UK...

Abstract Background Paediatric feeding disorder (PFD) is a common childhood condition, estimated to impact one in 37 American children under the age of five. Such high prevalence occurs against backdrop limited understanding community treatment landscape United States. Method To better understand for PFD States and identify provider delivery characteristics, we collected primary data through web‐based survey targeting providers from all four domains (i.e., medical, nutritional, skill, and/or...

Telepractice systems should be acceptable to users and meet end-user needs. Whilst the system requirements conduct adult dysphagia assessments via telepractice are established, key differences exist between paediatric swallowing assessments. This study was conducted develop architecture required feeding in patient homes telepractice.The used a four-phase iterative design, informed by human-centred design principles. In Phase 1, two researchers clinicians identified assessment tasks explored...

Telepractice models of care have the potential to reduce time and financial burdens that consumers may experience accessing healthcare services. The current study aimed conduct a cost analysis paediatric feeding appointments accessed via telepractice (using videoconferencing) compared an in-person model.Parents 44 children with disorders (PFDs) residing in metropolitan area completed three questionnaires relating (a) demographics, (b) for (c) telepractice. Both collected data required direct...

Purpose This study aimed to investigate the interrater reliability of pediatric feeding assessments conducted via synchronous (real-time) telepractice. Secondary aims were parent and clinician satisfaction. Method The eating and/or cup drinking skills 40 children (aged 4 months 7 years) simultaneously assessed by one speech-language pathologist (SLP) leading appointment telepractice a second SLP present in family home. A purpose-designed assessment form was used assess (a) positioning, (b)...

Abstract Thickened feeds may be useful in supporting improved suck–swallow–breath coordination and airway protection infants with dysphagia. Unfortunately, the stability of thickened for infant formulas is unpredictable, which makes use this strategy challenging. This study aimed to propose a set Level 1 (slightly thick) recipes Australian formulas/thickeners. A secondary aim was test whether formula could batch prepared. powdered, ready-to-feed, specialized were mixed two thickening...

Purpose This article explores the challenges of risk feeding from an Australian Paediatric Palliative Care perspective. There is currently limited evidence to guide in pediatric clinical practice. Therefore, this uses adult palliative and end-of-life care context (extrapolating application), addition authors' experience supporting children their families with feeding. Recommendations for management are discussed, including suggested focus interprofessional team along different phases...

Interprofessional collaboration between clinicians, interpreters, and translators is crucial to providing care for consumers with limited English proficiency. training these professions has been overlooked outside of the medical field. This study investigated whether face-to-face speech pathologists, improved their knowledge, confidence, practice, attitudes engage in interprofessional collaboration. It also examined single-profession pathologists can produce similar outcomes when delivered...

Abstract Simulation enables learners to practice new skills in a supportive environment. Largely driven by the COVID-19 pandemic, simulation via telepractice, i.e., telesimulation, has emerged. Viable delivery of telesimulation requires consideration adaptations needed conduct telepractice. The aim this study was design and pilot test feasibility using provide training infant feeding management. An iterative process used across four phases: (1) design, (2) adaptations, (3) user testing,...