A5002692694- Child Nutrition and Feeding Issues
- Family and Disability Support Research
- Gastrointestinal motility and disorders
- Eating Disorders and Behaviors
- Dysphagia Assessment and Management
- Obesity, Physical Activity, Diet
- Congenital gastrointestinal and neural anomalies
- Breastfeeding Practices and Influences
- Autism Spectrum Disorder Research
- Infant Health and Development
- Child Nutrition and Water Access
- Congenital Heart Disease Studies
- Tracheal and airway disorders
- Innovations in Medical Education
- Infant Development and Preterm Care
- Intestinal Malrotation and Obstruction Disorders
- Diet and metabolism studies
- Clinical Nutrition and Gastroenterology
- Global trade and economics
- Historical Studies and Socio-cultural Analysis
- Canadian Policy and Governance
- Stoma care and complications
- Infective Endocarditis Diagnosis and Management
- Pain Management and Placebo Effect
- Pressure Ulcer Prevention and Management
Medical College of Wisconsin
2015-2024
Oakland University
2022-2024
Wayne State University
2024
Henry Ford Health System
2022
Takeda (Japan)
2022
Loyola University Chicago
2022
Beaumont Hospital, Royal Oak
2021
Google (United States)
2020
Rush University Medical Center
2019
Children's Hospital of Wisconsin
2005-2018
Pediatric feeding disorders (PFDs) lack a universally accepted definition. Feeding require comprehensive assessment and treatment of 4 closely related, complementary domains (medical, psychosocial, skill-based systems associated nutritional complications). Previous diagnostic paradigms have, however, typically defined using the lens single professional discipline fail to characterize functional limitations that are critical plan appropriate interventions improve quality life. Using framework...
Paediatric feeding disorders (PFDs) are common. Earlier studies have shown an association between PFD and caregiver stress, but these been hampered by insufficient power. This study reports stress for caregivers of children diagnosed with PFD. These were then compared to community norms the Parental Stress Index-Short Form. Caregivers also completed Mealtime Behaviour Questionnaire, Child Checklist Development Inventory. Linear regression hierarchical analyses assessed relationship among...
Understanding families' quality of life can be important for interdisciplinary treatment planning. The present study examined child and parent perspectives about how constipation fecal incontinence affect life.Semistructured interviews were conducted with 8 children/adolescents caregivers. All the children met Rome II criteria functional constipation. Interviews analyzed by an team using a content analysis approach, which included developing coding manual that described emergent themes from...
Limited published data describe the long-term effects of behavioral strategies to wean children from gastrostomy tube (GT) feeding dependence. This study presents relating nutritional and psychosocial outcomes observed during a 1-year period in medically complex GT feeding-dependent patients who completed an inpatient behavioral-based weaning protocol.This was retrospective prospectively retrospectively collected associated with clinical cohort 77 diagnosed as having disorder, dependence (>1...
Abstract Background The neural network mechanisms underlying visceral hypersensitivity in irritable bowel syndrome ( IBS ) are incompletely understood. It has been proposed that an intrinsic salience plays important role chronic pain and symptoms. Using neuroimaging, we examined brain responses to rectal distension adolescent patients, focusing on determining the alteration of integrity its functional implications current theoretical frameworks. We hypothesized (i) stimulation adolescents...
A comprehensive model is presented that (a) highlights factors have been implicated in the development and maintenance of feeding problems both normal clinical populations; (b) provides a framework for prevention, management, treatment across range physically healthy children to with acute chronic illnesses. Relevant literatures models were synthesized present unified biopsychosocial may aid prediction synthesis information about eating populations provide interdisciplinary research intervention.
Develop a questionnaire to assess family-based feeding strategies, strengths, and mealtime structure for use with children problems; validate this new instrument caregivers of young from the community specialty feeding-clinic; examine preliminary evidence reliability validity.Community (n = 702) seeking services at pediatric clinic 288) completed Feeding Strategies Questionnaire (FSQ). A smaller portion these families also an established measure.Exploratory confirmatory factor analyses were...
Abstract A caregiver questionnaire that assesses mealtime problems in children aged 2 to 6 years old was developed. Community caregivers (n = 712) completed the Mealtime Behavior Questionnaire (MBQ) and measures of child behavior family behaviors environment. Exploratory confirmatory factor analyses revealed validated MBQ's 4 subscales (food refusal/avoidance; food manipulation; aggression/distress; choking/, gagging/vomiting). occurred from "sometimes" "always" for 1% 61% sample. The MBQ...
Objectives The purpose of this study was to develop a caregiver-completed constipation condition-specific health-related quality life (HRQL) instrument. Methods 410 caregivers children aged 2–18 years completed the Parental Opinions Pediatric Constipation (POOPC), PedsQL Generic Core Scales, PedQL Family Impact Module, Symptom Checklist, Functional Disability Inventory, Inventory for Parents, and demographic questionnaire. Exploratory confirmatory factor analyses were conducted assess...
Families of children with feeding disorders frequently present to primary care settings. Although providers are often knowledgeable about medical and developmental etiologies, behavioral etiologies may go unidentified untreated. In this article, the authors review a biobehavioral approach for assessment treatment disorders. First, factors that affect development behaviors described including sensitive periods acquiring skills effects interpersonal relationships on feeding. Second,...
Purpose To determine whether caregivers of children with single ventricle heart defects identified as having feeding disorder will report more frequent dysfunction, or maladaptive mealtime behavior and/or interactions, when compared reference populations. Methods As part routine evaluation, parents evaluated at the Feeding, Swallowing, and Nutrition Center Children's Hospital Wisconsin completed previously validated questionnaires to assess dysfunction parental stress. Parental...
Abstract This integrative literature review explores the utility of telehealth, specifically videoconferencing, for delivery cognitive-behavioral therapy (CBT) to youth with functional abdominal pain (FAP). Children FAP and their families encounter a number barriers treatment that hinder access traditional in-clinic treatments, such as CBT. Videoconferencing may be feasible effective alternative services hold benefits high rates patient satisfaction, improved care, attendance rates, cost...
Objective Chronic constipation is associated with pain, stress, and fecal incontinence, which negatively impact health-related quality of life (HRQoL); however, it unclear if patterns stool frequency, incontinence are differentially HRQoL in youth chronic constipation. Methods 410 caregivers completed a demographics symptoms form, the Parental Opinions Pediatric Constipation, Symptom Checklist, Functional Disability Inventory. Results Stooling were derived using Latent Variable Mixture...
Abstract Background We aimed to describe feeding dysfunction in a group of children with tracheostomy. Methods Single‐center, retrospective chart review all tracheostomy who were evaluated by our interdisciplinary program. Demographic and diagnostic data, nutrition variables, acceptance food consistencies, as well 2 validated psychometric instruments for assessment analyzed. Results Thirteen tracheostomy‐dependent (5/13; 38% ventilator dependent) at median age 51 months (interquartile range...
ABSTRACT The hypothalamus plays a critical role in maintaining visceral homeostasis. Altered activation has been implicated functional gastrointestinal disorders, including irritable bowel syndrome (IBS). One important aspect of homeostatic regulation is the cortical modulation limbic and paralimbic subsystems, hypothalamus, which turn affects descending regulatory processes mediating Using neuroimaging, we evaluated connectivity adolescent patients with IBS age‐matched healthy controls who...