Assessing the US treatment landscape for paediatric feeding disorder: A survey of multidisciplinary providers

Author:

Sharp William G.12ORCID,Estrem Hayley H.3,Romeo Cuyler45,Pederson Jaclyn4,Proctor Kaitlin B.12,Gillespie Scott1,Du Chenxi1,Marshall Jeanne67,Raol Nikhila12

Affiliation:

1. Department of Pediatrics Emory University School of Medicine Atlanta Georgia USA

2. Multidisciplinary Feeding Program Children's Healthcare of Atlanta Atlanta Georgia USA

3. School of Nursing University of North Carolina at Wilmington Wilmington North Carolina USA

4. Feeding Matters Pheonix Arizona USA

5. Neonatal Intensive Care Unit Banner University Medical Center‐Tucson Tucson Arizona USA

6. Speech Pathology Department Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service Brisbane Queensland Australia

7. School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia

Abstract

AbstractBackgroundPaediatric 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 a backdrop of limited understanding of the community treatment landscape in the United States.MethodTo better understand the community treatment landscape for PFD in the United States and identify provider and treatment delivery characteristics, we collected primary data through a web‐based survey targeting providers from all four PFD domains (i.e., medical, nutritional, feeding skill, and/or psychosocial) between January 2022 and March 2022. The 71‐item cross sectional survey focussed on patient, provider and treatment characteristics. We distributed the survey using an electronic survey tool through Feeding Matters listserv followed by solicitation to discipline specific listservs and professional networks. The analytic approach involved descriptive statistics compared across settings and provider types, focussing on respondents within the United States.ResultsEighty‐three percent of respondents reported practicing in the United States. Most of the US sample (74.3%) involved providers from the feeding skill domain (speech‐language pathologist – SLP, occupational therapist – OT) who reported delivering care through early intervention or outpatient settings using responsive and sensory based approaches. These approaches lack rigorous empirical evaluation.ConclusionsSurvey results suggest a need to support community providers in engagement with research activity to promote a better understanding of treatment approaches and outcomes associated with a large cohort of providers delivering care (i.e. SLPs, OTs) to patients with PFD.

Funder

Marcus Foundation

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Developmental and Educational Psychology,Pediatrics, Perinatology and Child Health

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