Pediatric Feeding Program

Pediatric Feeding Outcomes

2018 - 2019

Data was collected on all patients treated in the Pediatric Feeding Disorders Program (2018-2019). To be included in the treatment group, patients completed 15 treatment sessions, with a break of no more than six weeks between sessions. In addition, patients needed to meet criteria for one of two treatment groups: severe food restriction of less than 15 foods at the time of initial evaluation, or children who presented with inadequate oral feeding skills to manage developmentally appropriate volumes of solids and/or liquids.

Children ranged in age from 11 months to 9 years, 8 months for the severe food restriction group at the time of initial evaluation. The age range for the inadequate oral feeding skills group was 16 months to 7 years, 6 months at the time of initial evaluation.

All patients received treatment from an interdisciplinary team that included practitioners from Psychology, Occupational Therapy, Speech Therapy, and Nutrition. The data collected focused on the general outpatient treatment group. Data was measured at the initiation of treatment and at a follow-up interval of 15 sessions.

An Increase in the Number of Foods in the Diet at Follow-Up for Two Groups of Patients: Patients Presenting with Initial Inadequate Oral Skills, and Severe Food Restrictors

For those patients with inadequate oral feeding skills, 19 (79%) patients added foods. This indicates that levels of resistance to accepting new foods decreased and patients experienced an improvement in oral skills to manage solids during the first 15 sessions of the program. Patients expanded their diet with a combination of behavioral intervention and appropriate oral motor and oral sensory strategies.

For the severe food restriction group, 9 (82%) patients added foods. This indicates that levels of resistance to accepting new foods decreased during the first 15 sessions of treatment. Patients successfully expanded their diets with behavioral intervention.

Increased Number of Foods in the Diet at the Conclusion of the 8-week Intensive Day Treatment Program (N=7)

2018-2019

Data were collected on all patients treated in the intensive day treatment program for the Pediatric Feeding Disorders Program (2018 to 2019). To be included in the treatment group, patients completed at least 8 full weeks of treatment which consisted of daily attendance (Monday – Friday) for approximately 7 hours each day. Children received 4-6 feeding sessions during this time with highly trained staff. In addition, patients needed to meet criteria for attendance of 90% and being medically stable. Patients were excluded if they experienced either a significant medical or social event during the course of their admission.

For the intensive day treatment group, 100% of patients were able to add foods. This indicates that levels of resistance at accepting new foods decreased. Patients experienced an improvement in oral skills to manage solids during the 8-week program. Patients expanded their diet with a combination of behavioral intervention and appropriate oral motor and oral sensory strategies.