Importance: The new diagnostic code for pediatric feeding disorder (PFD) in the International Classification of Diseases, 10th edition, Clinical Modification, requires that occupational therapists and speech-language pathologists (SLPs) use valid and reliable assessment tools that capture the complexity of PFD.
Objective: To determine current assessment tools that clinicians are using across the four domains of PFD: (1) medical factors, (2) nutrition factors, (3) feeding skill factors, and (4) psychosocial factors. A secondary objective was to obtain clinicians' perceptions of the assessment tools.
Design: A mixed-methods study using survey research and focus groups.
Setting: Online survey and virtual focus groups.
Participants: Occupational therapists and SLPs who identified as clinicians who treat PFDs.
Results: The survey revealed that 65% of the clinicians (N = 445) used a nonstandardized assessment tool across the four domains of PFD. The focus groups (n = 26) revealed four resulting themes that expanded the survey results: (1) no one assessment tool works, (2) clinicians rely on self-created assessments, (3) it takes a team and collaboration, and (4) there are many issues with the current assessment of PFD.
Conclusions And Relevance: This study reveals the need for clinicians working with children with PFD to use feeding assessment tools with sound psychometric properties. The requirement for occupational therapists and SLPs to evaluate and treat dysphagia and disorders of feeding indicates the need to provide entry-level education on reliable and valid assessment tools that thoroughly evaluate all the domains of PFD. What This Article Adds: This article highlights current assessment tools used by occupational therapists and SLPs treating PFD and the need for more standardized procedures and tools to evaluate children across the four domains of PFD.
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http://dx.doi.org/10.5014/ajot.2023.050040 | DOI Listing |
BMC Health Serv Res
January 2025
Department of Nursing and Health Promotion, Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway.
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January 2025
Graduate School of Engineering and Science, Shibaura Institute of Technology, Saitama, Japan.
Online meetings have become increasingly prevalent, especially during the coronavirus disease 2019 pandemic. Although they offer convenience and effectiveness in various contexts, there is a pertinent question about whether they truly replicate the richness of in-person communication. This study delves into the distinctions between online and face-to-face interactions, with a particular focus on the synchronization of brain activity.
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January 2025
Lyra Health, 270 East Ln, Burlingame, CA, 94010, USA.
Blended care therapy (BCT), which augments live, video-based psychotherapy sessions with asynchronous digital tools, has the potential to increase access to evidence-based treatments for posttraumatic stress disorder (PTSD). However, its effectiveness in diverse, real-world settings is not well-understood. This evaluation aimed to assess clinical outcomes of a BCT program for PTSD symptoms.
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January 2025
Department of Integrative Medicine, Huashan Hospital, Fudan University, Shanghai, China; Department of Integrative Medicine, Baoshan Campus of Huashan Hospital, Fudan University, Shanghai, China. Electronic address:
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JMIR Ment Health
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Department of Psychiatry, Northwell Health, Zucker Hillside Hospital, Glen Oaks, NY, United States.
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