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门诊多学科喂养治疗试点项目的临床结果。

Clinical Outcomes from an Interdisciplinary Outpatient Feeding Treatment Pilot Program.

机构信息

Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

School of Human Services, School Psychology Programs, University of Cincinnati, 450B Teacher-Dyer Complex, Cincinnati, OH, 45221, USA.

出版信息

J Clin Psychol Med Settings. 2024 Mar;31(1):208-223. doi: 10.1007/s10880-023-09963-3. Epub 2023 May 13.

DOI:10.1007/s10880-023-09963-3
PMID:37178340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10182748/
Abstract

Many children with developmental disabilities experience feeding challenges, including food refusal and food selectivity. Feeding concerns are often multifaceted and, therefore, an interdisciplinary approach to treatment is needed. A pilot of an interdisciplinary outpatient feeding program was conducted in a hospital medical center by psychologists and occupational therapists. The pilot program focused on caregiver training and improvements in targeted feeding goals in both the clinic and home settings. Treatment outcomes from this pilot program found increases in bite acceptance, decreases in inappropriate mealtime behaviors, increases in caregiver-reported number of foods consumed, and mastery of most individualized feeding goals for children who participated in the treatment program. Additionally, caregivers reported decreased concerns related to feeding and increased confidence in addressing their child's feeding concerns after participation in the treatment. Caregivers also reported high levels of satisfaction with this pilot program and reported the intervention to be feasible.

摘要

许多发育障碍儿童都存在喂养方面的挑战,包括拒食和挑食。喂养问题通常是多方面的,因此需要采用跨学科的方法来治疗。心理学家和职业治疗师在一家医院医疗中心开展了一项跨学科门诊喂养项目的试点。该试点项目侧重于对照顾者进行培训,并在诊所和家庭环境中改善针对喂养目标的措施。从该试点项目中得出的治疗结果发现,患儿的咬嚼接受度增加,不恰当的进餐行为减少,照顾者报告的食物摄入量增加,并且大多数参与治疗计划的儿童都掌握了个性化喂养目标。此外,照顾者在参与治疗后报告与喂养相关的担忧减少,并且对解决孩子的喂养问题更有信心。照顾者对该试点项目也表示高度满意,并报告该干预措施切实可行。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/ef2ddb229e67/10880_2023_9963_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/d257f765c192/10880_2023_9963_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/60ab297468ca/10880_2023_9963_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/3f9adf449e96/10880_2023_9963_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/ef2ddb229e67/10880_2023_9963_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/d257f765c192/10880_2023_9963_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/60ab297468ca/10880_2023_9963_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/3f9adf449e96/10880_2023_9963_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1db/10182748/ef2ddb229e67/10880_2023_9963_Fig4_HTML.jpg

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本文引用的文献

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Parent Teleconsultation to Increase Bites Consumed: A Demonstration Across Foods for a Child With ARFID and ASD.家长远程会诊以增加进食量:针对一名患有回避性限制性食物摄入障碍和自闭症谱系障碍儿童的各类食物示范
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Behav Modif. 2020 Nov;44(6):891-908. doi: 10.1177/0145445519865170. Epub 2019 Aug 6.
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Interdisciplinary Feeding Team: A Medical, Motor, Behavioral Approach to Complex Pediatric Feeding Problems.跨学科喂养团队:一种针对复杂儿科喂养问题的医学、运动、行为综合方法。
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Escape as reinforcement and escape extinction in the treatment of feeding problems.逃避强化和逃避消褪在进食问题治疗中的作用。
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