Join me…I’m presenting at PRECI! PRECI (Professionals and Researchers in Early Childhood Intervention)
Effective Translation of Empirically-Supported Treatment of Paediatric Feeding Disorders from Hospital to Home Settings in Australia: Outcomes of a Consecutive Controlled Case Series Analysis
by Tessa Taylor, PhD, BCBA-D, Neville M. Blampied, MSc, FNZPsS, Neville Blampied & Nikolas F. Roglić, BA Nik Roglić
Key Notes: Early empirically-supported treatment for paediatric feeding is paramount to most areas of a child’s life, but largely limited to multidisciplinary hospitals in USA. Most children internationally are not receiving effective timely treatment. We present controlled outcomes of successful translation of solely behaviour-analytic treatment to in-home Australia with gains maintained to 2 years. This can have enduring rippling benefits and prevent significant impact to child development/health and waste of critical time/funding.
Introduction & Objectives: Paediatric feeding disorders can impact most areas of a child’s life (e.g., toileting, sleep, learning, behaviour) during critical developmental periods. Researchers have shown effectiveness of treatment in a handful of highly specialised hospital settings in the USA. We extended this literature by translating and condensing empirically-supported treatments short-term to the home setting in Australia while all other therapies were paused. Methods: We used a consecutive controlled case series design (N = 26) with reversal and changing criterion with multiple baseline probe designs. Analysis was via modified Brinley plots and effect size estimation. Results: Caregivers were trained to high procedural integrity and assisted to generalise to community settings. 100% of admission goals were met including learning to chew, cup drink, self-feed, and take medicine, 100% increase in consumption, and >97% decrease in inappropriate mealtime behaviour. Food variety increased to an average of 6 to 92 foods from all food groups. Caregivers reported high satisfaction and acceptability (social validity). Effect sizes were all large to very large. Gains maintained at follow-up (average 2 years). Conclusions: This demonstrates successful translation from research to home/community settings (with over 50 cases now including tube weaning), with enduring rippling benefits. It should be provided as early as possible to prevent impact to children’s development/health and waste of critical time/funding.
preci2024 paediatricfeeding ARFID tubeweaning tubedependence PFD preci earlyintervention CCCS foodrefusal foodselectivity inappropriatemealtimebehaviour tripleCS
So happy to have been part of a preso session with Fiona Smaha and Denise Luscombe at the PRECI (Professionals and Researchers in Early Childhood Intervention) conference. Such a warm welcome, and met so many nice people in diverse and important areas! Congratulations to Denise and the PRECI board for a fantastic event! Nik Roglić
by Nikolas F. Roglić, BA Nik Roglić & Tessa Taylor, PhD, BCBA-D