Occupational Performance Coaching for parents of picky eaters: A mixed methods study

IF 1.6 4区医学 Q2 REHABILITATION

Australian Occupational Therapy Journal Pub Date : 2024-03-27 DOI:10.1111/1440-1630.12947

Laine B. Chilman, Pamela J. Meredith, Nicole Southon, Ann Kennedy-Behr, Thuy Frakking, Libby Swanepoel, Michèle Verdonck

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引用次数: 0

Abstract

Background/Aim

Picky eating is a common childhood phenomenon that impacts many families' occupations surrounding mealtimes. Evidence of the effectiveness of Occupational Performance Coaching (OPC) for caregivers of children suggests it may represent a useful occupation-focused intervention for parents of picky eaters. Using an OPC-targeted intervention, this study aims to report preliminary effectiveness, explore the experience of parents' participation, and investigate factors that influence the OPC intervention.

Methods

This study used an explanatory mixed-method design. Parent participants (n = 8) were recruited via purposive sampling and engaged in three sessions of OPC delivered via an online platform between October and December 2022. Standardised assessments were completed before and after OPC and a qualitative semi-structured interview two weeks after the final OPC session. Variables were analysed descriptively, and independent t tests were performed to compare scores on each standardised assessment pre- and post-intervention. Pearson's correlation analyses were conducted to consider associations between resistance to change and the extent of change in each outcome measure. Reflexive thematic analysis was conducted on postintervention interview transcripts.

Consumer and Community Involvement

Consumer invovlement was limited to parents feedback on their experiences of the intervention.

Results

Improvements in occupational performance as measured by the COPM change score were statistically significant (p = <0.001). Child eating behaviours, as measured by the CEBQ Food Fussiness subscale change score (p = 0.01) and BPFAS change score (p = 0.02), demonstrated significant improvements. The extent to which parents viewed these behaviours as problematic as measured by the BPFAS problem change score, showed a significant reduction (p = <0.001). Three themes emerged from interviews with parents: small changes beyond nutrition, parents supported as the experts, and what parents value within an intervention.

Conclusion

Targeted OPC intervention delivered online by an occupational therapist may be an effective intervention for parents of picky eaters. Future studies using randomised controls are required before OPC can be routinely recommended in a clinical setting for the management of picky eating in children.

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针对挑食家长的职业表现辅导：混合方法研究。

背景/目的：挑食是一种常见的儿童现象，影响了许多家庭在用餐时间的职业。职业表现辅导（OPC）对儿童看护者的有效性表明，它可能是针对挑食儿童家长的一种有用的以职业为重点的干预措施。本研究采用了以职业表现辅导为目标的干预方法，旨在报告初步效果、探索家长的参与体验以及调查影响职业表现辅导干预的因素：本研究采用解释性混合方法设计。通过有目的的抽样招募了家长参与者（n = 8），他们在 2022 年 10 月至 12 月期间通过在线平台参与了三节 OPC 课程。OPC前后完成了标准化评估，最后一节OPC课程结束两周后完成了半结构化定性访谈。对变量进行了描述性分析，并通过独立 t 检验比较了干预前后各项标准化评估的得分。还进行了皮尔逊相关性分析，以考虑改变阻力与每项结果测量的改变程度之间的关联。对干预后的访谈记录进行了反思性主题分析：消费者和社区参与：消费者参与仅限于家长对干预体验的反馈：结果：以COPM变化分数衡量的职业表现改善具有显著的统计学意义（p = 结论）：由职业治疗师在线提供有针对性的 OPC 干预可能是针对挑食儿童家长的有效干预措施。未来还需要进行随机对照研究，然后才能在临床环境中常规推荐使用 OPC 来管理儿童挑食问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Occupational Therapy Journal 医学-康复医学

CiteScore

2.80

自引率

16.70%

发文量

审稿时长

6-12 weeks

期刊介绍： The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.