Engaged Eaters Program-Early Development (EEP-ED) Delivered via Telehealth for Young Autistic Children: A Clinical Case Study.

IF 1.5 4区 医学 Q2 PEDIATRICS
Asmita Mudholkar, Brittany St John, Larissa Korostenski, Kristelle Hudry, Alison E Lane
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引用次数: 0

Abstract

Introduction: Feeding difficulties are associated with significant caregiver stress. Caregiver-mediated feeding programs in the family home may be appropriate for addressing the feeding challenges. However, very little literature reports on the feasibility and effectiveness of caregiver-mediated approaches for feeding difficulties.

Objective: The aim of the study was to examine the feasibility and impact of the (EEP-Early Development (ED)-Telehealth for a young Autistic toddler assessing parent satisfaction, telehealth delivery mode, family-centric feeding goals, parental stress and perceived competence to improve his feeding outcomes, including his mealtime behaviors and increasing his food repertoire and equipping caregivers with strategies to manage challenging behaviors.

Methods: A 28-month-old autistic toddler with feeding difficulties and his caregivers participated in the EEP-ED, delivered via telehealth. Feasibility was evaluated via parent satisfaction and telehealth delivery questionnaires pre- and post-intervention. The primary outcome was family-centred feeding goals measured using Goal-Attainment Scaling (GAS).

Results: Family-centric feeding goals were achieved, including increasing the child's dietary repertoire by 14 new foods and achieving independent drinking and eating. The mother reported high satisfaction, decreased parenting stress, and increased parenting competence.

Conclusion: Caregiver-mediated interventions delivered via telehealth may be a feasible and effective approach to address mealtime and feeding challenges of young autistic children.

参与饮食计划-早期发展(EEP-ED)通过远程医疗为年轻自闭症儿童提供:一个临床案例研究。
导言:喂养困难与显著的照顾者压力有关。在家庭中,照顾者介导的喂养计划可能适合解决喂养挑战。然而,很少有文献报道的可行性和有效性的照顾者介导的方法喂养困难。目的:本研究旨在探讨eep -早期发展(ED)-远程医疗对一名年轻自闭症儿童的可行性和影响,评估父母满意度、远程医疗交付模式、以家庭为中心的喂养目标、父母压力和感知能力,以改善他的喂养结果,包括他的用餐时间行为,增加他的食物选择,并为照顾者提供管理挑战性行为的策略。方法:一名28个月大的患有喂养困难的自闭症幼儿及其照顾者通过远程医疗方式参与了eeg - ed。通过干预前和干预后的家长满意度和远程医疗服务问卷来评估可行性。主要结果是使用目标实现量表(GAS)测量以家庭为中心的喂养目标。结果:实现了以家庭为中心的喂养目标,包括增加了14种新的食物,并实现了独立的饮水和饮食。母亲报告满意度高,育儿压力减少,育儿能力提高。结论:通过远程医疗提供照顾者介导的干预可能是解决年幼自闭症儿童用餐时间和喂养挑战的一种可行和有效的方法。
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来源期刊
CiteScore
3.70
自引率
4.80%
发文量
42
审稿时长
>12 weeks
期刊介绍: 5 issues per year Abstracted and/or indexed in: AMED; British Library Inside; Child Development Abstracts; CINAHL; Contents Pages in Education; EBSCO; Education Research Abstracts (ERA); Education Resources Information Center (ERIC); EMCARE; Excerpta Medica/EMBASE; Family and Society Studies Worldwide; Family Index Database; Google Scholar; HaPI Database; HINARI; Index Copernicus; Intute; JournalSeek; MANTIS; MEDLINE; NewJour; OCLC; OTDBASE; OT SEARCH; Otseeker; PEDro; ProQuest; PsycINFO; PSYCLINE; PubsHub; PubMed; REHABDATA; SCOPUS; SIRC; Social Work Abstracts; Speical Educational Needs Abstracts; SwetsWise; Zetoc (British Library); Science Citation Index Expanded (also known as SciSearch®); Journal Citation Reports/Science Edition; Social Sciences Citation Index®; Journal Citation Reports/ Social Sciences Edition; Current Contents®/Social and Behavioral Sciences; Current Contents®/Clinical Medicine
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