Parent Training for Feeding Problems in Children With Autism Spectrum Disorder: Initial Randomized Trial

Johnson, Cynthia R.; Brown, Kimberly; Hyman, Susan; Brooks, Maria M.; Aponte, Courtney A.; Levato, Lynne; Schmidt, Brianne; Evans, Victoria; Huo, Zhiguang; Bendixen, Roxanna; Eng, Heather; Sax, Theresa M.; Smith, Tristram

doi:10.1093/jpepsy/jsy063

Cited by 56 publications

(34 citation statements)

References 38 publications

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“…Given the pervasiveness, intensity, and duration of feeding problems in individuals with ASD, the need for preventative strategies and evidence-based treatments is clear. Johnson et al 21 recently piloted a parent training program for feeding problems in children with ASD ages 2 through 7 years of age. This randomized trial with wait list control was delivered in eleven 60-90 minute sessions over the course of 20 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…Feeding and disruptive behaviors were significantly reduced and both food selectivity and mealtime behavior issues improved significantly relative to the control group. 21 Another study of a different feeding program reported improvements in parental self-efficacy, mealtime difficulty, and range of foods consumed after implementation of an educational intervention for parents of young children with ASD. 22 These and further research studies are needed to develop evidence-based guidelines and practical resource for parents and to help improve mealtime behavior issues and food selectivity before they exacerbate the health and social challenges that children with ASD already face.…”

Section: Discussionmentioning

confidence: 99%

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Onset, Trajectory, and Pattern of Feeding Difficulties in Toddlers Later Diagnosed with Autism

Ashley

Steinfeld

Young

et al. 2020

J Dev Behav Pediatr

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Objective: To examine the emergence and trajectory of feeding difficulties in young children who are later diagnosed with autism spectrum disorder (ASD). Method: The Behavioral Pediatrics Feeding Assessment Scale (BPFAS) was administered to a sample of 93 toddlers with an older sibling with ASD-the high-risk group-and 62 toddlers with no known familial ASD-the low-risk group-as part of a larger infant sibling study. The BPFAS was completed by parents at 15, 18, 24, and 36 months of age. At 36 months, participants underwent a diagnostic assessment and were classified into one of four outcome groups: ASD, Non-Typical Development, High-risk Typically Developing, and Low-risk Typically Developing. The BPFAS was scored for total frequency of feeding difficulties, as well as autism-specific factor scores previously described in the literature. Results: The frequency of feeding difficulties increased significantly more rapidly in the ASD group between 15 and 36 months of age, and by 36 months, they exhibited a significantly higher total frequency score than all other groups. Analysis of the factor scores revealed a similar pattern for the food acceptance and mealtime behavior domains, but no significant differences in the medical/oral motor domain. Conclusion: Feeding difficulties develop significantly more rapidly in children with ASD, with longitudinal monitoring revealing the steeper trajectory earlier than can be detected with crosssectional analysis. Children with ASD are at risk of health and social consequences of poor feeding behavior that may potentially be minimized if addressed early and appropriately.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Onset, Trajectory, and Pattern of Feeding Difficulties in Toddlers Later Diagnosed with Autism

Ashley

Steinfeld

Young

et al. 2020

J Dev Behav Pediatr

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“…Sankey [25] presented an overview of 3 parenting programs and their effectiveness. Johnson [26] studied the efficacy of a program delivered individually to improve feeding behaviors in children using behavior modification techniques.…”

Section: Resultsmentioning

confidence: 99%

“…Psycho-education of ASD was the most common component found across studies. One study concentrated on establishing feeding routines in children [26] while another concentrated on improving sibling relationship among the children. One study concentrated on improving parental efficacy by using Mindfulness strategy [23] while another used psychological counseling [20] to help parents deal with the situation.…”

Section: Study Themesmentioning

confidence: 99%

Systematic Review on Impact of Training Programs on Parents of Children with Autism Spectrum Disorder

Hussain¹,

Vallikad²

2021

YMER

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This article examined studies published in the years January 2016 to December 2020 in order to conduct a systematic review of articles related to parent training programs or interventions conducted on parents of children with autism spectrum disorder (ASD) and its effect on improving child outcomes and parent outcomes in day to day life. A total of 14 articles were selected from 589 abstracts which matched the inclusion criteria. The systematic analysis showed that results of these studies were mostly inconclusive as more work needed to be done in the form of using structured parent training programs or interventions. Though the need for parent training programs or interventions have been recognized more research needs to be done in this field. Recommendations from the study are that more importance should be given to improving parental outcomes in order to improve child outcomes and this should be the focus of all pediatric as well as other professionals working with children on the spectrum

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“…Autism spectrum disorder (ASD) is a neurological and developmental disease characterized by social interaction and communication disorders, limited interest in activities and stereotyped behaviors (Johnson et al, 2019). ASD includes autistic disorder (AD), Asperger's syndrome and other undefined common developmental disorders (Moore et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of sleep disturbances, gastrointestinal problems and eating behaviors in Turkish children with autistic disorder and PDD-NOS

Gok

Ozturk

Karaca

et al. 2020

AIA

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Purpose The purpose of this study is to evaluate the relationship between sleep disturbances, gastrointestinal (GI) problems and eating behaviors in children who are diagnosed with autistic disorder (AD) and pervasive developmental disorder not otherwise specified (PDD-NOS). Design/methodology/approach This study was conducted with 102 children who were diagnosed with autism spectrum disorder (ASD). Sleeping and GI (abdominal pain, constipation, diarrhea, vomiting, difficulty swallowing) problems in children were obtained by asking their parents using a questionnaire. The feeding assessment survey (FAS), brief autism mealtime behavior inventory (BAMBI) and food consumption frequency were used to obtain information about the children’s eating habits. Findings The BAMBI total score, food refusal and features of autism subscale scores of those with AD were higher than those in the PDD-NOS group (p < 0.05). Sleeping, GI and eating problems are seen in those with AD more commonly than in those diagnosed with PDD-NOS. Originality/value To the knowledge, this is the first study that compares GI, sleeping and eating problems in children with AD and PDD-NOS. Sleeping, GI and eating problems may be more frequent in children with AD than in those with PDD-NOS. The GI problem rate is higher in children with autism with sleeping problems than without sleeping problems.

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Parent Training for Feeding Problems in Children With Autism Spectrum Disorder: Initial Randomized Trial

Abstract: This trial provides evidence for feasibility, satisfaction, and fidelity of implementation of PT-F for feeding problems in young children with ASD. Feeding outcomes also appeared favorable and lends support for conducting a larger efficacy trial.

Cited by 56 publications

References 38 publications

Onset, Trajectory, and Pattern of Feeding Difficulties in Toddlers Later Diagnosed with Autism

Onset, Trajectory, and Pattern of Feeding Difficulties in Toddlers Later Diagnosed with Autism

Systematic Review on Impact of Training Programs on Parents of Children with Autism Spectrum Disorder

Evaluation of sleep disturbances, gastrointestinal problems and eating behaviors in Turkish children with autistic disorder and PDD-NOS

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