A pilot study to assess the utility and perceived effectiveness of a tool for diagnosing feeding difficulties in children.

Q1 Medicine Asia Pacific Family Medicine Pub Date : 2015-07-31 eCollection Date: 2015-01-01 DOI:10.1186/s12930-015-0024-5
Pankaj Garg, Jennifer A Williams, Vinita Satyavrat
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引用次数: 13

Abstract

Background: Food dislikes in children may result in avoiding particular food/s with major sources of essential nutrients leading to increased risk of impaired growth or cognitive development and compromised immune function. It is necessary to identify conditions contributing to feeding difficulty and associated complications. An instrument was designed to assist diagnosis and management of children with feeding difficulties. The study was conducted to test utility of the "Identification and Management of Feeding Difficulties (IMFeD)" tool in Indian children.

Methods: A prospective, cross-sectional study was conducted in Indian children between 2 and 10 years identified to have picky eating behaviour. After completion of both pro forma sections (parent and physician) of the IMFeD tool, the child's specific feeding difficulty was diagnosed and appropriate nutritional and/or behavioural counselling was provided. The subjects were followed at 30 and 60 days post-intervention.

Results: According to 66% of paediatricians the IMFeD tool was very easy to use. Approximately 85% of paediatricians required ≤20 min to administer the tool, diagnose the feeding difficulty(ies) and provide specific counselling or behavioural management. More than 70% of parents were satisfied and willing to accept the use of the IMFeD tool. After 60 days, 65% of the parents were either less worried or not worried at all about the feeding behaviour of the child using recommendations made on the basis of the IMFeD tool. The toolkit helped parents to know what to do if their child had a feeding problem. A total of 90% of the parents expressed that the tool is useful for assessing feeding difficulties in children.

Conclusion: The IMFeD tool can be effectively used to identify feeding difficulties in Indian children. This toolkit also helps to offer nutritional and behavioural guidance as a part of the management.

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一项评估诊断儿童喂养困难工具的效用和感知有效性的试点研究。
背景:儿童不喜欢的食物可能导致避免含有主要必需营养素来源的特定食物,从而增加生长或认知发育受损和免疫功能受损的风险。有必要确定导致喂养困难和相关并发症的条件。设计了一种仪器,以协助诊断和管理有喂养困难的儿童。本研究旨在测试印度儿童“喂养困难识别和管理”工具的实用性。方法:一项前瞻性,横断面研究进行了2至10岁之间的印度儿童确定有挑食行为。在完成IMFeD工具的两个形式部分(家长和医生)后,诊断儿童的特定喂养困难,并提供适当的营养和/或行为咨询。在干预后30天和60天对受试者进行随访。结果:66%的儿科医生认为IMFeD工具非常容易使用。大约85%的儿科医生需要≤20分钟来使用该工具、诊断喂养困难并提供具体咨询或行为管理。超过70%的家长满意并愿意接受使用IMFeD工具。60天后,65%的父母使用基于IMFeD工具提出的建议,对孩子的喂养行为不那么担心或根本不担心。该工具包帮助父母知道如果他们的孩子有喂养问题该怎么做。共有90%的家长表示,该工具对评估儿童喂养困难很有用。结论:IMFeD工具可有效识别印度儿童的喂养困难。该工具包还有助于提供营养和行为指导,作为管理的一部分。
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Asia Pacific Family Medicine
Asia Pacific Family Medicine Medicine-Family Practice
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