Autistic children experience high rates of feeding challenges, negatively affecting their.health, eating patterns, and social eating experiences. The Feeding and Eating in AutiSm Together; FEAST, a caregiver-report questionnaire, was developed to characterize feeding challenges in autistic children ages 2 to 12 years. The purpose of this study is to determine the construct validity of the FEAST assessment using a large national sample of autistic children.
A large national sample (N = 396) of caregivers completed the online survey. An ordinal confirmatory factor model using a robust weighted least squares approach validated the four predicted groupings of feeding challenges (sensory processing; behavior; oral.motor skills; and gastrointestinal) with generally strong loadings onto the four distinct.factors.
Model fit statistics indicated good model fit (Robust Root Mean Square Error of.Approximation=.080, Robust Comparative Fit Index =.909, Robust Tucker-Lewis.Index=.901) Findings provide preliminary confirmation of the construct validity of the.FEAST assessment to characterize feeding difficulties for autistic children ages 2–12. Small to medium correlations between all factors indicate items successfully targeted.four unique areas of feeding challenge. For all factors, the largest correlation was with.behavior.
Assessments developed to address the complex feeding and mealtime challenges for.autistic children are essential to identify and integrate the most appropriate intervention.approaches. FEAST offers researchers and clinicians with a comprehensive and psychometrically sound assessment tool to address autistic children’s unique feeding.challenges.
Many couples raising an autistic child report long-standing and thriving couple relationships, even within the context of elevated parenting stress. Little is known however, about the factors that promote or hinder adaptive couple processes or how these processes may shift over time. Drawing on the Vulnerability Stress Adaptation (VSA) model, the present study examined adaptive couple problem-solving processes across three years and the extent to which these processes were predicted by parent broader autism phenotype (BAP) and level of parenting stress in couples raising an autistic child.
In total, 189 couples (378 parents) raising an autistic child (aged 5–12 years) completed questionnaires assessing parent BAP and level of parenting stress. Couples also engaged in observed problem-solving interactions at four time points spanning three years.
The use of adaptive couple problem-solving behaviors (Solution Focused Reciprocity and Positive Teamwork) declined linearly across time. Father BAP predicted greater decline in these adaptive processes (Solution Focused Reciprocity and Positive Teamwork), particularly when mother-reported parenting stress was low. No main effects of parenting stress on change in adaptive couple problem-solving behaviors emerged.
Findings highlight the utility of the VSA Model for understanding the short-term longitudinal course of problem-solving behaviors in couples raising an autistic school-aged child. This study can inform efforts to promote healthy and long-lasting couple relationships in this population.