Evaluation of ORALQUEST

Study Overview
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Brief Summary
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Feeding and eating disorders are frequent in children of the general population. They are much more frequent in children with congenital chronic diseases. The analysis of feeding and eating disorders in children is difficult since their causes are complex and multiple. In addition to the clinical examination and the instrumental investigation, a parental questionnaire is very useful in assessing these disorders. The questionnaire (testing the right period of age, evaluating the 4 aspects involved in the disorders, translated in French) does not exist. Consequently, the Necker team of the reference center, has built a hetero-questionnaire named ORALQUEST, which analyses 4 dimensions of the feeding and eating disorders of young children from 9 months to 6 years: behaviour, oral motor skills, sensory sensitivity and familial environment. The objective of the study is to test the metrological qualities of Oralquest in children with congenital chronic diseases including feeding and eating disorders. The questionnaire will be proposed to 7 cohorts of children who are followed in Necker for : oesophageal atresia, cardiac malformations, Pierre Robin sequence, cleft lip and palate, autism spectrum disorders, ex-prematurity < 32 AG, chromosomal anomalies, and proposed to children consulting in the expert center for phobic and selective eating behaviour. The analysis of the metrological qualities of the questionnaire include several calculation and specialized methods: inter-rate concordance; test-retest; intrinsic validity, concurrent validity, sensitivity/specificity.

Detailed Description
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Objectives of the study To analyse the properties of a new scale that evaluates feeding and eating disorders of young children. This scale is a hetero-questionnaire that was build by an expert team. It includes 46 questions scored with a Likert scale. These questions identify 4 fields: behaviour during the meal, oromotor skills, sensory sensitivity and familial environment. Each field gives a sub-score, their addition gives a global score Methods To evaluate the metrological qualities of this questionnaire, the investigators are going to investigate 300 children followed-up in Necker for either Aversive/restrictive food intake disorders (ARFID) or for chronic congenital disease very often complicated with feeding and eating disorders: oesophageal atresia, cardiac malformations, Pierre Robin sequence, cleft lip and palate, autism spectrum disorders, ex-prematurity < 32 AG, chromosomal anomalies, They want to test the statistical significance of the score. For that, they will test: the face validity, the structure validity and, the internal consistence of Oralquest. The interconcept validity will be analysed by comparing the Oralquest results to the best gold standard tests that are found for each field tested by Oralquest. For the global score : The screening test : self-questionnaire, the Montreal Children Feeding Scale. For the behavior score : the symptom check list (items regarding eating). For the oromotor skills : (Schedule for Oral-Motor Assessment) for the children aged 9-24 months and the Oral-Motor Assessment Scale for the children aged 2-6 years). For the familial environment : The STAI (State Trait Anxiety Inventory). The reproductibility will be tested by : Test-retest Inter examiner reproductibility sensibility specificity

Official Title
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Assessment of Feeding and Eating Disorders of Young Children : Standardisation of a New Tool, the Hetero-questionnaire Named ORALQUEST

Conditions
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Feeding and Eating Disorders of Childhood

Intervention / Treatment
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* Other: Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - child of 9 months to 6 years old: Consulting for food difficulties in the expert center for phobic and selective eating behaviour of Necker-Enfants malades hospital or Followed to Necker-Enfants Malades hospital for one of 7 chronic congenital pathologies: oesophageal atresia, cardiac malformations, Pierre Robin sequence, cleft lip and palate, autism spectrum disorders, ex-prematurity < 32 AG, chromosomal anomalies Exclusion Criteria: - parent (s) with a low level of French to understand the questions

Ages Eligible for Study
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Minimum Age: 9 Months
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children consulting<br>Children consulting in the expert center for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Pierre Robin sequence<br>Children with Pierre Robin sequence following for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Cardiac malformations<br>Children with cardiac malformations followed for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Oesophageal atresia<br>Children with oesophageal atresia followed for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Cleft lip and palate<br>Children with cleft lip and palate followed for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Autism spectrum disorders<br>Children followed for congenital pathology that cause food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Ex-prematurity < 32 AG<br>Children born premature followed for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|
| Chromosomal anomalies<br>Children with chromosomal anomalies followed for food difficulties. | Other: Questionnaire<br>* Parent(s) answering questionnaires about his child's phobic and selective eating behaviour.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Validity of ORALQUEST questionnaire | Metrological qualities including the face validity, the structure validity and, the internal consistency and the interconcept validity of ORALQUEST. | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ORALQUEST global score | ORALQUEST global score in each of the 8 cohorts of children | 1 day | 
| Behaviour during the meal ORALQUEST Sub-score | ORALQUEST sub-score in each of the 8 cohorts of children | 1 day | 
| Oromotor skills ORALQUEST Sub-score | ORALQUEST sub-score in each of the 8 cohorts of children | 1 day | 
| Sensory sensitivity ORALQUEST Sub-score | ORALQUEST sub-score in each of the 8 cohorts of children | 1 day | 
| Familial environment ORALQUEST Sub-score | ORALQUEST sub-score in each of the 8 cohorts of children | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Feeding disorders, Eating disorders, Evaluation