Examining Relationships Between Family Mealtime and Feeding Outcomes in Young Children With Sensory Food Aversions

Study Overview
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Brief Summary
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This study will examine the feasibility and preliminary effects of the Mealtime PREP (Promoting Routines of Exploration and Play) intervention package for young children with Sensory Food Aversions and their parents.

Detailed Description
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This pilot study will collect rich data from twenty participants on the feasibility and effects of a novel intervention, the Mealtime PREP, which has a dyadic focus on both the young child and the parent participants. The investigators will collect video recorded child meals in the home during a baseline period (under normal circumstances), during parent-training (while parents are practicing skills learned), and following parent training (when therapist support is withdrawn). This in depth examination of child meals will provide valuable information to guide the optimization of this intervention approach for future trials.

Official Title
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Examining Relationships Between Family Mealtime Routines and Feeding Outcomes in Young Children With Sensory Food Aversions

Conditions
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Feeding Disorder of Infancy or Early Childhood

Intervention / Treatment
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* Behavioral: Mealtime PREP (Promoting Routines of Exploration and Play)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child must meet all criteria of the diagnosis of Sensory Food Aversions The child consistently refuses to eat specific foods with specific tastes/textures and/or smells. Onset of food refusal occurs during the introduction of a novel type of food (e.g., the child may drink one type of milk but refuse another, may eat carrots but refuse green beans, may drink milk but refuse baby food). The child eats without difficulty when offered preferred foods. The food refusal causes specific nutritional deficiencies or delay of oral motor development. Parent is able to read, write, speak and understand English. Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 18 Months
Maximum Age: 60 Months

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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Design Details

Primary Purpose: Treatment
Intervention Model: Sequential Assignment
Interventional Model Description: Single-Case Experimental Design
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mealtime PREP<br>Every participant enrolled in this single-case experimental design trial with multiple replications progressed through three phases. A: Baseline - typical mealtimes in the home. B: Parent-Training - parents trained in Mealtime PREP (Promoting Routines of Exploration and Play) intervention. B-prime: Family Autonomy - parents continue to deliver treatment strategies. Therapist support withdrawn. | Behavioral: Mealtime PREP (Promoting Routines of Exploration and Play)<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Food Acceptance | Significant change in percentage of targeted food accepted between phases. | 30 meals video recorded throughout study participation (10 per phase, 1 month) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 3-Day Food Diary | Increased number of foods eaten over a three-day period. | Baseline through Study Completion (1 month) | 
| Behavioral Pediatric Feeding Assessment (BPFAS) | Clinically relevant change in child feeding behavior and/or parental report of mealtime problems. | Baseline through Study Completion (1 month) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Sensory Food Aversions