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Training parents to implement pediatric feeding protocols.

Michael M Mueller1, Cathleen C Piazza, James W Moore

  • 1Marcus and Kennedy Krieger Institutes, Atlanta, Georgia 30329, USA.

Journal of Applied Behavior Analysis
|February 11, 2004
PubMed
Summary
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Parent training packages effectively improved treatment integrity for pediatric feeding protocols. These methods demonstrated durable results for up to 3 months, aiding clinical practice application.

Area of Science:

  • Behavioral psychology
  • Pediatric feeding disorders
  • Clinical intervention research

Background:

  • Treatment integrity is crucial for the effectiveness of pediatric feeding protocols.
  • Parental implementation of these protocols can be challenging.
  • Standardized training methods are needed to ensure fidelity.

Purpose of the Study:

  • To evaluate multicomponent training packages for parents implementing pediatric feeding protocols.
  • To assess the effectiveness of different training components on treatment integrity.
  • To determine the durability of treatment integrity post-training.

Main Methods:

  • Study 1: 3 parents received training including written protocols, verbal instructions, therapist modeling, and rehearsal.
  • Study 2: 6 parents received training with varying combinations of written protocols, verbal instructions, modeling, and rehearsal.

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  • Follow-up assessments were conducted in clinic and home settings for up to 3 months.

    • Main Results:

    • The training package in Study 1 significantly increased treatment integrity.
    • All training packages in Study 2 resulted in very high treatment integrity.
    • Follow-up data indicated durable treatment integrity for up to 3 months in 5 participants.

    Conclusions:

    • Multicomponent parent training packages are effective in enhancing treatment integrity for pediatric feeding protocols.
    • These findings support the transfer of research into clinical practice by providing viable training methods.
    • High treatment integrity was achieved and maintained, suggesting the potential for improved child outcomes.