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Feeding problems in infancy and early childhood: evolutionary concept analysis.

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Pediatric feeding problems lack a unified definition, hindering research. A spectrum conceptualization is proposed to better understand and address these complex issues in children.

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Area of Science:

  • Pediatrics
  • Concept Analysis
  • Child Health

Background:

  • Pediatric feeding problems and disorders lack a shared conceptualization.
  • Inconsistent definitions and diagnoses limit the study of etiology, prevalence, and incidence.
  • Existing definitions often lack practical utility for clinical and research purposes.

Purpose of the Study:

  • To conduct an evolutionary concept analysis of pediatric feeding problems.
  • To identify and analyze the core concepts, attributes, and consequences related to pediatric feeding problems.
  • To propose a refined conceptualization for improved understanding and management.

Main Methods:

  • Evolutionary concept analysis methodology.
  • Comprehensive literature search across multiple databases (Google Scholar, CINAHL, PubMed, Web of Science) in October 2014.
  • Analysis of 266 articles, with a focus on 100 recent articles coded for key conceptual elements.

Main Results:

  • Historical analysis reveals a pattern of parental blame in pediatric feeding problems.
  • Current literature shows diverse, yet unvalidated and generalizable, typologies.
  • Consensus attributes include problematic feeding behaviors and selective/restrictive intake.

Conclusions:

  • A spectrum conceptualization of pediatric feeding problems is suggested for future development.
  • This approach aims to define critical attributes for identifying feeding problems.
  • Further research is needed to validate and refine this conceptual model.