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Updated: Mar 1, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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Feeding Behavioral Assessment in Children with Cleft Lip and/or Palate and Parental Responses to Behavior Problems

Marzieh Hasanpour1,2, Zohreh Ghazavi1, Samaneh Keshavarz3

  • 1Pediatric and Newborn Intensive Care Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Nursing and Midwifery Research
|June 7, 2017
PubMed

Insights

Children with cleft lip and/or palate show appropriate feeding behaviors. Parental responses significantly correlate with feeding difficulties, highlighting the need for behavioral assessments in nursing care.

Area of Science:

  • Pediatric Health
  • Developmental Pediatrics
  • Clinical Psychology

Background:

  • Children with cleft lip and/or palate (CLP) often face feeding challenges, increasing malnutrition risk.
  • Parental negative reactions to feeding issues can contribute to problematic child behaviors.
  • Understanding CLP feeding behaviors and parental responses is crucial for early intervention.

Purpose of the Study:

  • To investigate the feeding behavior of children with CLP.
  • To assess parental responses to feeding difficulties in children with CLP.
  • To explore the relationship between child feeding behaviors and parental responses.

Main Methods:

  • 120 parents of children (6 months–6 years) with CLP participated.
  • Interviews were conducted using a two-part questionnaire.
  • Part A assessed child feeding behavior; Part B assessed parental strategies, feelings, and anxiety.

Main Results:

  • Mothers showed significant differences in feeding behavior scores (P=0.020).
  • Fathers exhibited significant differences in parental response scores (P=0.030).
  • Parental response positively correlated with feeding difficulties (r=0.428, P=0.003), while feeding behavior inversely correlated with child's age (r=-0.381, P=0.008).

Conclusions:

  • Children with CLP demonstrate appropriate feeding behaviors.
  • Parental responses significantly influence feeding behaviors and difficulties.
  • Behavioral feeding assessment is recommended as a vital nursing and nonmedical intervention for all children with CLP.
Abstract

Keywords:
Cleft PalateCleft lipFeeding BehaviorIranParent

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