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Parent-report instruments for assessing feeding difficulties in children with neurological impairments: a systematic

Nurul Hazirah Jaafar1, Azizah Othman1, Noorizan A Majid1

  • 1Paediatrics Department, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Developmental Medicine and Child Neurology
|August 7, 2018
PubMed

Insights

This review found the Behavioural Paediatric Feeding Assessment Scale (BPFAS) to be the most valid and reliable parent-report tool for assessing feeding difficulties in children with neurological impairments. It also offers excellent clinical applicability.

Area of Science:

  • Pediatrics
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Feeding difficulties are common in children with neurological impairments.
  • Accurate assessment is crucial for effective intervention.
  • Parent-report instruments offer a valuable perspective on feeding challenges.

Purpose of the Study:

  • To review the psychometric properties and clinical utility of parent-report instruments for assessing feeding difficulties in children with neurological impairments.
  • To identify the most suitable instrument for clinical use.

Main Methods:

  • A systematic literature search was conducted across five electronic databases using 15 keywords.
  • Inclusion criteria focused on parent-report instruments, English publications, and children with neurological impairments.
  • 22 full-text articles were evaluated from 1220 screened abstracts.

Main Results:

  • Six parent-report instruments met the inclusion criteria.
  • The Behavioural Paediatric Feeding Assessment Scale (BPFAS) demonstrated the strongest psychometric properties.
  • BPFAS was also noted for its good clinical applicability, including availability, short administration time, and simple scoring.

Conclusions:

  • The Behavioural Paediatric Feeding Assessment Scale (BPFAS) is the recommended parent-report instrument for assessing feeding difficulties in children with neurological impairments.
  • BPFAS offers a robust combination of validity, reliability, and clinical practicality.
Abstract

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