Parent Training for Feeding Problems in Children With Autism Spectrum Disorder: Initial Randomized Trial

Area of Science:

• Pediatric Gastroenterology
• Developmental Psychology
• Behavioral Pediatrics

Background:

• Feeding and mealtime difficulties are prevalent in children with autism spectrum disorder (ASD).
• Existing interventions may not adequately address the complex needs of these children.
• A novel parent training program integrating behavioral and nutritional strategies was developed.

Purpose of the Study:

• To evaluate the feasibility, parent satisfaction, and preliminary efficacy of an 11-session parent training program for feeding problems in young children with ASD.
• To assess therapist fidelity and parent adherence to the intervention.

Main Methods:

• A pilot randomized controlled trial involving 42 young children (ages 2-7) with ASD and feeding problems.
• Participants were assigned to either the parent training for feeding (PT-F) intervention or a waitlist control group.
• Outcomes included attendance, parent satisfaction, therapist fidelity, and child/parent outcomes measured by standardized assessments.

Main Results:

• High attendance (85%) and parent satisfaction (94% recommendation rate) were observed in the PT-F group.
• High treatment fidelity was reported (97% therapist integrity, 94% parent adherence).
• Children in the PT-F group showed significantly greater reductions in feeding problems compared to the waitlist control.

Conclusions:

• The parent training for feeding (PT-F) program is feasible, satisfactory, and implemented with high fidelity for children with ASD.
• Preliminary results suggest favorable feeding outcomes, supporting the need for larger efficacy trials.
• The PT-F intervention shows promise for improving mealtime behaviors in young children with autism spectrum disorder.