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Sensory Eating Problems Scale (SEPS) for children: Psychometrics and associations with mealtime problems behaviors
Laura Seiverling1, Keith E Williams2, Helen M Hendy3
1Ball State University, USA.
Insights
The Sensory Eating Problems Scale (SEPS) helps assess sensory issues in children
Area of Science:
- Pediatric feeding disorders
- Child psychology
- Sensory processing in children
Background:
- Sensory aspects significantly influence children's eating behaviors.
- Existing measures may not fully capture the nuances of sensory feeding challenges.
- Understanding these challenges is crucial for effective intervention.
Purpose of the Study:
- To develop and validate the Sensory Eating Problems Scale (SEPS).
- To assess the psychometric properties of SEPS subscales.
- To examine the relationship between sensory feeding problems and mealtime behavior issues in children.
Main Methods:
- Development of the 22-item SEPS based on caretaker surveys.
- Factor analysis to identify SEPS subscales.
- Analysis of data from 449 caretakers of children in feeding clinics, including those with autism spectrum disorder (ASD).
- Statistical analyses (ANCOVA, multiple regression) to examine associations.
Main Results:
- Six SEPS subscales demonstrated acceptable psychometric properties: Food Touch Aversion, Single Food Focus, Gagging, Temperature Sensitivity, Expulsion, and Overstuffing.
- Younger age and special needs were associated with higher SEPS scores.
- Specific SEPS subscales significantly predicted mealtime behavior problems, explaining 18-44% of the variance.
Conclusions:
- The SEPS is a reliable and valid tool for measuring sensory feeding problems in children.
- Sensory feeding issues are linked to various mealtime behavior problems.
- The SEPS can aid clinicians and researchers in assessing and intervening in pediatric feeding difficulties.
Abstract:
The present study developed the 22-item Sensory Eating Problems Scale (SEPS) to measure sensory aspects for children surrounding eating, documented psychometrics of SEPS subscales, and examined their association with mealtime behavior problems. Study participants were 449 caretakers of children referred to feeding clinics, including children in three special needs status groups: autism spectrum disorder (ASD), other special needs, and no special needs. Caretakers completed surveys to report children's demographics, four measures of children's mealtime behavior problems, and five-point ratings for how often children showed various sensory feeding reactions. Exploratory factor analysis of the sensory feeding items identified six SEPS subscales with acceptable goodness-of-fit, internal reliability, and test-retest reliability: Food Touch Aversion, Single Food Focus, Gagging, Temperature Sensitivity, Expulsion, and Overstuffing. ANCOVAs revealed that child demographics most associated with higher SEPS subscale scores were younger age and special needs. Multiple regression analyses found that children's mealtime behavior problems were most often associated with SEPS subscales of Food Touch Aversion, Single Food Focus, Expulsion, and Overstuffing, with the set of six subscales explaining 18-44% of variance in mealtime behavior problems. Suggestions for how clinicians and researchers may find the SEPS useful for assessment and intervention are provided.
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