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Development of Medication Administration Protocols for In-Home Pediatric Feeding Cases.

Tessa Taylor1

  • 1University of Canterbury/Te Whare Wānanga o Waitaha, Christchurch, New Zealand.

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|August 17, 2022
PubMed
Summary
This summary is machine-generated.

Behavioral interventions successfully improved medication administration in children with autism spectrum disorder and feeding disorders. This home-based program increased consumption of various medication forms, flavors, and delivery methods.

Keywords:
Avoidant/Restrictive food intake disorder (ARFID)autism spectrum disordercup drinkingformula dependencelaxative dependenceliquid refusalmedication refusalnonremoval of the cuppediatric feeding disordersself-feedingvitamin acceptance

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Area of Science:

  • Behavioral science
  • Pediatric medicine
  • Developmental disabilities

Background:

  • Medication administration is challenging in pediatric populations, particularly those with developmental disabilities and feeding disorders.
  • Existing research primarily addresses solid food consumption, with limited studies on medication and liquid intake in pediatric feeding programs.
  • Few studies have evaluated treatment protocols for medication administration in pediatric feeding, with most research focused on pill swallowing.

Purpose of the Study:

  • To evaluate empirically-supported behavioral treatments for medication administration in a home-based program.
  • To assess the effectiveness of these interventions for children with autism spectrum disorder and pediatric feeding disorders.
  • To concurrently evaluate treatment for solid food consumption.

Main Methods:

  • A multiple baseline single-case experimental design was employed.
  • Interventions were delivered in a short-term, intensive, home-based behavioral-analytic program in Australia.
  • Two male participants with autism spectrum disorder and pediatric feeding disorders were included.

Main Results:

  • Medication consumption increased significantly in number, flavors, forms (liquids, chewables, gummies), and delivery methods within the first session.
  • One participant learned to drink various liquids, including medications, from an open cup.
  • Both participants learned to self-feed thick liquid medications using utensils, with similar positive outcomes for solid food intake.

Conclusions:

  • Empirically-supported behavioral treatments are effective for medication administration in children with autism spectrum disorder and feeding disorders.
  • Intensive, home-based programs can successfully improve medication intake and parent training for maintenance.
  • This approach offers a viable alternative to hospital-based interventions for medication administration challenges.