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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Development of a toolkit to help parents/caregivers manage feeding problems in autistic children: A protocol for a
Zoe L Connor1,2, Lou Atkinson3,4, Rachel Bryant-Waugh5,6
1Institute of Health and Neurodevelopment & School of Psychology, Aston University, Birmingham, United Kingdom.
Insights
This study aims to create a toolkit blueprint to help parents manage feeding problems in autistic children, addressing a common issue that impacts health and development. The toolkit will offer accessible, early intervention support for families.
Area of Science:
- Developmental Psychology
- Public Health
- Intervention Science
Background:
- Autistic children frequently experience feeding difficulties, impacting their health, development, and overall quality of life.
- Parents often struggle to identify when and how to seek support for these feeding challenges.
- Existing support services for feeding problems in autistic children across the UK are often insufficient or inaccessible.
Purpose of the Study:
- To develop the blueprint for an online toolkit designed to assist parents and caregivers in managing feeding problems experienced by their autistic children.
- To provide a tailored, accessible, and scalable early intervention resource for families navigating these challenges.
Main Methods:
- The project follows Medical Research Council guidance for developing complex interventions, utilizing three work packages: a realist review, a realist evaluation involving interviews with autistic individuals, parents, and professionals, and co-design of the toolkit blueprint.
- Realist theory and behaviour change theory inform the methodology.
- A participatory research approach includes autistic individuals, parents, and professionals, with a public and patient involvement advisory group ensuring relevance and accessibility.
Main Results:
- The study will generate programme theories based on literature review and stakeholder interviews.
- Candidate components for an online toolkit will be identified through the application of behaviour change theory to the refined programme theories.
- A detailed textual outline, or blueprint, of the toolkit will be co-designed with input from experts, parents, and professionals.
Conclusions:
- This project lays the groundwork for a prototype toolkit to support parents of autistic children with feeding issues.
- The developed blueprint will facilitate the subsequent creation and refinement of an effective, evidence-based intervention.
- Improved early intervention for feeding problems in autistic children has the potential to significantly enhance health outcomes and quality of life.
Abstract:
Many autistic children have feeding problems, typically eating a limited range of foods. Feeding problems affect quality of life, health, and development. Research suggests that parents are often unsure when to or whether to seek help. When they do, local provision of help across the UK is often lacking. A toolkit could offer a tailored, accessible, and scalable early intervention to support parents. We aim to develop the blueprint of a toolkit to help parents/caregivers manage feeding problems in their autistic children. Medical Research Council guidance on developing complex interventions informs three successive work packages: Realist review: a literature search and analysis using realist theory of logic to construct programme theory(s) in line with RAMESES (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) guidance.Realist evaluation: interviews of three groups: autistic children, young people and adults (experts), parents/caregivers of autistic children (parents), and professionals who help parents manage feeding problems (professionals) across the UK. Analysis of verbatim interview transcripts using realist theory of logic to refine programme theory(s).Co-design of the toolkit blueprint: behaviour change theory applied to the programme theory(s) will generate candidate components for the online tool. A blueprint (a detailed textual outline) will be co-designed. A participatory research team of experts, parents, and professionals will be involved in each work package. Where consensus is needed it will be reached by asynchronous nominal group technique. A PPI (public and patient involvement) advisory group of experts and parents will ensure the project is relevant, respectful, and accessible. Findings of each step will be disseminated via journal publications, conferences, social media, as well as PPI-co-produced webinars and a dissemination event. On completion, this project will provide the foundation for the subsequent development and refinement of the prototype toolkit.
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