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Paediatricians' knowledge of paediatric feeding disorders in Jordan
Mawada A Saleem1, Wesam B Darawsheh2, Yaser S Natour3
1Speech Language Pathologist, Department of Hearing and Speech Sciences, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.
Insights
Pediatricians in Jordan show gaps in knowledge regarding pediatric feeding disorders and the roles of speech-language pathologists and occupational therapists. Greater experience and public sector work correlate with lower knowledge levels.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
Background:
- Pediatric feeding disorders (PFDs) are complex conditions requiring multidisciplinary management.
- Paediatricians play a crucial role in identifying and managing PFDs, often collaborating with allied health professionals.
Purpose of the Study:
- To assess paediatricians' knowledge of PFDs in Jordan.
- To evaluate paediatricians' understanding of the roles of speech-language pathologists (SLPs) and occupational therapists (OTs) in PFD management.
- To determine if work setting or years of experience influence paediatricians' knowledge.
Main Methods:
- A cross-sectional survey design was employed.
- 191 paediatricians completed a survey assessing knowledge of PFDs and the rehabilitation team.
- Two-way ANOVA was used to analyze the influence of work setting and years of experience.
Main Results:
- Paediatricians demonstrated varied knowledge, with 26.7% not evaluating and 23% not managing PFDs.
- Only 63.87% recognized SLPs and 28.80% recognized OTs as part of the multidisciplinary team.
- Paediatricians in private settings and those with fewer years of experience exhibited significantly greater knowledge (p<0.01).
Conclusions:
- A significant need exists for enhanced professional education for paediatricians in Jordan regarding PFDs.
- Educational programs should emphasize PFD nature, evidence-based management, and the roles of the rehabilitation team.
- Targeted training is particularly crucial for paediatricians in public health settings.
Purpose:
To investigate paediatricians' knowledge about paediatric feeding disorders and the role of speech-language pathologists and occupational therapists and whether their work setting or years of experience influenced their knowledge.
Method:
A cross-sectional survey design was used. The total score was out of 62 which included a subscale score of knowledge about paediatric feeding disorders out of 50 and a subscale score of knowledge about the role of rehabilitation team out of 12. Descriptive statistics were conducted and two-way ANOVA investigated the effect of two independent variables on the scores, that is, work setting and years of experience.
Result:
A total of 191 paediatricians (138 male and 53 female) participated. The mean total score of participants was M = 29.90 years (SD =12.20), range (12-60). Paediatric feeding disorders were not evaluated nor managed by 26.7% and 23% of participants, respectively. Evaluation procedures for paediatric feeding disorders included bedside evaluation (75.9%), ultrasound (71.2%), videofluoroscopy (52.9%), endoscopy, and/or flexible/fiberoptic endoscopic evaluation of swallowing (50.8%). The most common treatment was drug treatment (64.92%). Speech-language pathologists and occupational therapists were considered to be members of the multidisciplinary team by 63.87% and 28.80% of participants, respectively. Referrals to speech-language pathologists and occupational therapists were made by 44.5% and 36.13% of participants, respectively. Significant differences for the independent variables of work setting (p < 0.01) and years of experience (p < 0.01) were found, indicating greater knowledge for paediatricians working in private settings and for those with less years' experience.
Conclusion:
There is a need for professional educational programs for paediatricians in Jordan, especially for those working in public settings. Such programmes need to focus on the nature of paediatric feeding disorders and the current evidence for management, as well as the roles and contributions of the multidisciplinary rehabilitation team.
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