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A Treatment Package without Escape Extinction to Address Food Selectivity
Published on: August 21, 2015
Implementation and impact of a virtual educational intervention for parents of fussy eaters
Edel McNamara1, Elaine Guinan2
1Department of Health Promotion and Improvement Health and Wellbeing Division, Integrated Health Areas of Dublin North County and Dublin North City & West, Nexus Building, Blanchardstown Corporate Park, Dublin, D15 CF 9 K, Ireland. Edel.mcnamara@hse.ie.
Background:
Fussy eating is generally outgrown but can cause parental anxiety and disrupt family mealtimes. Parental anxiety may lead to coercive feeding practices, which may prolong the period of fussy eating. This project aimed to assess the feasibility and acceptability of delivering first-line advice for the management of fussy eating via a webinar delivered by dietitians.
Methods:
A descriptive observational design was used to evaluate the feasibility and impact of a monthly educational webinar for parents on fussy eating in children. Content was developed by community dietitians based on established guidelines and feedback from paediatric dietitians and parents. The education webinar was delivered via Zoom 13 times over the course of a year, with recruitment through health centres, social media, and schools. Data was collected through Eventbrite, Zoom analytics, and participant feedback forms. Quantitative data was analysed in Excel, and qualitative responses were thematically analysed for key themes.
Results:
Over 3300 (n 3334) people registered for the webinar. Attendance numbers per webinar increased from 23 people in July 2023 to 480 people in June 2024. On average, 34% of those who registered attended the monthly webinar. The majority (95%) of attendees remained online for the duration of the webinar. Of 346 feedback responses, 84% would recommend the webinar, 70% felt reassured, and 73% planned to adjust their practices. Thematic analysis revealed key takeaway messages for viewers: reducing mealtime stress, increasing food exposure, reassurance on fussy eating as a phase, fostering positive mealtime environments, and practical strategies.
Conclusions:
This service evaluation showed that delivery of first-line advice from dietitians on the management of fussy eating via webinar was feasible and acceptable to parents who attended.
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