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Published on: August 21, 2015
Current Practices and Recommendations for Children with Food Allergies and Feeding Behaviours: Insights from a Survey
Jennifer Kefford1,2, Rebecca L Packer1, Merryn Netting3,4
1School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Brisbane, QLD 4072, Australia.
Insights
Children with food allergies often experience paediatric feeding disorder (PFD), but coordinated Australian services are lacking. This study highlights critical gaps in service delivery and intervention needs for these children.
Area of Science:
- Pediatric Allergy
- Gastroenterology
- Clinical Psychology
Background:
- Children with food allergies frequently develop paediatric feeding disorder (PFD).
- Access to coordinated, multidisciplinary care for these children in Australia is inconsistent.
- There is a lack of data on service availability and perceived needs among Australian health professionals.
Purpose of the Study:
- To explore the availability of services for children with food allergies and PFD in Australia.
- To understand the perceived care needs of Australian health professionals working with this population.
Main Methods:
- A web-based survey was distributed to Australian health professionals.
- Quantitative demographic data were analyzed using descriptive statistics.
- Open-ended responses were analyzed using content analysis to identify key themes.
Main Results:
- 98 health professionals responded, predominantly speech pathologists (40%).
- Services face challenges including long wait times, insufficient staff training, and fragmented care.
- Inadequate mental health support was a significant concern.
Conclusions:
- Integrated services are essential for children with food allergies and PFD.
- Future research should investigate caregiver perspectives and co-design service improvement initiatives.
Abstract:
Background: Children with food allergies can present with paediatric feeding disorder (PFD). However, access to coordinated multidisciplinary services to support these children in Australia is inconsistent. To date, the availability of services or the perceived care needs of Australian health professionals working with this population have not been formally explored. Methods: A web-based survey was distributed to health professionals in Australia. Quantitative demographic data were summarised using descriptive statistics, and open-ended responses were analysed using content analysis. Results: The final sample comprised 98 responses, with speech pathologists representing the largest professional group (n = 39; 40%). A majority (59%) worked in hospital-based services. Open-ended responses were coded utilising content analysis. Three categories were developed including (1) service delivery, (2) intervention, and (3) resources. Services were commonly impacted by long wait times, limited staff training, and inconsistencies between hospital and community care. Additionally, mental health support was frequently reported as insufficient. Conclusions: The findings from this study underscore the need for integrated services for children with food allergies and paediatric feeding disorder. Recommended areas for future research include exploring caregiver perspectives and the impact of food allergies and paediatric feeding disorder, and consideration of co-designed studies to inform service improvement initiatives.
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