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Implementation of a therapeutic education programme for paediatric feeding disorders in primary care: a first
Isabelle Chardonnet1, Matthieu Calafiore2, Jan Baran2
1MSPU Corneille, Wattrelos, France and CPTS des 7 villes, Wattrelos, France isabellechardonnet4@gmail.com.
Insights
A new therapeutic patient education (TPE) program for paediatric feeding disorders (PFDs) successfully adapted to primary care. The pilot showed feasibility and positive outcomes for children and parents in community settings.
Area of Science:
- Pediatrics
- Public Health
- Healthcare Management
Background:
- Paediatric feeding disorders (PFDs) are prevalent but often overlooked in primary care, leading to significant delays in diagnosis and management.
- Existing therapeutic patient education (TPE) programs for PFDs are primarily hospital-based, with limited availability in community settings.
Purpose of the Study:
- To design and implement a structured, multidisciplinary TPE program for children with PFDs and their parents within a primary care context.
- To address the gap in community-based TPE services for paediatric feeding issues.
Main Methods:
- A pilot TPE program was established in a primary care setting, involving five 2-hour workshops for children (aged 3-8) and their parents.
- The program was delivered by a multidisciplinary team trained in TPE and non-violent communication, focusing on various aspects of feeding.
- Collaboration with regional health authorities (CPTS) ensured financial support and sustainability for the initiative.
Main Results:
- The initial program cycle engaged six children and their families, reporting high participant engagement.
- Positive early feedback included increased parental confidence and noticeable improvements in children's comfort during mealtimes.
- A waiting list of 24 additional families indicates strong demand for the program.
Conclusions:
- The primary care-based TPE program for PFDs proved feasible, highly acceptable to participants, and fostered interprofessional collaboration.
- This initiative presents a viable and promising model for managing complex paediatric feeding challenges in community settings.
Background:
Paediatric feeding disorders (PFDs) are common but often underrecognised in primary care. Families frequently face long diagnostic delays and fragmented management. Therapeutic patient education (TPE) programmes exist in hospital settings but remain rare in community care.
Aim:
To design and implement a structured, multidisciplinary TPE programme for children with PFD and their parents, adapted to a primary care context.
Method:
The pilot programme was launched in February 2025 within the Maison de Santé Pluriprofessionnelle Universitaire Corneille (MSPU; Hauts-de-France). It was developed by a primary care team in partnership with the regional CPTS (Communauté Professionnelle Territoriale de Santé), which will provide ongoing financial support to extend the initiative. This programme consists of five 2-hour workshops involving one child (aged 3-8 years) and at least one parent per session. Each group includes six children and 14 parents, supervised by three health professionals - always including a speech therapist - trained in TPE and non-violent communication. Sessions cover eating mechanisms, posture, nutrition, sensory exploration, and emotional regulation.
Results:
The first cycle involved six children and their families. Early feedback indicates high engagement, improved parental confidence, and observed progress in children's mealtime comfort. Twenty-four additional families are already registered and awaiting the next series of workshops planned for late 2025.
Conclusion:
This first TPE programme for PFD implemented in primary care demonstrates feasibility, strong acceptability, and interprofessional collaboration. It offers a promising model for community-based management of complex paediatric feeding issues.
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