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Healthcare providers' perspectives and needs related to the management of Pediatric Feeding Disorder: A focus group
Kelsey Thompson1, Cuyler Romeo2,3, Meg Simione4
1Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America.
Insights
Pediatric feeding disorder (PFD) care requires better provider training. This study found that enhancing academic preparation, clinical resources, and family-centered approaches can improve PFD treatment.
Area of Science:
- Pediatric Healthcare
- Clinical Training
- Multidisciplinary Care
Background:
- Pediatric feeding disorder (PFD) is a common and significant diagnosis affecting children and their families.
- The heterogeneous nature of PFD necessitates a multidisciplinary team approach for effective management.
- Current evidence indicates that healthcare providers may be underprepared to adequately assess and treat PFD.
Purpose of the Study:
- To explore the training experiences of providers across the four domains of pediatric feeding disorder: medical, nutrition, feeding skill, and psychosocial.
- To identify gaps and opportunities in current provider education and clinical practice for PFD.
Main Methods:
- Conducted seven focus groups with 25 providers involved in pediatric feeding disorder care.
- Utilized thematic analysis to interpret the qualitative data from the focus groups.
Main Results:
- Identified four key themes: variations in academic preparation, challenges with workplace infrastructure and access to resources, the need for comprehensive yet feasible training, and the importance of incorporating the family perspective.
- Highlighted disparities in training and practical preparedness among providers.
Conclusions:
- There is a need to enhance provider training in pediatric feeding disorder through increased academic exposure and interdisciplinary collaboration.
- Improving access to mentorship, specialized training, evidence-based resources, and a stronger research-to-practice pipeline focused on family-centered care is crucial.
- Optimizing provider education can lead to improved patient care for pediatric feeding disorder.
Abstract:
Pediatric feeding disorder is a prevalent, impactful diagnosis for children and their families. This diagnosis is heterogenous in presentation and requires the care of a multidisciplinary team of providers. Existing research suggests providers are underprepared to assess and treat pediatric feeding disorder, therefore more information on training and clinical practice is needed. This study conducted focus groups to describe the training journey of providers across all four pediatric feeding disorder domains (medical, nutrition, feeding skill, psychosocial). Seven focus groups (total of 25 providers) were conducted and analyzed using thematic analysis. Four themes were identified: differences in academic preparation, workplace infrastructure and access, desire for comprehensiveness and feasibility, and value of the family perspective. Overall, results point to opportunities to improve provider training and therefore patient care including academic exposure to pediatric feeding disorder and multi-disciplinary collaboration practices, increased access to mentorship, training, and evidenced-based resources, and enrichment of the research to practice pipeline with a focus on family-centered care.
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