Pediatric Feeding Disorders
Conditions
Brief summary
The primary objective of the proposed study is to determine whether behavioral feeding intervention impacts mother-child attachment in infants and toddlers with feeding problems. The investigators propose the following hypotheses: * Behavioral feeding intervention will not significantly impact parent-child attachment. * Behavioral feeding intervention will not significantly impact parent-child unstructured play interactions. * Severity of feeding problems will decrease after behavioral feeding intervention is implemented. * Behavioral feeding intervention will have either no significant effect or a significant positive effect on general child behavior.
Interventions
BEHAVIORALBehavioral feeding intervention
Behavioral feeding intervention will include escape extinction.
Sponsors
The Gerber Foundation
University of Michigan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Months to 48 Months
Healthy volunteers
No
Inclusion criteria
Caregiver Based * Mothers * Conducts feeding intervention ≥75% of the time at home * Understands and speaks English Child Based * 12-14 or 30-48 months old at initial assessment * Clinically significant feeding problem * Self-initiates movement * Can be left alone in a room for 3 minutes * Capable of initiating eye contact
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in attachment status | Enrollment, 6 months, 1 year | The Strange Situation (SS) will be used to assess any changes in mother-child attachment status. The SS consists of a series of separations and reunions between a mother and her child. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in infant social and emotional behavior | Enrollment, 6 months, 1 year | Brief Infant Toddler Social Emotional Assessment (BITSEA) will be used to assess any changes in the social and emotional behavior of children who are 12-36 months of age. |
| Change in child externalizing and internalizing behavior. | Enrollment, 6 months, 1 year | The Child Behavior Checklist will be used to assess any changes in the internalizing and externalizing behavior of children who are 1.5 to 5 years of age. |
| Change in maternal behavior when interacting with her child | Enrollment, 6 months, 1 year | Mother-child dyads will be given toys and asked to play as they normally would for 10 minutes. The purpose of this measure is to detect any changes in parent-child interaction patterns that may be more sensitive to short-term intervention than attachment status. |
| Change in child feeding behavior. | Enrollment, 6 months, 1 year | The Behavioral Pediatrics Feeding Assessment Scale (BPFAS) will be used to measure any changes in the feeding behavior of children. |
Countries
United States
Outcome results
None listed