Demystifying assessment and diagnosis of paediatric feeding disorder: A systematic scoping review and narrative analysis of psychometric properties.
Tracks
Concurrent session T5
Dysphagia
Feeding
Infant feeding
Paediatric/Infant
Swallowing
| Tuesday, May 28, 2024 |
| 1:30 PM - 1:45 PM |
| River View Room 05 |
Overview
Rachel Wanless
Details
⏫ Research insights
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
📚 Assumed knowledge of attendees: Foundational (new/casual familiarity with the topic e.g. treated a single case)
Presenter
Mrs Rachel Wanless
Senior Speech Pathologist
St John Of God Midland Public & Private Hospitals
Demystifying assessment and diagnosis of paediatric feeding disorder: A systematic scoping review and narrative analysis of psychometric properties.
1:30 PM - 1:45 PMPresentation summary
Attendees will receive information on the results of a new, comprehensive scoping review involving over 32,000 papers to guide the best assessment tools to use when assessing children with Paediatric Feeding Disorder (PFD). Recent developments have brought PFD into the fore-front for speech pathologists, with many clinicians requesting much needed guidance to support practice. The results of this presentation aim to guide clinicians to assess all required PFD domains in a standardised manner using psychometrically sound tools.
Objective: To describe and analyse paediatric feeding assessment tools mapped to the domains from new PFD definition from Goday et al. (2019), including medical, nutritional, feeding skill and psychosocial dysfunction to enable accurate and standardised assessment and diagnosis.
Method: A scoping review was conducted to review paediatric feeding tools mapped to the PFD consensus statement using the Arksey and O’Malley (2005) and Shamseer et al. (2015) frameworks. Thirty-two thousand, three hundred and twenty-two (32,322) papers met the inclusion criteria, and 155 papers were included in the final full-text extraction. Assessment dimensions were investigated informing which PFD domains were fulfilled by individual tools. The psychometric properties for assessment tools were analysed and integrated, and a comprehensive PFD assessment battery will be proposed for differential diagnosis for children with PFD.
Results: A range of feeding assessments based on the PFD consensus criteria (Goday et al, 2019) will be discussed informing attendees of the most psychometrically robust feeding assessment tools for assessment of children with PFD. This is information that is currently not known or published in this exciting field, and will assist clinicians by bridging the knowledge gap and integrating current evidence into clinical practice.
Conclusion: A new psychometrically robust paediatric feeding assessment battery that maps to the PFD consensus statement will be proposed, allowing for standardised assessment and differential diagnosis of children with PFD.
Objective: To describe and analyse paediatric feeding assessment tools mapped to the domains from new PFD definition from Goday et al. (2019), including medical, nutritional, feeding skill and psychosocial dysfunction to enable accurate and standardised assessment and diagnosis.
Method: A scoping review was conducted to review paediatric feeding tools mapped to the PFD consensus statement using the Arksey and O’Malley (2005) and Shamseer et al. (2015) frameworks. Thirty-two thousand, three hundred and twenty-two (32,322) papers met the inclusion criteria, and 155 papers were included in the final full-text extraction. Assessment dimensions were investigated informing which PFD domains were fulfilled by individual tools. The psychometric properties for assessment tools were analysed and integrated, and a comprehensive PFD assessment battery will be proposed for differential diagnosis for children with PFD.
Results: A range of feeding assessments based on the PFD consensus criteria (Goday et al, 2019) will be discussed informing attendees of the most psychometrically robust feeding assessment tools for assessment of children with PFD. This is information that is currently not known or published in this exciting field, and will assist clinicians by bridging the knowledge gap and integrating current evidence into clinical practice.
Conclusion: A new psychometrically robust paediatric feeding assessment battery that maps to the PFD consensus statement will be proposed, allowing for standardised assessment and differential diagnosis of children with PFD.
Key messages
At the conclusion of this presentation attendees will take away:
1. A clear understanding of the Goday et al. (2019) Paediatric Feeding Disorder definition
2. Understanding of psychometrically sound paediatric feeding assessments mapped to the PFD definition
3. How to diagnose PFD using psychometrically sound paediatric feeding assessment tools
4. Understanding of the gaps and limitations of standardised assessments
1. A clear understanding of the Goday et al. (2019) Paediatric Feeding Disorder definition
2. Understanding of psychometrically sound paediatric feeding assessments mapped to the PFD definition
3. How to diagnose PFD using psychometrically sound paediatric feeding assessment tools
4. Understanding of the gaps and limitations of standardised assessments
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Rachel Wanless is an experienced clinician with over 20 years of experience in the field of Paediatric Feeding Disorder (PFD), including acute, outpatient feeding clinics and the provision of feeding therapy in the community. This has included working both in the U.K. and Australia. Rachel currently coordinates the paediatric speech pathology acute and outpatient feeding service at St John of God Midland Public and Private Hospitals in Perth. Following the completion of a Master’s relating to paediatric dysphagia, Rachel has developed her interest in PFD further undertaking a PhD at Curtin University. Her current research is investigating what feeding characteristics and behaviours are red flags regarding children at risk of chronic PFD. In Rachel’s ‘spare time’, she is a mother of two, learning first-hand about the complexities of child health and development.
Session chair
Lisa Moshovis
Clinical Lead - Mealtimes Senior Speech Pathologist
Ability WA
Student volunteer(s)
Alice Emmerton
Curtin University
Michelle Spillman
Edith Cowan University
The information contained in this program is current at of the time of publishing but is subject to changes made without notice.
Disclaimer: © (2024) The Speech Pathology Association of Australia Limited. All rights reserved.
Important Notice, please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited ("the Association"). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this presentation. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this presentation including in any of the materials referred to or otherwise incorporated into this presentation.
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