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A systematic review of physical guidance procedures as an open‐mouth prompt to increase acceptance for children with pediatric feeding disorders
Journal of Applied Behavior Analysis ( IF 2.9 ) Pub Date : 2020-10-09 , DOI: 10.1002/jaba.782
Emily Kate Rubio 1 , Meara X H McMahon 2 , Valerie M Volkert 3
Affiliation  

This article reviews behavioral treatments of pediatric feeding disorders using physical guidance procedures as an open‐mouth prompt (i.e., jaw prompt, finger prompt, Nuk prompt, side deposit) to increase food acceptance. We identified 9 articles containing 35 systematic evaluations. We coded participant and study characteristics and assessed the experimental rigor, quality, and outcomes of each evaluation. Of the high‐quality research present, the finger prompt variation and side deposit reliably increased acceptance. We found mixed results on the efficacy of the jaw prompt, although it was the most widely researched procedure. Further, authors reported interobserver agreement for 100% of the participants, procedural integrity for 60%, social validity for 80%, fading for 5%, and follow‐up for 55%. Based on the invasive nature of physical guidance, we provide recommendations for researchers and clinicians to increase the quality of their treatment evaluations. We discuss limitations, implications for practice, and future research.

中文翻译:

物理指导程序的系统评价作为提高对儿科喂养障碍儿童接受度的张口提示

本文回顾了使用物理指导程序作为张口提示(即下颌提示、手指提示Nuk 提示侧存款)的儿科喂养障碍的行为治疗) 以提高食品接受度。我们确定了 9 篇文章,其中包含 35 项系统评估。我们对参与者和研究特征进行编码,并评估每个评估的实验严谨性、质量和结果。在现有的高质量研究中,手指快速变化和侧沉积可靠地提高了接受度。尽管下颌提示是研究最广泛的程序,但我们发现下颌提示的效果好坏参半。此外,作者报告了 100% 的参与者观察者间一致、60% 的程序完整性、80% 的社会效度、5% 的衰落和 55% 的随访。基于物理指导的侵入性,我们为研究人员和临床医生提供建议,以提高他们的治疗评估质量。我们讨论了局限性、对实践的影响和未来的研究。
更新日期:2020-10-09
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