Research Article  |   July 2013
Systematic Review of Interventions Used in or Relevant to Occupational Therapy for Children With Feeding Difficulties Ages Birth–5 Years
Author Affiliations
  • Tsu-Hsin Howe, PhD, OTR, FAOTA, is Assistant Professor, Steinhardt School of Culture, Education, and Human Development, New York University, 35 West Fourth Street, 11th Floor, New York, NY 10012; tsuhsin.howe@nyu.edu
  • Tien-Ni Wang, PhD, OT, is Assistant Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei
Article Information
Early Intervention / Evidence-Based Practice / Pediatric Evaluation and Intervention / Special Issue on Occupational Therapy and Early Intervention/Early Childhood
Research Article   |   July 2013
Systematic Review of Interventions Used in or Relevant to Occupational Therapy for Children With Feeding Difficulties Ages Birth–5 Years
American Journal of Occupational Therapy, July 2013, Vol. 67, 405-412. doi:10.5014/ajot.2013.004564
American Journal of Occupational Therapy, July 2013, Vol. 67, 405-412. doi:10.5014/ajot.2013.004564
Abstract

Research articles on the effectiveness of feeding interventions for infants and young children were identified, appraised, and synthesized. Thirty-four studies met the inclusion criteria and were reviewed. Three broad intervention themes regarding feeding approaches were identified on the basis of their theoretical orientations. These three feeding approaches were (1) behavioral interventions, (2) parent-directed and educational interventions, and (3) physiological interventions. Synthesis of the evidence suggested that various feeding approaches may result in positive outcomes in the areas of feeding performance, feeding interaction, and feeding competence of parents and children. This synthesis of empirical evidence supporting interventions for feeding problems provides a foundation for future research to define the types of outcomes that can be expected for children with different diagnoses or functional impairments and to develop best practice guidelines.