Research Article  |   October 2018
Behavioral Activation Approach to Parent Training: Feasibility of Promoting Routines of Exploration and Play During Mealtime (Mealtime PREP)
Author Affiliations
  • Angela R. Caldwell, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA; ARL78@pitt.edu
  • Elizabeth R. Skidmore, PhD, OTR/L, FAOTA, is Professor and Chair, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA
  • Ketki D. Raina, PhD, OTR/L, is Associate Professor, Department of Occupational Therapy, University of Toledo, Toledo, OH
  • Joan C. Rogers, PhD, OTR/L, FAOTA, is Professor Emeritus, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA
  • Lauren Terhorst, PhD, is Associate Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA
  • Cynthia A. Danford, PhD, RN, PNP-BC, CPNP-PC, is Assistant Professor, School of Nursing, University of Pittsburgh, Pittsburgh, PA
  • Roxanna M. Bendixen, PhD, OTR/L, is Assistant Professor, Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA
Article Information
Mental Health / Research Articles
Research Article   |   October 2018
Behavioral Activation Approach to Parent Training: Feasibility of Promoting Routines of Exploration and Play During Mealtime (Mealtime PREP)
American Journal of Occupational Therapy, October 2018, Vol. 72, 7206205030p1-7206205030p8. doi:10.5014/ajot.2018.028365
American Journal of Occupational Therapy, October 2018, Vol. 72, 7206205030p1-7206205030p8. doi:10.5014/ajot.2018.028365
Abstract

OBJECTIVE. Systematic approaches are needed to help parents with young children adopt healthy routines. This study examined the feasibility (home data collection, protocol adherence, intervention acceptance) of using a behavioral activation (BA) approach to train parents of children with sensory food aversions.

METHOD. Parents of young children (18–36 mo) were trained using the novel Promoting Routines of Exploration and Play During Mealtime intervention. Measures included video-recorded meals, Fidelity Checklist, Treatment Acceptability Questionnaire, and Behavioral Pediatrics Feeding Assessment Scale. Descriptive statistics were used.

RESULTS. Eleven children and their parents completed the study. Two of three feasibility benchmarks were met. Intervention acceptance was high (mean score = 43/48). On average, parents used three more intervention strategies after training than at baseline.

CONCLUSION. Using a BA approach to parent training shows promise for altering daily mealtime routines. Delivering this intervention in the home is feasible and received acceptable ratings among this sample.