Bibliographic Details
| Title: |
Barriers and facilitators to implementation of a guideline for school-aged children with feeding difficulties. |
| Authors: |
Miles, Anna, Wong, Celine, Jackson, Bianca |
| Source: |
Journal of Intellectual & Developmental Disability. Sep2021, Vol. 46 Issue 3, p217-226. 10p. 1 Color Photograph, 2 Charts, 1 Graph. |
| Subjects: |
Special education, Food habits, School health services, Mathematical models, Deglutition disorders, Interviewing, Medical protocols, Special education schools, Medical records, Theory, Enteral feeding, Behavior modification |
| Geographic Terms: |
New Zealand |
| Abstract: |
Swallowing difficulties are common and complex in children with physical, behavioural, and cognitive needs. This study (i) describes mealtime management and (ii) identifies barriers and facilitators to implementation of a guideline for school-aged children with feeding difficulties in one specialist school. Three data sets were collected: (i) 51 school records, (ii) 48 meal observations, and (iii) seven staff interviews. The model of behaviour COM-B (Capacity Opportunity Motivation and Behaviour) was used to identify barriers and facilitators. 28 school records stated diet modifications and five children were enterally tube fed. Seventy percent of children had mealtime assistance. Only 25% of children had written plans and these did not contain all strategies observed. When feeding plans were vague or disagreements occurred, policy did not support decision-making. A coordinated approach is needed. Target areas for change include staff and family education; defined processes for cross-agency documentation and more detailed plans for all children. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
