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Exploring occupational therapy practice with children who are picky eaters and their families
Journal article   Open access   Peer reviewed

Exploring occupational therapy practice with children who are picky eaters and their families

Luca Holland, Michèle Verdonck, Pamela Meredith and Laine Chilman
British Journal of Occupational Therapy, Vol.88(2), pp.105-115
2025
PMCID: PMC11887572
PMID: 40336780
Appears in  UniSC Diversity and Inclusion Research Collection
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Abstract

Occupational therapy food fussiness faddy eating qualitative research paediatric feeding disorder picky eating occupational therapy reasoning occupational therapy UniSC Diversity Area - Life Stages UniSC Diversity Area - Disability and Inclusion
Introduction: Picky eating is a complex phenomenon, impacting family routines and relationships. Occupational therapists often work with picky eaters and their families, yet little is understood about the occupational therapy process and reasoning in this context. This study was guided by the following research question: How do Australian occupational therapists choose and deliver interventions for children with picky eating and their families? Method: This qualitative interpretive descriptive study used in-depth semi-structured online interviews with 10 Australian-based occupational therapists working with children who are picky eaters. Data was analysed inductively following a thematic analysis process, and emergent themes were identified. Findings: Participants indicated that they used a complex reasoning process, with ‘Tailoring Occupational Therapy for Picky Eating’ emerging as the central finding. Key factors underpinning these tailored interventions were finding the why; addressing the why; and practising within context. Conclusion: To our knowledge, this is the first qualitative study to investigate occupational therapists’ reasoning processes when working with families impacted by picky eating. Occupational therapists described the complexity of picky eating, and the subsequent reasoning to find suitable interventions. Findings may guide occupational therapists’ clinical practice when working with children with picky eating and their families.

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