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Picky eating in children: Current clinical trends, practices, and observations within the Australian health-care context
Journal article   Open access   Peer reviewed

Picky eating in children: Current clinical trends, practices, and observations within the Australian health-care context

Laine Chilman, Pamela Meredith, Ann Kennedy-Behr, Gabrielle Campbell, Thuy Frakking, Libby Swanepoel and Michele Verdonck
Australian Occupational Therapy Journal, Vol.70(4), pp.471-486
2023
PMID: 37127548
Appears in  UniSC Diversity and Inclusion Research Collection
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Published Version Open Access CC BY-NC-ND V4.0
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https://doi.org/10.1111/1440-1630.12869View
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Abstract

allied health personnel assessment Australia childhood picky eating food fussiness intervention meals occupational therapy paediatrics surveys and questionnaires treatment UniSC Diversity Area - Life Stages
Background/aim: Childhood picky eating occurs when there is limited intake or variety of food and/or unwillingness to try new foods. Within research settings, standardised assessments are used to describe picky eating behaviours in children. However, little is known about assessment practices of occupational therapists. Similarly, occupational therapy interventions for picky eating in the literature focus on; providing strategies for parents, and working with the child on self-feeding skills. Despite this, interventions and strategies utilised by occupational therapists in clinical practice within an Australian health-care context are unknown. This study examines Australian health pro-fessionals' observations of picky eating behaviours, the use of childhood picky eating assessments and interventions, and differences between occupational therapists and other professionals. Methods: Health professionals (n = 179) were recruited through professional organisations, such as Occupational Therapy Australia. Participants completed an online survey between March and May 2021. Independent variables were reported using descriptive statistics, with logistic regression used to consider differences between occupational therapists and other health professionals. Conventional content analysis was used to analyse responses to open-ended questions. Results: The final sample included 109 eligible participants, with an average of 8.5 years working with picky eaters. Results indicated picky eating behaviours aligned with those reported in the literature. Participants relied on clinical observations and workplace designed assessments. The most common interventions were education, coaching, and the sequential oral sensory approach to feeding. Occupational therapy participants were significantly more likely than other health professional participants to report always using coaching and education.

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