ERIC Number: EJ1306728
Record Type: Journal
Publication Date: 2021
Pages: 10
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1366-8250
EISSN: N/A
Barriers and Facilitators to Implementation of a Guideline for School-Aged Children with Feeding Difficulties
Miles, Anna; Wong, Celine; Jackson, Bianca
Journal of Intellectual & Developmental Disability, v46 n3 p217-226 2021
Background: 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. Method: 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. Results: 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. Conclusions: 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.
Descriptors: Students with Disabilities, Nutrition, Barriers, Dietetics, Motor Reactions, Physical Disabilities, Student Needs, Risk Management, Planning, Foreign Countries, Behavior Change, School Policy, Decision Making, School Personnel, Attitudes, Special Education, Special Schools, Age Differences, Children, Adolescents, Young Adults, Student Characteristics, Guidelines
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: New Zealand
Grant or Contract Numbers: N/A