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Utilizing in-vivo feedback for caregiver training of pediatric feeding protocols
Authors:Melanie H. Bachmeyer-Lee  Caitlin A. Kirkwood  Connor M. Sheehan  Amanda L. Gibson  Natalie J. Shuler  Jessica A. Keane
Affiliation:1. University of North Carolina Wilmington & Center for Pediatric Behavioral Health;2. University of North Carolina Wilmington
Abstract:Researchers have used multicomponent behavioral skills training packages including written and verbal instructions, modeling, rehearsal, and feedback when teaching caregivers to implement pediatric feeding treatment protocols (e.g., Anderson & McMillan, 2001; Seiverling et al., 2012). Some investigators have shown that fewer behavioral skills training components may be necessary for effective training (e.g., Mueller et al., 2003; Pangborn et al., 2013). We examined the use of in-vivo feedback following written instructions to train caregivers to implement pediatric feeding treatment protocols using a multiple baseline design across 3 caregiver dyads. Correct implementation of the feeding treatment procedures was low during baseline (written instructions only), increased with only the addition of in-vivo feedback, and remained high during follow-up sessions for all caregivers. Results are discussed in terms of clinical implications and caregiver satisfaction.
Keywords:behavioral skills training  caregiver training  in-vivo feedback  pediatric feeding disorders
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