Parent-Delivered Interventions Used at Home to Improve Eating, Drinking and Swallowing in Children With Neurodisability: The FEEDS Mixed-Methods Study. Chapter 6: Measurement Properties Review
Health Technology Assessment
Parr, J., Pennington, L., et al. (2021).
Health Technology Assessment, 25(22), 1-208.
This systematic review investigates the psychometric properties of tools used to measure change in eating, drinking, and swallowing disorders in children. This is one chapter of a health technology assessment that also updates several systematic reviews. Details about the other chapters can be found elsewhere in the Evidence Maps. See the Associated Articles section below for more information.
National Institute for Health Research (United Kingdom)
1946-2018
Original research articles
22
The Paediatric Eating Assessment Tool (PediEAT) had the strongest evidence for measurement properties. Two studies found adequate validity as a patient-reported outcome measure, very good content validity, and sufficient internal consistency, test-retest reliability, and criterion validity.
9 studies investigated the Brief Autism Mealtime Behavior Inventory and found insufficient structural validity and internal consistency and indeterminate inter-rater reliability and rest-retest reliability, but sufficient criterion validity.<br /><br />3 studies investigated the Brief Assessment of Mealtime Behavior in Children and found insufficient structural validity, inconsistent internal consistency, and indeterminate criterion validity.
The evidence relating to other tools measuring child behaviors (i.e. Children's Eating Behavior Inventory, Food Preference Inventory, Meals in Our Household, Pediatric version of the Eating Assessment Tool, Screening Tool of Feeding Problems, and Child version of the Screening Tool of Feeding Problems) was limited and poor.
The Food Frequency Questionnaire is a tool used to measure children's intake. Sufficient evidence was found only regarding hypothesis testing of convergent validity and discrimination between groups.
Evidence for parent strategies tools (i.e. Child Feeding Questionnaire, Feeding Strategies Questionnaire, Parent Mealtime Action Scale, Parent Mealtime Action Scale - Revised, Parental Feeding Style Questionnaire) was poor and sparse. The Behavioral Paediatric Feeding Assessment Scale has a parent domain with more evidence for robustness for parent attitudes and strategies. In this population, 5 studies found insufficient structural validity but sufficient internal consistency.
The Schedule of Oral Motor Assessment (SOMA) was the strongest measure of oral motor skills (as compared to Feeding Interaction Report Scale and Treatment, Multidisciplinary Feeding Profile: subtests Functional Feeding, Oral-Facial, and Motor Function, Mastication Observation and Evaluation, and Oral Motor Assessment Scale). 4 studies showed the SOMA to have sufficient inter-rater reliability and criterion validity but indeterminate test-retest reliability.
