Barriers and Facilitators to Implementation of a Guideline for School-Aged Children with Feeding Difficulties

Autor/inn/en	Miles, Anna; Wong, Celine; Jackson, Bianca
Titel	Barriers and Facilitators to Implementation of a Guideline for School-Aged Children with Feeding Difficulties
Quelle	In: Journal of Intellectual & Developmental Disability, 46 (2021) 3, S.217-226 (10 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Miles, Anna) ORCID (Jackson, Bianca)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1366-8250
DOI	10.3109/13668250.2021.1877645
Schlagwörter	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; New Zealand + Suchen Sie Ihr Suchwort? Student; Students; Disability; Disabilities; Schüler; Schülerin; Studentin; Behinderung; Ernährung; Ernährungslehre; Physical handicap; Körperbehinderung; Risikomanagement; Ablaufplanung; Planungsprozess; Ausland; Schulpolitik; Decision-making; Entscheidungsfindung; Schulpersonal; Attitude; Einstellung; Verhalten; Special needs education; Sonderpädagogik; Sonderschulwesen; Special school; Sonderschule; Age; Difference; Age difference; Altersunterschied; Child; Kind; Kinder; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Young adult; Junger Erwachsener; Richtlinien; Neuseeland
Abstract	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. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01