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Autor/inn/en | Miles, Anna; Wong, Celine; Jackson, Bianca |
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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 |
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 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). |
Anmerkungen | Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals |
Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
Update | 2024/1/01 |