Mapping the gaps: A scoping review of research on pediatric feeding disorder.
Mapping the gaps: A scoping review of research on pediatric feeding disorder.
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DOI：
10.1016/j.clnesp.2021.12.028
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发表时间：
2022-04
影响因子：
3
通讯作者：
McGlothen-Bell K
中科院分区：
文献类型：
--
作者：
Estrem HH;Park J;Thoyre S;McComish C;McGlothen-Bell K
儿科喂养障碍（PFD）定义为与年龄不相适应的口服摄入受损，并与医疗、营养、喂养技能和/或心理社会功能障碍相关。随着PFD的流行和增加，关于该主题的出版物也越来越多;然而，研究文献通常在使用的术语和学科孤立方面是不同的。更好地了解目前关于PFD的研究将有助于确定需要进一步研究的领域。这一范围审查的目的是检查有关PFD的研究活动的程度，范围和性质，并确定经验文献中的差距。使用与儿科进食障碍相关的术语检索了三个电子数据库（PubMed/Medline、CINAHL、PsycINFO），包括但不限于“进食障碍/问题/困难”、“回避性限制性食物摄入障碍（ARFID）"、“吞咽困难”、“选择性/挑食”、“有问题的进餐行为”或“拒食”。对检索进行了以下限制：全文、人类、英语、年龄限制（最多18岁）和出版日期（最近10年）。Covidence软件用于促进系统的数据管理/分析。研究团队中的两个人独立审查了每个结果（首先筛选标题和摘要，然后转向全文），以确定符合我们的纳入/排除标准的研究，并通过团队讨论解决冲突。绘制了关于作者学科、研究目的、研究设置/地点、研究方法和研究参与者的数据图表。采用描述性统计和主题分析的方法总结研究的特点。在删除数据库之间的重复项后，初始检索得到5354篇文章。最后一组文章（n = 415）完成了数据制图。大多数研究由来自心理学（n = 171）和医学（n = 123）的作者完成。研究最多的目的是检查喂养问题的属性（n = 168）和/或与喂养问题相关的因素（n = 183）。样本量中位数为53。在415项研究中，共有166项研究检查了干预，治疗或计划的效果，但干预剂量很难或不可能在研究中报告。在415项研究中，有400项研究将喂养作为结果。对系统开发的家长报告工具进行更仔细的分析，发现在利用家长报告结局的研究子集中使用了50种不同的家长报告工具（n = 123）。范围审查的结果突出了PFD研究中使用的设计和方法。这揭示了知识生成方面的重大差距和干预措施推广的障碍。
Pediatric feeding disorder (PFD) is defined as impaired oral intake that is not age-appropriate, and is associated with medical, nutritional, feeding skill, and/or psychosocial dysfunction. As PFD is prevalent and increasing, so are publications on the topic; however, the research literature is often disparate in terminology used and siloed by discipline. Greater understanding of the current research concerning PFD will help identify areas in need of further study. The purpose of this scoping review is to examine the extent, range, and nature of research activities concerning PFD and to identify gaps in the empirical literature. Three electronic databases (PubMed/Medline, CINAHL, PsycINFO) were searched using terms related to pediatric feeding disorder, which include, but not limited to, “feeding disorder/problem/difficulty”, “avoidant restrictive food intake disorder (ARFID)”, “dysphagia”, “selective/picky eating”, “problematic mealtime behaviors” or “food refusal”. The following limits were placed on the search: full text, humans, English, and age limit (up to 18 years old), and publication date (last 10 years). Covidence software was used to facilitate a systematic data management/analysis. Two people in the research team independently reviewed each result (screening titles and abstracts first, then moving to the full texts) to identify studies that met our inclusion/exclusion criteria and conflicts were resolved through a team discussion. Data were charted regarding disciplines of the authors, study purposes, study settings/locations, study methodologies, and study participants. Descriptive statistics and thematic analyses were used to summarize the characteristics of the studies. The initial search resulted in 5354 articles after removing duplicates between the databases. With a final set of articles (n = 415), data charting was completed. The majority of studies were completed by authors from Psychology (n = 171) and Medicine (n = 123). The most studied aims were to examine attributes of feeding problems (n = 168) and/or factors associated with feeding problems (n = 183). Sample size median was 53. A total of 166 of the 415 studies examined the effect of an intervention, treatment, or program, but dose of the intervention was difficult or impossible to report across studies. Feeding was studied as an outcome in 400 out of the 415 studies. A closer accounting of the systematically developed parent-report tools revealed 50 distinct parent report tools used across the subset of studies utilizing parent report outcomes (n = 123). The results of this scoping review highlight the designs and methods used in research on PFD. This reveals critical gaps in knowledge generation and barriers to intervention replication.
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作者：
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通讯作者：
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DOI：
10.1097/mpg.0000000000002741
发表时间：
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通讯作者：
Fiechtner L
DOI：
10.1097/mpg.0000000000002188
发表时间：
2019-01
影响因子：
2.9
作者：
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