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Systematic Review: Non-Instrumental Swallowing and Feeding Assessments in Pediatrics

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Abstract

There is a high incidence of parental reporting of abnormal swallowing and feeding function and the negative impacts thereof on children. As such there is a need for well validated assessments in the area of pediatric swallowing and feeding. While instrumental assessments are well validated, there is limited information available to guide the selection and use of non-instrumental assessments for swallowing and feeding function. The aim of this study was to identify and report on non-instrumental assessments available to clinicians for pediatric swallowing and/or feeding function in order to support clinical decision making. A systematic literature search was performed by two independent reviewers using Medline and Embase databases, to find non-instrumental assessments for pediatric swallowing and feeding function. Published assessments were also included in the study by searching well-known publishers and relevant feeding and swallowing textbooks. Assessments were summarized and evaluated according to respondent type, target populations, assessment design, domains of assessment and scoring. Thirty assessments were included in the final review. All assessments had either caregiver or clinician respondents. There was high variability in target populations, assessment designs and areas of assessment. Twenty-four of the 30 assessments did not provide instruction for scoring or interpreting scores. There is high variability among the many assessments available to clinicians in the area of feeding and swallowing function in pediatrics. There appears to be limited information available on the validity and reliability of these assessments. Thus, most assessments need to be used with caution. Further research is needed to evaluate the psychometric properties of the assessments.

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Abbreviations

AEPS:

Assessment, Evaluation, and Programming System for Infants and Children—Second Edition

ASD:

Autism spectrum disorder

AYCE:

About Your Child’s Eating

BAMBI:

Brief Autism Mealtime Behavior Inventory

BAMF-OMD:

Brief Assessment of Motor Function (Oral Motor Deglutition scale)

BASOFF:

Behavioral assessment scale of oral functions in feeding

BED:

Bedside Evaluation of Dysphagia—Revised Edition

CCITSN:

Carolina Curriculum for Infants and Toddlers with Special Needs

CCTI:

Colorado Childhood Temperament Inventory

CEBI:

Children’s Eating Behavior Inventory

CEBQ:

Children’s Eating Behavior Questionnaire

CFQ:

Child Feeding Questionnaire

CMFBQ:

Child Mealtime Feeding Behavior Questionnaire

CTCAE:

Common Terminology Criteria for Adverse Events

DASH-3:

Developmental Assessment for Individuals with Severe Disabilities—Third Edition

DAYC-2:

Developmental Assessment of Young Children—Second Edition

DEP:

Dysphagia Evaluation Protocol

DDS:

Dysphagia Disorder Survey or Dysphagia Disorders Survey

DINE:

Dyadic Interaction Nomenclature for Eating

DSFS:

Drooling Severity and Frequency Scale

EFS:

Early Feeding Skills Assessment

FES:

Family Environment Scale

FDA-2:

Frenchay Dysarthria Assessment—Second Edition

FSQ:

Feeding and Swallowing Questionnaire

FSQ:

Feeding Strategies Questionnaire

GVA:

Gisel Video Assessment

IFSQ:

Infant Feeding Style Questionnaire

IFTI:

Infant-Toddler and Family Instrument

MFP:

Multidisciplinary Feeding Profile

NOMAS:

Neonatal Oral-Motor Assessment Scale

NR:

Not Reported

OAG:

Oral Assessment Guide for children and young people

OD:

Oropharyngeal Dysphagia

OMAS:

Oral Motor Assessment Scale

PASSFP:

Pediatric Assessment Scale for Severe Feeding Problems

PIBBS:

Preterm Infant Breastfeeding Behavior Scale (revised)

PMAS:

Parent Mealtime Action Scale

PRISMA:

Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)

PSAS:

Pre-Speech Assessment Scale

QoL:

Quality of Life

SAFE:

Swallowing Ability and Function Evaluation

SAIB:

Systematic Assessment of the Infant at Breast

SOMA:

Schedule for Oral Motor Assessment

STEP-Child:

Screening Tool of Feeding Problems, modified for children

SWAL-QoL:

Swallowing Quality of Life Questionnaire (adapted for use with pediatric patients)

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Authors and Affiliations

  1. College of Healthcare Sciences, James Cook University, Townsville, QLD, 4811, Australia

    Dani-Ella Heckathorn, Renée Speyer & Jessica Taylor

  2. Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Leiden, The Netherlands

    Renée Speyer

  3. School of Occupational Therapy and Social Work, Curtin University, Perth, WA, Australia

    Reinie Cordier

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  1. Dani-Ella Heckathorn
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Heckathorn, DE., Speyer, R., Taylor, J. et al. Systematic Review: Non-Instrumental Swallowing and Feeding Assessments in Pediatrics. Dysphagia 31, 1–23 (2016). https://doi.org/10.1007/s00455-015-9667-5

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