The effects of parent training on weight gain of nonorganic-failure-to-thrive children of parents with intellectual disabilities

Author: Feldman, M.;Garrick, M.;Case, L.
Year: 1997
Reference Type: Journal Article
Journal/Book Title: Journal on Developmental Disabilities
Volume: 5
Issue: 1
Pages: 47-61
Abstract: Nonorganic failure-to-thrive (NOFT) can have detrimental effects on child development and is related to impoverished home environments and parenting difficulties. We evaluated the effects of parent training in conjunction with ongoing medical involvement on the weight gain of 2 children with NOFT (7 and 11.5 mo old). The mothers of these children were considered to have intellectual disabilities. Parent training consisted of weekly home visits in which nutrition and feeding skills were taught via discussions, self-record charts, pictorial prompts, modelling, feedback, and reinforcement. Nutrition training involved shopping, planning, and preparing three balanced meals each day using the four food groups. Training in proper feeding techniques revolved around introducing new foods to the child and positive coaxing strategies to encourage the child to eat. We found that parent training, combined with ongoing medical advice and supervision, increased the children's weights to the point where they were no longer considered failure-to-thrive. The results suggest that parent education can serve as an important supplement to outpatient medical care for children at risk for neglect. (PsycINFO Database Record (c) 2004 APA, all rights reserved)

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