Feeding Behavior Intervention in Children with Cerebral Visual Impairment

NCT06827743 | Completed

• 1 other identifier: 2023/186
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study was planned to investigate the effects of nutritional education given in addition to sensory integration intervention on feeding behavior, sensory processing and developmental areas in children with Cerebral Visual Impairment (CVI) and Cerebral Palsy (CP). Children with CVI and CP were randomly divided into two groups. Sensory integration education was applied to both groups and additional feeding behavior education was applied to one group. The development in feeding behavior and sensory processing was analyzed before and after the intervention.

Conditions

Feeding Behavior; Sensory Integration Disorder; Cerebral Visual Impairment

Keywords

Feeding Behavior; Sensory Integration Disorder; Cerebral Visual Impairment; Cerebral palsy

Outcome Measures

Primary Outcomes (1)

• Behavioral Pediatric Feeding Assessment Scale

  The Behavioral Pediatric Feeding Assessment Scale, developed by Crist and colleagues, is a 5-point Likert-type scale. The statements in the scale consisting of 25 questions are scored between 1 and 5 (1=Never, 2=Rarely, 3=Sometimes, 4=Frequently, 5=Always). The scores to be obtained from the scale vary between 35-175, and an increase in the obtained score indicates a highly problematic eating disorder and eating habits. The scale consists of four sub-dimensions. There are 7 items in the food selectivity sub-dimension, 5 items in the early food refusal sub-dimension, 5 items in the early lumpy food refusal sub-dimension, and 7 items in the late food refusal sub-dimension. A total score above 84 on the scale or more than 9 problems indicates an eating behavior problem. The Turkish validity and reliability study of the scale was conducted by Önal and colleagues. Cronbach's α value was found to be 0.88.

  12 weeks

Secondary Outcomes (1)

• Dunn Sensory Profile

  12 weeks

Study Arms (2)

Cerebral visual impairment intervention group

EXPERIMENTAL

In addition to sensory integration training, nutritional behavior training will be given to this group.

Behavioral: feeding behavior education; Behavioral: Sensory integration intervention

Ceerbral visual impairment children (control group)

ACTIVE COMPARATOR

Only sensory integration training will be given to this group.

Behavioral: Sensory integration intervention

Interventions

feeding behavior education BEHAVIORAL

Two groups will receive personalized sensory integration training, and one group will receive feeding behavior training. Both the caregiver and the child will take part in feeding behavior training. In order for the training to be successful, the therapist, child, and parent cooperation is necessary. Before this training, the children will be evaluated with the Behavioral Pediatric Feeding Assessment Scale and a behavioral training plan will be created according to the children's attitudes and behaviors during feeding. This plan will include organizing feeding times, determining the family's approach to the child's behaviors during feeding, regulating the children's feeding behavior problems with extinguishing and desensitization methods, and organizing the feeding environment, and creating a personalized training plan.

Cerebral visual impairment intervention group

Sensory integration intervention BEHAVIORAL

The sensory integration training given to both groups includes training that includes oral processing skills in particular, as well as training that includes tactile, vestibular, proprioception, and visual stimuli as needed. Children will be supported with sensory stimuli in order to ensure that the child focuses and remains calm. Sensory integration training will be planned by taking into account the Dunn Sensory Profile test results. In this training, different patterned fabrics, plushes, and toys with different surfaces for tactile stimulation will be provided to maintain the child's calmness and focus; swings and exercise balls for vestibular stimulation; and training to provide sensory regulation with proprioceptive approaches. In addition, within the scope of sensory integration training, stimuli will be provided in the oral region according to the children's sensory responses to the texture, taste, and content of foods.

Ceerbral visual impairment children (control group); Cerebral visual impairment intervention group

Eligibility Criteria

• Age: 48 Months - 72 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with Cerebral Palsy Diagnosed with Cerebral Visual Impairment in Hospital Report
• Between the ages of 48-72,
• Having been diagnosed with cerebral palsy.
• Having a feeding problem according to the results of the behavioral pediatric feeding assessment scale
• Individuals who volunteer to participate in the study and read and signed the informed consent form by their parents will be included in the study.

You may not qualify if:

• Not accepting to participate in the study.
• Not having any serious sensory loss other than vision problems. (According to the hospital report)
• Having had any surgery in the last 6 months.
• Having had very frequent epileptic seizures

Sponsors & Collaborators

• Trakya University: lead

Study Sites (1)

Special Education Center

Ankara, Ankara, 22030, Turkey (Türkiye)

Location

Related Publications (5)

• Erol, N., N. Sezgin, and I. Savaşır, Validity studies on Ankara Development Screening Inventory. Turkish Journal of Psychology, 1993. 29(8): p. 16-22.

  BACKGROUND

• Onal, S., E.Ç. Var, and A. Uçar, Adaptation study of the Behavioral Pediatric Feeding Assessment Scale (BPFAS) to Turkish. Nevşehir Science and Technology Journal, 2017. 6(1): p. 93-101.

  BACKGROUND

• Kayihan H, Akel BS, Salar S, Huri M, Karahan S, Turker D, Korkem D. DEVELOPMENT OF A TURKISH VERSION OF THE SENSORY PROFILE: TRANSLATION, CROSS-CULTURAL ADAPTATION, AND PSYCHOMETRIC VALIDATION. Percept Mot Skills. 2015 Jun;120(3):971-86. doi: 10.2466/08.27.PMS.120v17x8. Epub 2015 Jun 9.

  PMID: 26057421 BACKGROUND

• Dunn, W., Sensory profile. PsycTESTS Dataset, 1999.

  BACKGROUND

• Lehman, S.S., Cortical Visual Impairment in the Child with Cerebral Palsy. Cerebral Palsy, 2020: p. 1049-1055.

  BACKGROUND

MeSH Terms

Conditions

Feeding Behavior; Blindness, Cortical; Cerebral Palsy

Condition Hierarchy (Ancestors)

Behavior, Animal; Behavior; Blindness; Vision Disorders; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Eye Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Masking Details: The clinician who conducted the assessment and the clinician who implemented the intervention were different individuals.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist. Prof.

Model Details: Randomized controlled intervention trial

Study Record Dates

• First Submitted: February 8, 2025
• First Posted: February 14, 2025
• Study Start: November 15, 2023
• Primary Completion: December 15, 2024
• Study Completion: December 25, 2024
• Last Updated: February 14, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)