The Montreal Children’s Hospital Feeding Scale: A brief bilingual screening tool for identifying feeding problems

摘要: Feeding problems occur in 25% to 50% of healthy infants and toddlers, representing a significant issue the paediatric population (1–3). Although some feeding are relatively common transient nature, 3% 10% children present with more severe forms that, if left untreated, place them at risk for malnutrition, failure thrive, behavioural developmental disturbances (4,5). tend be nonmedical they may well result medical disorders or interventions that interfere normal development skills. Today, most clinicians agree biopsychosocial nature (6) because both physiological psychosocial factors contribute their initiation maintenance. The causes difficulties skill based (oral sensory-motor [7–9]) and/or motivation (inherent acquired), which is likely poor weight gain (10–12) influence willingness try new food tastes textures. These trigger altered mealtime behaviours interactions parents, subsequently maintain increase severity (8,13). A number standardized psychometric tools have been developed over past 25 years assess problems. earlier were observational scales mother-child during (14,15), whereas recent such as Children’s Eating Behaviour Inventory (CEBI [16]), Behavioral Pediatrics Assessment Scale (BPFAS [17]), Questionnaire (18) use parental report child behaviours. CEBI BPFAS was on assumption characteristics childhood eating consists 40 items pertaining parent behaviours, between family members. For each item, respondent indicates how often behaviour occurs five-point Likert scale, whether item perceived problem. applicable two 12 age, has good validity reliability (16). 35-item measure child’s related reactions. scale includes reworded from CEBI. nine months eight adequate reliability. More importantly, results study (19) showed engage same type nonclinical sample, but an increased frequency. Although these reliable valid assessment problems, do not lend themselves quick identification Paediatricians other need access instrument can quickly verify complaints about problems; otherwise, go unnoticed (20,21). Therefore, purpose our develop evaluate one-page, easily administrable could help identify within couple minutes offices. In addition, given bilingual several hospitals Canada, deemed desirable.