Date of Award

Spring 5-9-2026

Document Type

Oral Presentation/Poster

Degree Name

Doctor of Occupational Therapy (OTD)

Department

Health Science

Faculty Mentor

Karen Hebert, PhD, OTR/L

Keywords

Feeding therapy, pediatric feeding therapy, occupational therapy, developmental disabilities, caregiver education, sensory processing, oral-motor skills, mealtime participation

Subject Categories

Occupational Therapy

Abstract

Feeding is a foundational occupation essential for growth, development, and family participation. However, children with developmental disabilities often experience significant feeding challenges that impact nutrition and participation in mealtime routines. This capstone project examines the role of occupational therapy in pediatric feeding assessment and intervention within an outpatient setting. Using a descriptive mixed-methods approach, outcomes were evaluated for pediatric clients (N=18) and occupational therapists (N=15) through goal attainment tracking, the Canadian Occupational Performance Measure (COPM), clinician needs assessment data, and resource feedback. Results demonstrated improvements in food acceptance, texture tolerance, oral-motor skills, and engagement in mealtime participation. COPM scores reflected clinically significant gains in caregiver-perceived performance and satisfaction following intervention. Clinician data identified variable confidence levels and key barriers to practice, including caregiver follow-through, limited standardized tools, and training needs. In response, caregiver education materials, clinician reference tools, and a continuing education roadmap were developed to support consistency in care and improve feeding outcomes.

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