Sunday, June 25, 2023

Evidence-Based Practice: Pediatric Feeding via Teletherapy Intervention

Photo by: Providence Doucet- Unsplash

PURPOSE: The authors of this study wanted to learn if sensory play delivered through a telehealth intervention would help children diagnosed with autism spectrum disorder better tolerate wet food items. Two children completed a 6-week treatment using a modified (23 step) Sequential Oral Sensory (SOS) approach that was developed by Dr. Kay Toomey.

DESIGN: Mixed-methods research design.

METHOD: There were 3 fifteen-minute treatment sessions that including play with a wet food that the child did not tolerate (mixed fruit), then the use of the SOS approach to trial the

mixed fruit cup, followed by a play-based reward portion. The child’s caregiver tracked the child’s food acceptance.

RESULTS: Both children accepted the fruit cup more at the end of the study than at the beginning.

CONCLUSION: This study’s finding provide preliminary evidence that by using caregiver education and teletherapy, children’s acceptance of non-preferred wet food may increase through tactile play and tracking of progress using the SOS hierarchy.


Hawkins, J., Bileck, A.,  Brown, A., Eckert, H. Smith, D. (2022). Pediatric feeding via teletherapy intervention. American Journal of Occupational Therapy, 76(Supplement 1), doi: 10.5014/ajot.2022.76S1-PO45


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