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


Tuesday, June 20, 2023

Children learn through play!


 Image courtesy of nenetus at

Children learn about the world around them through exploration and play. The role of play in child development is important for the development gross motor, fine motor and social skills. Play can be as simple as imitating the sounds that your infant makes, or it can be more involved, such as putting puzzles together, stacking blocks and imitating complex block patterns. Play activities such as these are great for motor and perceptual development, and they are also wonderful for social skill development.

Parents and caregivers need to have a basic understanding of developmental milestones in childhood. This knowledge will be helpful when encouraging your child come up with ideas for play.

Here is a brief early developmental milestone chart of skills that influence play. Please keep in mind that all children develop at their own individual rates, so the ages for acquiring these milestones may vary from child to child.

Begins to show interest in and curiosity about the environment – 4 to 6 months
Object permanence emerging/pointing to pictures and objects- 10 months to 1 year
Imitation and solitary play skills- 1 year to 15 months
Parallel play and symbolic play- 2 years
Interactive play and taking turns- 2 ½ to 3 years