Clinical Validation of Feeding Handicap Index for Children (FHI-C)

Children with developmental disabilities (DD) exhibit feeding and swallowing difficulties, which can have an impact on nutritional, developmental, and psychological aspects. The existing tools assess the nature of feeding problems and behaviors only. The present study aimed to assess the physical, f...

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Bibliographic Details
Published in:Journal of autism and developmental disorders 2023-11, Vol.53 (11), p.4412-4423
Main Authors: Shabnam, Srushti, Swapna, N.
Format: Article
Language:English
Subjects:
Autism
Autism Spectrum Disorders
Autistic children
Behavior
Behavioral Science and Psychology
Caregivers
Cerebral Palsy
Child and School Psychology
Children
Children & youth
Children with disabilities
Childrens health
Control Groups
Developmental Disabilities
Dysphagia
Eating Habits
Families & family life
Feeding behavior
Food
Health Behavior
Intellectual disabilities
Intellectual Disability
Neurosciences
Original Paper
Parents & parenting
Pediatrics
Pilot projects
Prioritizing
Psychological aspects
Psychology
Psychosocial factors
Public Health
Quality of life
Questionnaires
Reliability
Swallowing
Test Reliability
Test Validity
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Summary:Children with developmental disabilities (DD) exhibit feeding and swallowing difficulties, which can have an impact on nutritional, developmental, and psychological aspects. The existing tools assess the nature of feeding problems and behaviors only. The present study aimed to assess the physical, functional, and emotional domains in children with DD with feeding issues using Feeding handicap index for children (FHI-C). For clinical validation, FHI-C was administered on the parents/caregivers of 60 children with cerebral palsy, 61 with autism spectrum disorder, 59 with intellectual disability and 60 typically developing children in the age range of 2 to 10 years. The results revealed that the mean scores (Total FHI-C and FHI-C domain scores) were significantly higher for all three clinical groups than for the control group, which revealed good clinical validity. Also, FHI-C was found to have significantly high test–retest reliability. The study presents a valid and reliable tool for assessing the psychosocial handicapping effects of feeding problems in children with DD. FHI-C provides a holistic picture about the psychosocial impact of feeding problems in children with DD and will assist the clinicians in prioritizing the goals for feeding therapy. The scores obtained can be used as reference for pre and post therapy comparison purposes.
ISSN:0162-3257
1573-3432
DOI:10.1007/s10803-022-05699-5