S2, Ep. 6: Why Getting Kids to Eat Backfires

In this episode, Jennifer and Heidi are diving into how certain feeding strategies, specifically when transitioning off feeding tubes, can backfire. There is a common phrase that we hear a lot as therapists: “I can’t GET them to do it or I can only GET them to have 2 bites”. As loving caregivers, parents often think that it is their job to get their child to eat a certain food or specific volume. While working to transitioning to oral eating, the focus should be less on what you can get your child to do and more on letting them have the space to do so (McGlothlin, Jenny: Definition of “Let to Get”). The parents should focus on providing the foods and setting up a positive mealtime routine, while the child’s role is to determine if they’re going to eat it and how much (Ellyn Satter – Division of Responsibility).

Jennifer and Heidi discuss what specific feeding behaviors we often see in the traditional feeding therapy. These behaviors are often viewed as symptoms and then the focus tends to be on more behavioral strategies. Although there is some short-term research on those behavioral methods (praising, distracting, negotiating), we know that it has negative long-term effects on a child’s relationship with food. They will also review what we can do as therapists, and parents, to help create a solid foundation and address the relationship with food starting with the foundations. We will also review the evidence to support the responsive feeding strategies, specifically with tube-fed children.

If you would like any of the research or studies mentioned in this article, please do not hesitate to email us at thrive@spectrumpediatrics.com and we can send it to you.

** Please remember this podcast is NOT meant to replace the support and guidance of your child's medical team. Consult with your doctor before starting the weaning process.**

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