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453 views

Scale

Uploaded by

Grizelda Evangeline
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Behavioral pediatrics feeding assessment scale (BPFAS).

Assessment name:
Behavioral pediatrics feeding assessment scale (BPFAS).

Purpose:
The BPFAS is a widely used parent-report measure of mealtime and feeding
behavior.

Versions /edition:
1 version of this assessment. One English version and a not-yet-published Greek
version.

Authors:
W. Crist, A. Napier-Phillips

Clients designed for /population suitable for:


Who has feeding problems during infancy and early childhood.

Not suitable for:


certain items on the BPFAS may not be appropriate for use with rural children with
pediatric overweight or obesity.

Evaluation method:
Parent report of parent and child mealtime behaviors was obtained using
the BPFAS (Crist and Napier-Phillips, 2001). The measure includes 35 items that
ask parents to report the frequency of mealtime behaviors using a Likert scale (1 =
never to 5 = always) and use a dichotomous scale (0 = no and 1 = yes) to report
whether they feel the mealtime behavior is problematic. Therefore, higher scores on
the subscales signify more frequent mealtime behaviors. Given the measure includes
items for both positive (e.g., eats vegetables) and negative (e.g., tantrums at
mealtimes) behaviors, positive behavior items are reverse scored (i.e., items 1, 3, 5,
6, 8, 9, 16, 18) so that higher scores reflected greater presence of mealtime problems
and greater absence of positive mealtime behaviors. Each item concerns a specific
mealtime behavior (e.g., my child has problems chewing food, my child will try new
foods). The scale produces scores for the Frequency of Child Behaviors, Number of
Problematic Child Behaviors, Frequency of Parent Behaviors, and Number of
Problematic Parent Behaviors. Previous research indicates adequate reliability
for the measure (Cronbach’s α = 0.76; Crist and Napier-Philips, 2001). Good
reliability was found for the measure in the current sample (Cronbach’s α = 0.80).
Frequency scores were used in the current analysis

Type:
Questionnaire

Key areas assessed:


Feeding

The Behavioral Pediatric Feeding Assessment Scale (BPFAS) is a standardized tool for
evaluating feeding behaviors in children.
Here's a guide to scoring and interpretation:

Scoring:

1. Parent/Child Interaction Scale (PCIS): 0-48


2. Child Behavior Scale (CBS): 0-48
3. Parent Behavior Scale (PBS): 0-48

Interpretation:

PCIS (Parent/Child Interaction Scale)

- 0-16: Healthy feeding dynamics


- 17-24: Some concerns, monitor and support
- 25-32: Significant concerns, intervention needed
- 33-48: Severe feeding difficulties, intensive intervention required

CBS (Child Behavior Scale)


- 0-16: Typical feeding behaviors
- 17-24: Mild feeding difficulties
- 25-32: Moderate feeding problems
- 33-48: Severe feeding disorders
PBS (Parent Behavior Scale)
- 0-16: Supportive feeding practices
- 17-24: Some concerns, educate and support
- 25-32: Inconsistent or unhelpful feeding practices
- 33-48: Counterproductive feeding strategies

Total Score (PCIS + CBS + PBS)

- 0-144: Healthy feeding dynamics


- 145-192: Some concerns, monitor and support
- 193-240: Significant feeding difficulties, intervention needed
- 241-288: Severe feeding disorders, intensive intervention required

Clinical Cutoff Scores:

- PCIS: ≥ 25
- CBS: ≥ 25
- PBS: ≥ 25

Exceeding these cutoff scores indicates significant feeding concerns.

Resources:

1. Behavioral Pediatric Feeding Assessment Scale (BPFAS) Manual


2. Journal of Pediatric Psychology - BPFAS research
3. American Academy of Pediatrics (AAP) - Feeding Guidelines
4. Pediatric Feeding Disorders: Evaluation and Treatment
5. Feeding Therapy: A Guide for Professionals
Would you like information on:

1. Administration and scoring guidelines?


2. Interpretation and reporting?
3. Intervention strategies?
4. Research and evidence-based practice?
5. Training and certification

Age range:
9 months to 7 years

Description:
35 items about child feeding and additional parent perception items.

Source and Cost:


https://www.ncbi.nlm.nih.gov/ pubmed / 11718230https: // www.childrenshospi-
talvanderbilt.org/files/ sites / default / files / drupalfiles / 2018-08 / Conduct- as-
sessment-scale.pdf https://www.ncbi.nlm.nih.gov/ pubmed / 11718230
Free available online

Validity:
The BPFAS is a valid and clinically useful tool to assess dietary
adherence and mealtime behaviors in children. Monitoring via the BPFAS can
identify families in need of Behavioral interventions to improve mealtime
functioning. BPFAS suggests that the first 25 items provide a reliable (e.g.,
Cronbach’s α > .80) and valid estimate of feeding problems across a range of non-
ASD pediatric populations (e.g., normative group, children with cystic fibrosis,
children with CHARGE syndrome, children with diabetes, and overweight/obesity.

Reliability:
There is a Australian study aimed to collect data on Australian
children with regard to feeding difficulties using a standardised questionnaire,
compare these data to international data collected using the same tool, assess the
short‐term reliability of this tool and determine the sensitivity and specificity of
this tool in detecting feeding difficulties. And the result was our Australian sample
performed comparably to normative data from Canada and the UK. Reliable results
were demonstrated over a 2‐week period, and the scale was shown to have high
specificity.
The BPFAS has been repeatedly shown to have adequate reliability and
validity as a measure of mealtime behavior problems in typically developing
children, children presenting to a clinic with feeding difficulties, and children with
autism spectrum disorder, cystic fibrosis, CHARGE syndrome, children with
diabetes, eosinophilic gastrointestinal disorder, and overweight/obesity.

Time required: more than 30

minutes User qualification:


Occupational Therapist, parent or caregiver report

Theoretical frame work:


Developmental family system and pediatric health framework.

References:

Use of parent report to screen for feeding difficulties in young children

https://journals.lww.com/jrnldbp/Abstract/2006/06000/
Parent_Report_of_Mealtime_Behaviors_in_Young.4.aspx

Limitations of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS):


1. Subjectivity in Scoring:
2. Cultural and Socioeconomic Bias:
3. Limited Focus on Medical Causes:
4. No Standardization Across Settings:
5. Parent-Child Interaction:
6. Not Diagnostic: Limited Age Range
7. Length and Complexity:
8. Emphasis on Behavioral Factors:

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