title: Concept of Pediatric Feeding Problems From the Parent Perspective.
abstract: OBJECTIVE
  Feeding difficulties in early childhood are common, affecting approximately 25% of typically developing children and up to 80% of children with developmental disabilities. There is no interdisciplinary consensus on the definition of a feeding problem and there is no input from families in the conceptualization. Lack of common language is a barrier to effective communication between clinicians, researchers, and caregivers, and inhibits collaboration. The purpose of this study was to examine the conceptualization of pediatric feeding problems by family caregivers (parents).
  
  
  METHODS
  This study reports an empirical phase of a concept analysis. Data from interviews with 12 parents of children with feeding problems were coded for related concepts, attributes, antecedents, and consequences of feeding problems, and then analyzed for themes within conceptual categories.
  
  
  RESULTS
  Conceptual elements across interviews are presented with an emphasis on shared perspectives. Parents related pediatric feeding problems to be a process or journey on which they found themselves for an unknown duration. Common themes of attributes were problematic feeding behaviors of the child, restrictive or selective intake, and child weight or growth concerns.
  
  
  CONCLUSIONS
  Parents conceptualize feeding problems as a condition with symptoms experienced by the child and family that need to be incorporated into family life. In contrast, prior literature coming from providers' point of view presents this problem to be of the child. Nurses can improve care of families with children who have feeding problems by coordinating interdisciplinary, family-centered care.
authors.affiliation: Hayley Henrikson Estrem is a Postdoctoral Associate, Duke University School of Nursing, Durham, NC. The author can be reached via e-mail at hayley.estrem@duke.eduBritt Frisk Pados is a Research Associate and Project Coordinator, The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC.Suzanne Thoyre is a Frances Hill Fox Distinguished Term Professor, The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC.Kathleen Knafl is a Frances Hill Fox Distinguished Professor, The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC.Cara McComish is an Assistant Professor, Division of Speech and Hearing Sciences, Department of Allied Health Sciences, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC.Jinhee Park is an Assistant Professor, Boston College Connell School of Nursing, Chestnut Hill, MA.
authors.forename: Hayley Henrikson
authors.initials: HH
authors.lastname: Estrem
authors.forename: Britt Frisk
authors.initials: BF
authors.lastname: Pados
authors.forename: Suzanne
authors.initials: S
authors.lastname: Thoyre
authors.forename: Kathleen
authors.initials: K
authors.lastname: Knafl
authors.forename: Cara
authors.initials: C
authors.lastname: McComish
authors.forename: Jinhee
authors.initials: J
authors.lastname: Park
mesh_terms: D002675:Child, Preschool; D002755:Choice Behavior; D005247:Feeding Behavior / Q000502:physiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D010465:Perception; D036301:Qualitative Research