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Childhood Feeding Difficulties: A Randomized Controlled Trial of a Group-Based Parenting Intervention

Adamson, Michelle PhD*; Morawska, Alina PhD; Sanders, Matthew R. PhD


In the article that appeared on page 293 of Volume 34, Issue 5 of Journal of Developmental & Behavioral Pediatrics , there is an error in the disclosure provided. The statement “Disclosure: The authors declare no conflicts of interest.” should not have been included.

Journal of Developmental & Behavioral Pediatrics. 36(2):126, February/March 2015.

Journal of Developmental & Behavioral Pediatrics: June 2013 - Volume 34 - Issue 5 - p 293–302
doi: 10.1097/DBP.0b013e3182961a38
Original Articles

Background: Difficulty with feeding is common during early childhood. Behavioral techniques have shown considerable utility for difficult feeding, although large-scale studies of behavioral parenting interventions with typically developing young children, and in group formats, are limited.

Objective: The current study aimed to evaluate the efficacy of a group-based, behavioral family intervention for typically developing healthy children with problem eating via a fully randomized 2-group design.

Methods: Ninety-six families of children aged 1.5 to 6 years with feeding difficulties participated in a trial of Hassle Free Mealtimes Triple P (A. Morawska and M.R. Sanders, unpublished data, 2008) in regional and metropolitan Queensland (Australia).

Results: Results support the utility of a group-based behavioral parenting program for childhood feeding issues, with significant improvements to the mealtime and general behavior of target children, the mealtime and general practices of parents, parental confidence and cognitions, compared with a waitlist control. Six-month follow-up data and clinical and reliable change indices support the intervention's utility. Parents were also highly satisfied with the program.

Conclusion: The current study provides evidence of the efficacy of a group-based behavioral family intervention for mealtime difficulties, including observational and more extended outcome measures. Future directions and clinical implications of this research are discussed.

*Department of Psychology, University of Southern Queensland, Hervey Bay, Australia;

Parenting and Family Support Center, School of Psychology, University of Queensland, Brisbane, Australia.

Address for reprints: Michelle Adamson, PhD, Department of Psychology, University of Southern Queensland, PO Box 910, Hervey Bay Q 4655, Australia, e-mail:

A. Morawska and M.R. Sanders receive royalties for dissemination of Triple P interventions; Hassle Free Mealtimes Triple P is not currently disseminated but is likely to be in the future. M.R. Sanders receives payment for consultancy and development of educational presentations related to the above. M. Adamson declares no conflict of interest.

Disclosure: The authors declare no conflicts of interest.

Received November , 2012

Accepted April , 2013

© 2013 by Lippincott Williams & Wilkins