Systematic Review: Mealtime Behavior Measures Used in Pediatric Chronic Illness Populations

Katrina M. Poppert, Susana R. Patton, Kelsey B. Borner, Ann M. Davis, Meredith L. Dreyer Gillette

Research output: Contribution to journalReview articlepeer-review

15 Scopus citations


Objective: This systematic review evaluates the utility and psychometric properties of pediatric mealtime assessments (direct observation and parent-report measures) using evidence-based criteria developed by the Division 54 Evidence-Based Assessment Task Force. Method: Measures of mealtime behavior used in at least one chronic illness pediatric population were eligible for inclusion. A total of 23 assessment measures were reviewed (16 parent-/self-report; 7 direct observation). Results: 3 parent-report and 4 direct observation measures were classified as well-established, 3 met criteria for approaching well-established, and 13 were categorized as promising. Measures have been primarily used in children with feeding disorders, cystic fibrosis, and autism spectrum disorders. Conclusions: Overall, the literature of pediatric mealtime assessment tools shows a strong evidence base for many direct observation methods and subjective parent-report measures. Exploratory and confirmatory factor analyses are available for some measures; recommendations for future validation research and measure development across pediatric populations are discussed.

Original languageEnglish (US)
Pages (from-to)475-486
Number of pages12
JournalJournal of pediatric psychology
Issue number5
StatePublished - 2014
Externally publishedYes


  • children
  • chronic illness
  • eating and feeding disorders
  • systematic review

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology


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