Course Run Time: 3:17:28
This presentation will focus on the technique of Pre-Chaining and Food Chaining© developed by Cheri Fraker. Other treatment approaches will receive limited coverage during this lecture. Presenter financial and non-financial disclosures may be found in the Presenter & Disclosures area.
Video PowerPoint Presentation with author narration & downloadable handout.
Domain of OT: Areas of Occupation: ADL; Activity Demands: Objects used and theri properties, required actions, required body functions and structures; Performance Skills: Sensory perceptural skills, motor and praxis skills
OT Process: Evaluation: analysis of occupational performance; Intervention: Develop intervention plan and approaches, implementation of intervention; Outcomes: Occupational performance
Cheri Fraker, CCC-SLP, CLC, is an ASHA certified pediatric speech pathologist who earned her Bachelor's and Master's degrees in Speech Pathology from Eastern Illinois University, Charleston, Illinois, 1986. Cheri's work in feeding is recognized internationally. She has published articles on Food Chaining in international medical periodicals, The Nest and Nutrition and the MD.
Cheri has worked in pediatrics for 28 years. She developed the techniques of Pre-Chaining and Food Chaining. Cheri has lectured on pediatric feeding disorders at ASHA, the UCLA/UMH Nutrition Leadership Conference, The American Academy of Cerebral Palsy and Developmental Medicine, The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition and the 2004 World Congress of Pediatric Gastroenterology, Hepatology and Nutrition in Paris, France.
She is the co-author of the books "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood” and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet." Cheri specializes in evaluation and treatment of pediatric feeding disorders and is lead therapist for the pediatric feeding team clinic at The Center for Selective Eating and Pediatric Feeding Disorders and the SIU-Koke Mill Pediatric Swallowing Clinic in Springfield, Illinois.
Financial — Cheri Fraker is a presenter of online CE courses offered by Northern Speech Services; receives royalty payments.
Financial — Cheri Fraker is the co-author of "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood" and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet"; receives royalty payments.
Nonfinancial — Cheri Fraker has no relevant nonfinancial disclosures.
Laura Walbert, CCC-SLP, CLC is an ASHA certified pediatric speech pathologist who earned her Bachelor’s and Master’s degrees in Communication Disorders and Sciences from Eastern Illinois University, Charleston, Illinois, 1996. Laura’s work in feeding is recognized internationally in medical journal periodicals and conference presentations on pediatric feeding disorders. Laura has also presented on evaluation and treatment of athlete’s with vocal cord dysfunction. She is the co-author of the books “Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood” and “Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet."
Financial — Laura Walbert is presenter of online CE courses offered by Northern Speech Services; receives royalty payments.
Financial — Laura Walbert is the co-author of "Evaluation and Treatment of Pediatric Feeding Disorders: From NICU to Childhood" and "Food Chaining: The Six Step Solution to Stop Picky Eating, Solve Feeding Problems and Expand Your Child's Diet"; receives royalty payments.
Nonfinancial — Laura Walbert has no relevant nonfinancial relationship to disclose.
This program is offered for 0.3 ASHA CEUs (Intermediate Level; Professional Area).
ASHA CEUs: NSS online courses are registered with ASHA and are offered for ASHA CEUs. The number of ASHA CEUs is noted above. Note that 0.1 ASHA CEU = 1 contact hour = equals 1 CEE.
ASHA CE Registry: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
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If an attendee is not an ASHA member or CCC holder but meets any of the above criteria, they may inform the ASHA CE Registry of their eligibility by visiting this site.
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ASHA CE Registry Submission: During the enrollment process, if you select to receive ASHA credit for this course and if you provide your ASHA number, NSS will automatically submit your CEU information to the ASHA CE Registry after successful course completion (80% on post test). This submission happens once per month, during the first week of the month. For example, if you complete your course on November 7th, NSS will submit all November online course CEUs to ASHA during the first week of December. When ASHA inputs the information into their database, they will mark the course as completed on the last day of the month in which it was completed, so November 30th using this example. The certificate of completion available for you to print immediately, however, will reflect the actual completion date, November 7th in this example. Due to ASHA processing procedures please allow 2-3 weeks, from the submission date, for the course to appear on your ASHA transcript.
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ASHA CE Registry: Northern Speech will provide CEU information to the ASHA CE Registry for you. At the time of course enrollment if you select that you are taking the course for ASHA Credit and if you provide your ASHA Member Number, Northern Speech will automatically submit your hours to the CE Registry after you successfully complete the post test. Please allow 45-60 days from the date of course completion for your hours to appear on your CE transcript. Note that ASHA will record your CEUs as earned on the last day of the month in which you completed your course. For example, if you completed your course on Nov 7, the CE Registry will reflect course completion as Nov 30.
Number of CEUs offered: We offer courses from 1 to 21 contact hours. Each course will note the number of CEUs offered. Please note that 0.1 CEU = 1 contact hour = 1 CEE.
State licensing boards and online CEUs: NSS is an ASHA CE Provider and most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some boards do, however, place a limit to the number of CEUs that can be earned via home study/online courses. For the most current information, we suggest that you contact your licensing board or agency to verify acceptance policies and/or any CEU limits related to home-study courses prior to enrolling in an online course.
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"I really enjoyed the examples of food chaining, as well as, obstacles to consider that may be interfering with food progression. The many examples provided across several topics discussed were very helpful. I thought this course was excellent." – J.W. (Apr. 2018)
"Everything was beneficial! Very informative and practical information. I liked the speakers' knowledge base and slide presentation." – A.O. (Apr. 2018)
"I appreciated the discussion on all the things that are involved in a child accepting a food. I liked having the case studies so we can see the program working but would have liked more." – M.R. (Apr. 2018)
"Going over how to appropriately carry out food chaining and the emphasis on impaired nasal breathing as a feeding issue was most beneficial. I liked the case study examples." – S.V. (Feb. 2018)
"The techniques for chaining and recommended products to assist with motor and sensory issues were excellent." – E.D. (Jan. 2018)
"The examples of how to food chain were the most helpful to me. I liked the descriptions of how to determine what the child likes to eat, and how to expand on it." – A.M. (Dec. 2017)
"The rating scale that highlighted how to complete food chaining was most beneficial. I liked the fact that step by step case studies were reviewed. So often in courses you receive information but never learn how it is applied." – D.H. (Dec. 2017)
"The section with case studies was very informative. It gave great examples on how to find a starting point and where you can expand from there. I liked that the course was online, very informative, helpful, and affordable." – A.C. (Nov. 2017)
"Having lots of practical and specific examples was excellent. I would have liked more about the assessment process, though." – S.C. (Oct. 2017)
"The sensory integration component portion of feeding is something that I struggle with. This course has given me some insight and strategies to use to help with the children I might be seeing who exhibit these problems." – F.N. (Oct. 2017)
"I like that it went into depth about everything and covered all of the topics: evaluation, observation, and intervention. It was a very good online course, no complaints." – L.W. (Sept. 2017)
"Going over how to expand food and oral motor skills in a non-threatening and successful manner was the most helpful part for me. I thought the whole course was very practical." – L.E. (Aug. 2017)
"All of it was beneficial! As a new clinician to feeding/swallowing treatment, this course has definitely helped me to structure sessions." – N.M. (Aug. 2017)
"I enjoyed the case studies. It makes putting the information into practical use easier to understand." – S.S. (June 2017)
"Learning the assessment process was very beneficial. The course was very factual and gave examples/ideas of foods/snacks to modify." – J.G. (June 2017)
"I appreciated the rate scale for documentation, techniques to avoid gagging and vomiting, and examples of ways to expand current preferences." – J.K. (May 2017)
"Overall, the whole course was beneficial for me since I am about to graduate and I haven't had much content about pediatric feeding in grad school. I really enjoyed the explanation about the different tools used in feeding therapy (bottles, nipples, spoons, textured items, etc), the discussion about Food Chaining, and how to move from one item to another was particularly helpful." – M.S.B. (Apr. 2017)
"I liked the different approaches/considerations, the five steps before changing foods, and the specific examples provided throughout the course." – D.T. (Mar. 2017)
"All of it was beneficial. The course was well presented with a lot of good information." – L.P. (Feb. 2017)
"I enjoyed the Chaining method as well as the organization of information and the case studies." – L.W.R. (Feb. 2017)
"The case study portion was helpful after the foundational knowledge of Food Chaining to 'hear it in action.' " – A.C. (Feb. 2017)
"The specific food chains provided were most beneficial and practical. Being a beginner to feeding therapy, I have not thought of how foods are related before and often feel stumped in creating chains. Could use more examples." – R.S. (Feb. 2017)
"I especially enjoyed the food chaining rules and the systematic process outlined." – S.P. (Feb. 2017)
"The discussions on the evaluation process and the food chaining process were very helpful. I enjoyed the case studies. However, I expected more examples of the oral motor intervention." – J.M. (Feb. 2017)
"The suggestions for chaining foods will help with my clients and my daughter." – M.I. (Jan. 2017)
"I appreciated the food chaining specifics." – L.M. (Jan. 2017)
"I found the rating scale to be most helpful. Lots of excellent info!" – G.P. (Jan. 2017)
"Cheri Fraker and Laura Walbert are outstanding SLPs with expertise in feeding and swallowing issues. I have worked with pediatric feeding/swallowing issues for 17 of my 19 years as an SLP. I seek out any opportunity to hear Cheri and Laura speak. They are the experts in this area and I love to learn from them and hear them speak! I am so thankful that there is an online course with them now. Thanks!" – K.E. (Dec. 2016)
"This course is one of the most excellent courses I have taken regarding problem eaters. The presenter was very engaging and communicated clearly. The powerpoint was clear and can be referred to later without too much explanation necessary. The flexibility is wonderful and a very important point was emphasized numerous times: Each child is very different and needs a tailor made program. I have been doing this for years and still appreciated hearing each part of this course." – S.S. (Dec. 2016)