This course instructs professionals in the treatment of children with complex feeding aversion. Multidisciplinary, evidence-based information will be presented with emphasis on Food Chaining© as a treatment technique for aversive feeding disorders. Participants will learn analysis of core diet, flavor mapping and flavor masking, and use of transitional flavors. Interventions discussed also apply to the adult population. Offered for 0.3 ASHA CEUs – 3 Contact Hours.
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 by clicking on the Presenter & Disclosures tab.
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 CEUs is noted above. Note that 0.1 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.
ASHA CEUs: Attendees must meet at least one of the following conditions in order to be eligible to earn ASHA CEUs:
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.
Licensing Boards: Most state licensing boards DO accept CEUs earned online (usually classified as home-study credits). Some state boards do, however, place a limit to the number of credits 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 credit limits related to home-study courses prior to registering for this course.
Additional accrediting agencies by which Northern Speech is an approved CE provider:
Course Completion Timeframe: You have unlimited time to complete this online course. You may log off and log on as you wish in order to complete all sections of this course.
Content Access: Access to course materials and content does not expire, even after completing the post test. You may continue to review course material by logging into your NSS account, clicking the E-Courses tab, and then viewing your desired course.
Certificate of Completion: On successful completion of the post test (80%), a certificate will be immediately available for download and/or printing. This certificate will include your name, date of completion (based on the Eastern Standard Time Zone), and number of contact hours (CEUs / CEEs).
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.
Purchase Orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
More FAQ: Please click here.
What is an Online Course? Our Online Courses include text, audio, or video formats and are offered for ASHA CEUs. Unlike a webinar, which requires participants to be logged on and at a computer at specific times, our Online Courses are available to you at any time, from any computer, via your Northern Speech account. You may work at your own pace and start and stop your course as you wish. Your course will conclude with a short post test. On successful completion of the post test (>80%) a printable certificate of completion is presented to you.
Receiving CEUs: Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for CEUs. Please note that successful completion of the online post test is required prior to the awarding of CEUs. Please contact your state licensing board for acceptance policies related to online CEUs.
Registering for an online course: You may browse all online courses by clicking the Continuing Education tab above, then Online Courses. Once you find a course, click Enroll Now, and you will be asked to either log into your existing Northern Speech account or create a new online account. Once you’ve entered your account information and provided your credit card payment, your course will be immediately available to you.
Accessing your purchased course or returning to a purchased course: You will be able to access your online course by logging into your Northern Speech account and then clicking the Online Courses tab on your profile screen. Click View next to the course you’d like to start or to resume. From there, proceed through the course sections until you are ready to complete the post test. You do not have to complete your course all at once. You may log on and off as you wish.
Course completion timeframes: Nearly all our courses provide for unlimited time to complete your course. You may work at your own pace and start and stop your course as you wish. Any access limitations will be clearly noted on the individual course description page.
Course content expiration: Nearly all our courses provide for continued access to course content and materials, even after completion of the post test. Any access limitations will be clearly noted on the individual course description page.
Testing requirements: Each online course concludes with a post test consisting of multiple choice or true & false questions. Scores of 80% or greater are required for successful course completion and awarding of CEUs. You may revisit course materials and retest as needed to achieve a passing score.
Certificate of completion: A certificate displaying participant name, date of course completion (based on the Eastern Standard Time Zone), and the number of contact hours earned is presented to participants once a score of 80% or greater is earned on the post test. Please note that CEUs are awarded on the date of successful test completion, not the date of course enrollment. Please ensure that you successfully complete the post test prior to any licensure renewal dates.
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.
Course formats: Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Course handouts: Most of our non-text online courses provide a link to download the accompanying handout.
Purchase orders: Purchase orders are NOT accepted when registering for online courses. Payment must be made online in the form of a credit or debit card payment.
Group discounts: Groups of 3 or more are eligible for a 20% discount on each registration on most of our online courses. To receive this discount, registrations need to be processed together via the "Group Rates" tab on the Online Course of your choice.
Computer requirements: For our online courses to function best, we recommend that you update your computer to include the newest version of your Internet browser (Safari, Chrome, Internet Explorer, etc) and newest version of Flash Player. Also a high-speed Internet connection is recommended (cable or DSL). Speakers or headphones will be required for many of our courses as many contain audio components.
Course Cancellation Policy: A purchased online course can be exchanged, refunded, or transferred to another individual if contact is made with NSS (via phone or email) within 30 days of purchase and the course materials have not been viewed or downloaded.
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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)