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 the 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 a 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).
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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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NSS is an ASHA CE Provider and most state licensing boards DO accept ASHA 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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"The use of rating scales and importance of prechaining process was beneficial for my daily practice." G.L. (Sept. 2021)
"The case studies. It helped to synthesize all the information given and show how the information could be used in the "real world" with "real children". I liked the handouts because I can use them for quick reference." C.D. (Aug. 2021)
"The examples of food chains that were shared will be beneficial to my practice. I liked how in depth the case studies were." L.S. (Aug. 2021)
"The explanation of the food chaining program will be beneficial for my daily practice." A.W. (July 2021)
"Learning how to modify foods to expand preferences was great!" M.I. (June 2021)
"Learning how to implement Food Chaining and the importance of rating will be beneficial for my daily practice." K.B. (June 2021)
“I enjoyed the in-depth discussion on treatment procedures including the use of rating scales, food chaining examples, and how to approach expanding from a currently accepted food.” – H.G. (Mar. 2021)
“I found the food chaining examples were helpful and increased my understanding.” – K.E. (Feb. 2021)
“I liked how they presented a few case studies so I could see how to implement the food chaining program.” – T.P. (Jan. 2021)
“I liked that it discussed Food Chaining from infancy through childhood. Many other courses focus on infants and toddlers, and this course incorporated school-age.” – R.R. (Oct. 2020)
“I enjoyed food chaining, the case studies, and examples. I think the instructor was very thorough and detailed with her presentations. I like how I was able to learn at my own pace.” – L.H. (Aug. 2020)
“I enjoyed the breakdown of treatment planning of food chaining and an explanation of the rating scale. I also liked that it was broken down in a way that you can use it in your practice immediately.” – J.C. (Jul. 2020)
“How to initiate a food chaining program, and using the rating scale to determine which new foods to incorporate or modify was very insightful. I liked how the food chaining method follows a sensory approach to feeding, respecting the child's sensory profile without forcing new foods on them.” – Y.D. (Jun. 2020)
"I loved hearing the thought process for analyzing a new client and then the various ways of altering foods to make them chain off a preferred food. My favorite aspect of this course was learning tidbits like grilled peanut butter and jelly can be easier to tolerate than regular peanut butter and jelly... little nuggets of knowledge that expand my repertoire of chaining knowledge. It was a fabulous course." – F.A. (May 2020)
"The specific food groups discussed for food chaining, as well as, how to mask new foods introduced were beneficial. I found the two case studies and monthly updates beneficial to my daily practice with my pediatric feeding patients. Learning about the 6 steps, as well as, specific ways to assist children with oral-motor and sensory needs. I felt that this course covered all of the areas about food chaining (which I wanted to review). However, would have liked to see more videos of food chaining strategies." – J.B. (Apr. 2020)
"It was fantastic to have a course on specifics to address the oral stage for swallowing disorders and a plan to help the child expand their palate. I liked the quality of content. Excellent course!!" – L.G. (Mar. 2020)
"I liked that it went through anatomy and then went into food chaining for a very complete look. The food chaining rating scale was most helpful." – M.H. (Feb. 2020)
"I learned more detail to the medical influences that effect the swallow and the overall ability to eat comfortably. I appreciated learning strategies to help picky eaters both in how to prevent the elimination of foods from a diet and this is the first that I have used the concept of chaining." – L.A. (Jan. 2020)
"Very informative and loved the examples. I can now provide the information to the families I work with." – M.G. (Jan. 2020)
"I liked going over how to implement food chaining techniques in order to increase a child's food repertoire. I liked that the course was not based on the theories of food chaining but the actual implementation and effectiveness." – A.J. (Dec. 2019)
"The complete course was very informative and well presented. I believe the entire course was very informative and well presented. I believe the entire course will benefit practice at the facility in which I work." – M.R. (Nov. 2019)
"I found the information about using interprofessional practice as well as the 5 steps necessary to evaluate prior to starting food chaining very informative. I also found the rating scales effective and helpful for consistency in rating between parent and therapist. I Liked the case study examples to be able to demonstrate two examples from start to finish of how food chaining was implemented." – T.A. (Oct. 2019)
"The 'how to' of the food chaining was super helpful. Everything was great. The re-cap at the end of each section was helpful." – M.L. (Sept. 2019)
"All of this was very helpful - particularly the examples and addressing the medical issues first! Good handout." – L.F. (Sept. 2019)
"Very informative and explanatory. Several therapy tools and strategies were provided to practice in treatment sessions. Case studies were very helpful to bring all the learned information together into functional treatment." – K.M. (Aug. 2019)
"Excellent case studies that pulled directly from material and methodology covered in the course. I enjoyed the consideration of all pre food chaining steps that must be resolved prior to beginning FC." – G.S. (Aug. 2019)
"I found this course to be one of the better ones I have taken. I feel like I could start using the content immediately in my practice." – R.S. (July 2019)
"I liked the progression of progress while making small changes to accepted foods. I appreciated the discussion on the delicate way to make progress while interacting with a traditional family." – D.M. (July 2019)
"I liked the rating scale and knowing how to proceed based on how they are currently tolerating a food as well as the case studies and detailed examples." – F.G. (June 2019)
"The detail of both the evaluation and the treatment was helpful. Great course!" – E.H. (May 2019)
"I really appreciated the food rating scale and the description of the tools available to work with during feeding therapy." – A.P. (May 2019)
"I found each topic - especially food chaining - to be beneficial. The course was informative and gave many examples of how to facilitate treatment for picky eaters." – J.G. (Apr. 2019)
"Very practice-based and applicable clinically." – S.A. (Mar. 2019)
"I liked that the course presents an innovative way to target fussy eating. I especially enjoyed the discussions on reasons for Dysphagia, Food Chaining, Strategies to assist feeding, and the Type of Products that may be used." – M.F. (Mar. 2019)
"I loved how clear and concise they explained the process of food chaining. I really loved the handouts as well." – R.P. (Mar. 2019)
"This topic was broken down to be understandable and meaningful. The discussion on using the rating scales will help with carryover at home and identify foods more easily that children respond well to or don't." – A.C. (Feb. 2019)
"It was a topic that I found interesting, and I liked the real-life examples that brought the material to life." – L.C. (Jan. 2019)
"The process of food chaining will be helpful for my picky eaters in expanding their repertoire. Overall very informative course." – L.M. (Dec. 2018)
"The case studies were awesome. I love specifics so I can feel comfortable when branching out to my own clients. I also loved the ease of access." – J.O. (Dec. 2018)
"I really enjoyed the course and will refer back to my notes frequently. It gave plenty of examples, and I loved having the questionnaire/answers at the end of each section as a mini quiz for myself. I specifically benefitted from the discussion on how to food chain and the given examples." – A.A. (Nov. 2018)
"I really enjoyed the case studies section because it helped me see how the rules/guidelines of food chaining could be applied to real life children." – A.B. (Oct. 2018)
"Presenter was marvelous and topics were practical. The food chaining idea and case studies were wonderful!" – S.W.H. (Sept. 2018)
"I appreciated the explanations of food chaining in great detail. Case studies were also very helpful. Very organized and structured course. Speakers gave great examples and real-life explanations to help explain a topic." – M.C. (July 2018)
"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)