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).
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.
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 our online courses. You may log off and log on as often as you’d like to in order to complete all sections of a course.
However, completion dates are based on Eastern Standard Time. Therefore, if you need your CEUs by a certain date, be sure to complete the course test before 11:59pm EST on that date. For example, if you need CEUs before January 1st, you will need to complete the course test before 11:59pm EST on December 31st.
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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 Eastern Time Zone, USA/Canada), and number of contact hours (CEUs / CEEs). 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 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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Our Online Courses consist of video, audio, and/or text content 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 device, via your NorthernSpeech.com online 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.
Northern Speech is an ASHA CE Provider and our online courses are registered with ASHA and offered for ASHA 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 CEUs earned online.
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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.
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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.
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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 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.
Our course formats include: text, audio, video, and PowerPoint with author narration. Each course will note the format on the course description page.
Most of our online courses provide a link to download the accompanying handout as a PDF file.
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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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"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)
"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)