针对回避性/限制性摄食障碍（ARFID）儿童的感觉性喂养与家长指导 (SOS OPC ARFID)

第一组儿童将在12周内每周接受一次60分钟的干预。 SOS方法作为一种结构化干预手段，用于支持与喂养相关的感知运动技能，旨在帮助儿童建立与食物的积极关系。 通过逐步增加与食物的互动，SOS方法旨在减少感官敏感性并改善喂养行为。 该干预旨在通过以下顺序提高儿童对食物的耐受性：

视觉耐受

儿童仅观察食物，不进行身体接触。

食物留在桌子上，与儿童保持距离。

使用诸如“我们可以只是看看这个”或“我们可以用眼睛识别它”等短语。

将食物靠近/闻嗅

将食物带入儿童的个人空间。

为了建立对气味的耐受性，将食物靠近鼻子。

这一阶段对于有嗅觉敏感性的儿童尤为重要

Children in the second group will receive the SOS approach combined with the Occupational Performance Coaching (OPC) program. After completing the 60-minute SOS session, 30-minute OPC sessions will also be delivered once a week for 12 weeks on an individual basis.

OPC enables parents to set goals, develop strategies, and evaluate progress aimed at improving their child's daily life performance.

Sessions are conducted in a semi-structured interview format with the therapist.

Focus areas include: establishing feeding routines, parent-child interaction, home-based implementation strategies, and parental self-efficacy.

OPC is a family-centered, occupation-based, coaching approach implemented by occupational therapists in collaboration with families to enhance children's participation in daily life. The aim is to guide parents in making environmental adjustments that support their children's functional goals and to empower them to generate their own solutions.

Phases of OPC:

Goal Set

Occupational Performance Coaching (OPC) is a evidence-based, family-centered coaching intervention developed by Dr. Fiona Graham (University of Otago, NZ). OPC enables parents to identify meaningful participation goals, analyze performance barriers, and develop their own strategies to support their child's daily functioning.

OPC is structured around three enabling domains: Connect (building a trusting therapeutic partnership), Structure (collaborative performance analysis and goal-directed action), and Share (facilitating reflection and knowledge exchange). Sessions are delivered in a semi-structured interview format by an occupational therapist.

In this study, OPC will be delivered once weekly for 12 weeks (30-minute individual sessions). Focus areas include feeding routines, parent-child mealtime interaction, home-based implementation strategies, and parental self-efficacy. The primary outcome will be measured using the Goal Assessment Scale

Occupational Performance Coaching (OPC) is a evidence-based, family-centered coaching intervention developed by Dr. Fiona Graham (University of Otago, NZ). OPC enables parents to identify meaningful participation goals, analyze performance barriers, and develop their own strategies to support their child's daily functioning.

OPC is structured around three enabling domains: Connect (building a trusting therapeutic partnership), Structure (collaborative performance analysis and goal-directed action), and Share (facilitating reflection and knowledge exchange). Sessions are delivered in a semi-structured interview format by an occupational therapist.

In this study, OPC will be delivered once weekly for 12 weeks (30-minute individual sessions). Focus areas include feeding routines, parent-child mealtime interaction, home-based implementation strategies, and parental self-efficacy. The primary outcome will be measured using the Goal Assessment Scale (GAS)