Objective:The purpose of this study was to develop and test psychometric properties of a Mealtime Interaction Clinical Observation Tool (MICOT) that could be used to facilitate assessment and behavioural intervention in childhood feeding difficulties. Methods:Thematic analysis of four focus groups with feeding and behaviour experts identified the content and structure of the MICOT.Following refinement, inter-rater reliability was tested between three healthcare professionals. Results:Six themes were identified for the MICOT, which utilises a traffic-light system to identify areas of strength and areas for intervention.Despite poor inter-rater reliability, for which a number of reasons are postulated, some correlation between psychologists’ ratings was evident.Healthcare professionals liked the tool and reported that it could have good clinical utility. Conclusion: The study provides a promising first version of a clinical observation tool that facilitates assessment and behavioural intervention in childhood feeding difficulties.
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The development and field test of a Mealtime Interaction Clinical Observation Tool: a pilot study and clinical research portfolio