A Systematic Scoping Review to Identify Core Elements of Responsive Feeding Therapy for Children With Paediatric Feeding Disorder

Abstract

Background: Responsive feeding therapy (RFT) is an emerging intervention grounded in responsive feeding for children with paediatric feeding disorder (PFD). Despite increasing use, RFT lacks a consistent definition. This scoping review examines how RFT elements have been applied in intervention studies for PFD. Methods: Five databases were searched for studies involving children aged 6 months to 18 years. Data was extracted on the study design, population, intervention, goals and outcome measures. Deductive content analysis was used to categorise RFT elements. Results: Overall, 27 studies were included. Only two explicitly referenced the use of RFT. Three themes emerged: supporting caregivers to tune in, focusing on relationships and empowering the child. Common goals included supporting mealtime behaviours, increasing food variety and supporting caregiver responsiveness. Outcome measures addressed both child and caregiver factors. Conclusion: RFT is emerging, but inconsistencies in its conceptualisation and implementation remain. Future research should focus on clarifying its core elements, goals and outcome measures.