Addressing Feeding and Eating Issues with the Pediatric Population Using a Telehealth Service Delivery Model: A Case Report

Background: This case report reviews the implementation of telehealth-based occupational therapy interventions for pediatric feeding issues in a client with autism spectrum disorder (ASD) and Avoidant/Restrictive Food Intake Disorder (ARFID). It highlights the use of a synchronous telehealth service delivery model to address sensory-based feeding issues. Method: A single-patient case report was conducted, outlining the occupational therapy process with an 11-year-old male with ASD and ARFID who receives most nutrition through G-tube feedings and presents food selectivity. Telehealth sessions were conducted via Zoom, with occupational therapy assistant students providing interventions under faculty supervision. Results: Telehealth interventions were successfully implemented to address the client’s sensory-based feeding issues. Key components included caregiver education, environmental modifications, and strategies to improve mealtime participation and dietary expansion. The client demonstrated improvements in tolerance to new food textures and increased participation in mealtime activities. Conclusion: Telehealth is a feasible and effective service delivery model for addressing pediatric feeding challenges, particularly for clients with ASD and ARFID. It promotes family-centered care, caregiver empowerment, and accessibility to specialized interventions in the child’s natural environment. Telehealth enhances the capacity of occupational therapists and occupational therapy assistants to deliver client-centered interventions while adapting to individual needs and challenges.