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Certification · OT · SLP

SOS Feeding Approach

31 citations · 3 lenses scored

Sequential-Oral-Sensory approach for pediatric feeding disorders. Feasibility studies positive. Lacks RCT evidence; widely used in pediatric feeding clinics.

Score anatomy · every lens
Cash-pay viability ×25
70/100

Parents of picky/ARFID kids routinely pay cash when insurance won't cover feeding therapy; strong direct-pay market.

Pricing leverage ×20
60/100

Specialized feeding clinics command premium rates and often have waitlists.

Market differentiation ×15
70/100

Named brand approach with limited certified provider pool; strong differentiation in pediatric markets.

Owner leverage ×15
55/100

Multiple trained SLPs/OTs can deliver SOS within a clinic; genuinely scalable to a multi-clinician practice.

Consumer demand ×15
45/100

Growing parent awareness via social media and pediatrician referrals, though still niche.

Credential investment ×10
55/100

Reasonable course-based training (8-day conference + mentorship); accessible compared to multi-year credentials.

Sources · 31 on file
Evidence mix
Systematic review
11
35%
Narrative review
4
13%
Meta-analysis
4
13%
RCT
2
6%
Pilot/feasibility
1
3%
Cross-sectional
1
3%
Clinical guideline
1
3%
Other
7
23%
Publication years65% since 2022
7
Last reviewed 2026-1031 sources
  1. 01
    Methodological Components for Evaluating Intervention Effectiveness of SOS Feeding Approach: A Feasibility Study
    S. A. Schoen; R. Balderrama; E. Dopheide; A. Harris; L. Hoffman; S. Sasse · Children (Basel) · 2025
    Pilot/feasibilitydoi:10.3390/children12030373
    DOI ↗
  2. 02
    Enhancing Pediatric Feeding Disorders Assessment and Management Through the Sequential Oral Sensory Approach
    D. T. Mohamed; E. M. Mahfouz · Journal of High Institute of Public Health · 2025
    doi:10.21608/jhiph.2025.436158
    DOI ↗
  3. 03
    Picky eating in children: Current clinical trends, practices, and observations within the Australian health-care context
    L. B. Chilman; P. J. Meredith; A. Kennedy-Behr; G. Campbell; T. Frakking; L. Swanepoel; M. Verdonck · Aust Occup Ther J · 2023
    Cross-sectionaldoi:10.1111/1440-1630.12869
    DOI ↗
  4. 04
    The effectiveness of oral sensorimotor intervention in children with feeding disorders
    L. Voniati; A. Papaleontiou; R. Georgiou; D. Tafiadis · Current Developmental Disorders Reports · 2021
    doi:10.1007/s40474-021-00236-y
    DOI ↗
  5. 05
    The distance between empirically supported treatment and actual practice for paediatric feeding problems: An international clinical perspective
    S. A. Taylor; T. Taylor · International Journal of Child & Adolescent Health · 2021
    Narrative review
    DOI ↗
  6. 06
    Sensory Based Feeding Intervention for Toddlers With Food Refusal: A Randomized Controlled Trial
    A. R. Kim; J. Y. Kwon; S. H. Yi; E. H. Kim · Ann Rehabil Med · 2021
    RCTdoi:10.5535/arm.21076
    DOI ↗
  7. 07
    Tactile Play and Oral Acceptance of Wet Food Items
    J. M. Hawkins; J. Ferringer; E. Grambo; H. Murkens; J. Smith; E. Scifo · The American Journal of Occupational Therapy · 2021
    doi:10.5014/ajot.2021.75S2-PO127
    DOI ↗
  8. 08
    The Impact of Tactile Play on Increasing Oral Acceptance of Wet Food Items
    J. Hawkins; B. Burnett; J. Corello; K. Heath; A. Schmidt; C. Scott; D. Prier; A. Ishman · The American Journal of Occupational Therapy · 2020
    doi:10.5014/ajot.2020.74S1-PO1129
    DOI ↗
  9. 09
    Feeding difficulties in children with non-IgE-mediated food allergic gastrointestinal disorders
    M. Chehade; R. Meyer; A. Beauregard · Ann Allergy Asthma Immunol · 2019
    Narrative reviewdoi:10.1016/j.anai.2019.03.020
    DOI ↗
  10. 10
    Food Selectivity and Sensitivity in Children with Autism Spectrum Disorder: A Systematic Review Defining the Issue and Evaluating Interventions
    G. Reinoso; B. Carsone; S. Weldon; J. Powers; N. B. lore · New Zealand Journal of Occupational Therapy · 2018
    Systematic review
    DOI ↗
  11. 11
    A comparison of a modified sequential oral sensory approach to an applied behavior-analytic approach in the treatment of food selectivity in children with autism spectrum disorder
    K. M. Peterson; C. C. Piazza; V. M. Volkert · J Appl Behav Anal · 2016
    RCTdoi:10.1002/jaba.332
    DOI ↗
  12. 12
    ARFID-Strategies for Dietary Management in Children
    A. Białek-Dratwa; D. Szymańska; M. Grajek; K. Krupa-Kotara; E. Szczepańska; O. Kowalski · Nutrients · 2022
    Narrative reviewdoi:10.3390/nu14091739
    DOI ↗
  13. 13
    Food Selectivity in Children with Autism: Guidelines for Assessment and Clinical Interventions
    M. Esposito; P. Mirizzi; R. Fadda; C. Pirollo; O. Ricciardi; M. Mazza; M. Valenti · Int J Environ Res Public Health · 2023
    Clinical guidelinedoi:10.3390/ijerph20065092
    DOI ↗
  14. 14
    Sensory processing and eating behaviours in autism: A systematic review
    E. Nimbley; L. Golds; H. Sharpe; K. Gillespie-Smith; F. Duffy · Eur Eat Disord Rev · 2022
    Systematic reviewdoi:10.1002/erv.2920
    DOI ↗
  15. 15
    A Systematic Review and Meta-Analysis of Psychological Therapies for Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents and Adults
    C. G. Winten; E. Strodl; P. E. Kambanis; L. J. Ross; J. J. Thomas · Int J Eat Disord · 2026
    Meta-analysisdoi:10.1002/eat.70086
    DOI ↗
  16. 16
    Food chaining: a systematic approach for the treatment of children with feeding aversion
    M. Fishbein; S. Cox; C. Swenny; C. Mogren; L. Walbert; C. Fraker · Nutr Clin Pract · 2006
    doi:10.1177/0115426506021002182
    DOI ↗
  17. 17
    On the efficacy and efficiency of treating pediatric feeding disorder
    V. Scott; V. Saini; M. Totino · J Appl Behav Anal · 2024
    Meta-analysisdoi:10.1002/jaba.2912
    DOI ↗
  18. 18
    Avoidant/restrictive food intake disorder and severe food selectivity in children and young people with autism: A scoping review
    L. Bourne; W. Mandy; R. Bryant-Waugh · Dev Med Child Neurol · 2022
    Systematic reviewdoi:10.1111/dmcn.15139
    DOI ↗
  19. 19
    A Systematic Review and Meta-Analysis of Intensive Multidisciplinary Intervention for Pediatric Feeding Disorders: How Standard Is the Standard of Care?
    W. G. Sharp; V. M. Volkert; L. Scahill; C. E. McCracken; B. McElhanon · J Pediatr · 2017
    Meta-analysisdoi:10.1016/j.jpeds.2016.10.002
    DOI ↗
  20. 20
    Decoding Picky Eating in Children: A Temporary Phase or a Hidden Health Concern?
    D. Pjetraj; A. Pjetraj; D. Sayed; M. Severini; L. Falcioni; L. E. Svarca; S. Gatti; M. E. Lionetti · Nutrients · 2025
    Narrative reviewdoi:10.3390/nu17243884
    DOI ↗
  21. 21
    Efficacy of interventions to improve feeding difficulties in children with autism spectrum disorders: a systematic review and meta-analysis
    J. Marshall; R. Ware; J. Ziviani; R. J. Hill; P. Dodrill · Child Care Health Dev · 2015
    Meta-analysisdoi:10.1111/cch.12157
    DOI ↗
  22. 22
    Neonatal Therapy Interventions Supporting Oral Feeding Skills in Preterm Infants: A Systematic Review
    K. Vetter; C. Fernandes; T. T. Nguyen · Phys Occup Ther Pediatr · 2026
    Systematic reviewdoi:10.1080/01942638.2025.2562931
    DOI ↗
  23. 23
    Caregiver Experiences of Intervention for Paediatric Feeding Disorder: A Scoping Review
    M. Wong; R. L. Packer; V. Gent; J. Marshall · Acta Paediatr · 2026
    Systematic reviewdoi:10.1111/apa.70675
    DOI ↗
  24. 24
    Avoidant restrictive food intake disorder (ARFID) in Swedish preschool children: a screening study
    L. Dinkler; K. Brimo; H. Holmäng; K. Yasumitsu-Lovell; R. Kuja-Halkola; A. K. Kantzer; Z. Omanovic; N. Suganuma; M. Eitoku; M. Fujieda; E. Fernell; P. Möllborg; R. Bryant-Waugh; C. Gillberg; M. Råstam · J Eat Disord · 2025
    doi:10.1186/s40337-025-01369-w
    DOI ↗
  25. 25
    Risk factors for avoidant/restrictive food intake disorder in children: A systematic review
    R. Nowacki; L. Arayess; J. Kleijnen; A. Vreugdenhil; S. Mulkens · J Pediatr Gastroenterol Nutr · 2026
    Systematic reviewdoi:10.1002/jpn3.70362
    DOI ↗
  26. 26
    The characterization of feeding challenges in autistic children
    B. M. St John; K. K. Ausderau · Autism · 2024
    doi:10.1177/13623613241227518
    DOI ↗
  27. 27
    Considering a Functional Conceptualisation of Avoidant/Restrictive Food Intake Disorder (ARFID): A Systematic Scoping Review of Emerging Evidence on ARFID
    Y. Karvay · Eur Eat Disord Rev · 2025
    Systematic reviewdoi:10.1002/erv.3180
    DOI ↗
  28. 28
    Non-Pharmacological Interventions for Feeding Disorders in Pediatrics: A Scoping Review
    R. Franchinotti; M. Moler; E. Paulenas; J. P. Saura; M. F. Andreu · Occup Ther Health Care · 2025
    Systematic reviewdoi:10.1080/07380577.2024.2401732
    DOI ↗
  29. 29
    Responsive feeding therapy for children with pediatric feeding disorder (PFD): A scoping review
    M. R. Mattner; A. L. Guzman; E. Moore; J. Fortuna; L. Cantwell-Jurkovic · Appetite · 2025
    Systematic reviewdoi:10.1016/j.appet.2025.108211
    DOI ↗
  30. 30
    A scoping review of psychological interventions and outcomes for avoidant and restrictive food intake disorder (ARFID)
    E. Willmott; R. Dickinson; C. Hall; K. Sadikovic; E. Wadhera; N. Micali; N. Trompeter; T. Jewell · Int J Eat Disord · 2024
    Systematic reviewdoi:10.1002/eat.24073
    DOI ↗
  31. 31
    A Systematic Review to Manage Avoidant/Restrictive Food Intake Disorders in Pediatric Gastroenterological Practice
    U. Cucinotta; C. Romano; V. Dipasquale · Healthcare (Basel) · 2023
    Systematic reviewdoi:10.3390/healthcare11162245
    DOI ↗
All credentialsMethodology
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