Flow Rates of Bottle Nipples:

Where can I find the most up-to-date information about flow rates from bottle nipples/teats?

The most up-to-date information about flow rates and variability of products currently on the market are available now through the following website: https://infantfeedinglabs.com/

Patient Care Services:

What should I expect if I sign up as a new patient?

Once you contact Britt to request an appointment, she will create an account for you in the Client Portal. You will receive forms via email to complete prior to your first appointment. Learn more about what each type of appointment here.

Do you take insurance?

No, I don’t take insurance, but I will provide you with a superbill that you can submit to your insurance company for reimbursement. Please contact your insurance company to find out what your reimbursement rates will be.

What safety protocols do you have in place for COVID-19?

We take safety very seriously when it comes to COVID-19. All clinic staff are fully vaccinated and boosted and will wear a mask at all times. Masks are required of anyone over 2 years old entering the clinic. We have also added air filters and are cleaning surfaces regularly. If you or someone you have been in contact with is ill, please do not come to the clinic. Telehealth appointments remain an option.

What if I live outside of Massachusetts?

Britt is only licensed to provide care to patients within Massachusetts. If you live outside of Massachusetts but are able to travel to Wellesley to be seen in clinic, you are welcome to do that. If you are unable to travel to Massachusetts, Britt can provide consultation services to healthcare providers in other states for a fee. Learn more about this option here.

Feeding Assessment Tools:

What do I do if I want to create an electronic/online adaptation of one or more of the assessment tools?

To request an adaptation of one or more of the assessment tools to an electronic/online version, please go to this page here. You will need to download and complete the form, then return to Britt by email at britt@infantfeedingcare.com.

What do I do if I want to translate one or more of the tools to another language?

Please see this page for more information about the steps for translation and cultural adaptation. At the bottom of that page is a form that you will need to download, complete, and submit to Britt at britt@infantfeedingcare.com.

I emailed Britt with a question about the assessment tools or submitted a question via the form, but I have not heard back. What should I do?

First, check to see if the answer to your question is on this page. Since the assessment tools are provided for free, Britt donates about 1/2 day per month to answer questions related to the assessment tools and translations. Your email/form will be answered in the order in which it was received. If you want your question answered more quickly, you may choose to pay Britt for a consultation or email response. Learn more about this here.

Are there reference values for the GIGER?

We are actively working on it and hope that have them available soon!

Are there reference values for the FaMM Feed and Feeding Impact Scales?

No. Reference values are not appropriate for the FaMM Feed because those questions only pertain to families of infants and children with feeding difficulties (and reference values are based on responses from families of infants and children without feeding difficulties). There may be reference values available for the Feeding Impact Scales at some point, but they are not currently available. In the meantime, the Feeding Impact Scales can be used over time within the same child/family to monitor changes and facilitate discussion between the family and the healthcare team.

If there are no reference values, how do you interpret the results of the FaMM Feed?

Scores on the FaMM Feed may be interpreted by taking other information into account (such as clinical assessment, Feeding Impact Scale scores, PediEAT scores, etc.), and/or by comparing scores over time.  With each of the subscales, higher scores indicate better family management of feeding.  It is more straight forward, and recommended, to interpret each subscale score individually.  With all of the subscales, a higher score is better for management of feeding; however, the interpretation of the subscales are influenced by their names.  For example, with Family Feeding Efforts and Challenges, the higher score indicates less feeding efforts and challenges (which equals better management).

FaMM Feed Subscale score interpretations:

Family Feeding Efforts and Challenges possible score range is  8 to 40.  Lower scores indicate greater feeding efforts and challenges (or less successful management of family feeding efforts and challenges), higher scores indicate more successful management and less family feeding effort and challenge.

Feeding Confidence and Ability possible score range is 8 to 40.  Higher scores indicate greater feeding confidence and ability, and better family management.  Lower scores indicate less feeding confidence and ability.

Feeding Uncertainty and Concerns possible score range is 7 to 35. Higher scores indicate less uncertainty and concerns, or better family management of feeding uncertainty and concerns.  Lower scores indicate greater feeding uncertainty and concerns for family, or weaker family management of feeding uncertainty and concerns.

Future Feeding Outlook possible score range is 9 to 45.  Higher scores indicate better future feeding outlook.  Lower scores indicate less optimism or lower expectations for feeding in the future.

Feeding Related Family Life Difficulties possible score range is 9 to 45. Higher scores indicate less feeding related family life difficulty, or better management of family feeding related life difficulty.  Lower scores indicate more feeding related family life difficulty, or less successful management of feeding related family life difficulty.

Parent Mutuality (for partnered parents only) possible score range is 7 to 35. Higher scores indicate greater mutuality, or better management of partnered parent views on the feeding situation. Lower scores indicate parents are less mutual about feeding management, or that they are more discrepant on their feeding management views.