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Child has a G or G/J tube
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Parents have known significant developmental delay or cognitive impairment
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Child receives > 80% kcal from the tube
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Child ages 0 year 9 months 0 day through 8 years 31 days
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Child is receiving intensive behavioral feeding therapy (> 1 session per month) at the time of consent. Oral motor therapy is not an exclusion.
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Physician permission to participate
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Parents primary language other than English
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Child has sufficient oral motor and behavioral skills for oral eating (see Table 4)
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Child has > 3-month history of feeding problem
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Child receiving inhaled or oral steroids
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Child has behavioral skills necessary for mealtime (see Table 4)
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