Food Chaining to Increase Selective Feeder’s Variety

In this course, Katherine Sayre, MS, RD, CDN and Christina Barkachi, M.S, CCC-SLP use a collaborative approach to help practitioners feel confident in using the Food Chaining treatment approach. This individualized treatment strategy can be used to expand food variety while preventing nutrient deficiencies for children with selective feeding.

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Christina received her Master’s degree in Speech-Language Pathology from New York Medical College. She treats individuals of all ages, from infancy to adolescents. Christina has varied experience working with clients in the following areas: feeding and swallowing; articulation and phonology; receptive and expressive language; voice; fluency disorders (stuttering); autism spectrum disorder; and acquired cognitive disorders. Through her experience, she has developed a special interest in sensory and oral motor-based feeding disorders. Christina is an English-Arabic bilingual speaker. She embraces different cultures and enjoys working with families to bridge skills learned at the clinic to clients’ home and school environments. She strives to think critically to develop individualized treatment plans that focus on the ‘whole client’ and the ‘whole family’ to ensure a path for success. Christina holds the Certificate of Clinical Competence (CCC) through the American Speech Language and Hearing Association (ASHA) and is licensed to practice speech-language pathology in the state of New Jersey.

Christina Barkachi, M.S, CCC-SLP


Katherine received her Master's degree in Clinical Nutrition from University of Saint Joseph. She holds the national Registered Dietitian Nutritionist credential through the Academy of Nutrition and Dietetics. She runs a virtual private practice and works at a free standing children's hospital in Connecticut. Katherine has practiced in multiple areas including acute inpatient, acute outpatient, and feeding team settings working with pediatric clients ranging from infancy to adolescents. She has varied experience counseling families struggling with poor weight gain, infant complementary food introduction, feeding tube weaning, disordered eating, and nutrition deficiencies in the setting of poor feeding. Through her experience, Katherine has developed a special interest in eating disorders, blended food tube feedings, malnutrition, and feeding difficulties.

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Katherine Sayre, MS, RD, CDN

Learner Outcomes:

  • Identify what food chaining is and how to use it. 

  • Identify how to utilize food chaining based on assessment.

  • Describe how SLPs and RDNs can collaborate together in food chaining.

Financial and Non-Financial Disclosures:

Christina Barkachi

  • Financial: Christina received a speaking fee from Pediatric Feeding Therapy, LLC for this course. 

  • Nonfinancial: Christina runs the instagram @feedingtherapy_christina

Katherine Sayre

  • Financial: Katherinee received a speaking fee from Pediatric Feeding Therapy, LLC for this course. 

  • Nonfinancial: Katherine runs the instagram @pediatricnutritionist



  • 0- 5 minutes—Introductions and Disclosures

  • 5-25 minutes—Overview and Background

  • 25-40 minutes—Food Chaining Examples 

  • 40-55 minutes— Case Study Discussion

  • 55-60 minutes—Conclusion and Wrap-Up


How to get ASHA CEUs:

-Watch Pre-recorded course in its entirety

-Complete 5 question post-quiz

-Make sure name, e-mail, address, and ASHA

number are correct in Thinkific account


*ASHA CEU option begins 10/18/2021

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