Research Goals and Interests:

A registered nurse, Hayley’s primary research interests began with a desire to improve family-centered care for children with feeding problems and developmental disabilities. Her research interests combine measure development, multi-method integration, and family-centered care for infants and children with special health care needs. Her dissertation consisted of three studies: the concept of feeding problems as available in the literature, how parents perceive the concept of feeding problems, and a description of how families manage caring for children with clinically significant feeding difficulty. Since 2009, Hayley has been a member of UNC’s Feeding Flock, an interdisciplinary research team with a mission to partner with families to nurture young children with feeding difficulties. With the Feeding Flock team, she develops psychometrically sound measures; these measures are essential building blocks for a foundation of evidence based, and patient and family-centered care for children with pediatric feeding disorder.

As a CCHD postdoctoral fellow at the Center for Developmental Science, Hayley is mentored by Dr. Eric Hodges. PhD, FNP-BC. Through Dr. Hodges’ recently funded R21 Enhancing Caregiver-Infant Communication to Prevent Obesity with the Sign with Your Baby intervention, Hayley is exploring application options for integration of observational data, dyadic physiologic data (namely respiratory sinus arrhythmia), and parent self-report for families of children with developmental disabilities.  Hayley continues to contribute to the mission and projects of the Feeding Flock, and has led psychometric testing of the family management of feeding measure (FaMM Feed) and the parent and family impact of feeding tool.


Pados, B., Estrem, H., Thoyre, S., Park, J., & McComish, C. (in press). The Neonatal Eating Assessment Tool (NeoEAT): Development and content validation.  Neonatal Network: Journal of Neonatal Nursing.

Estrem H.H., Pados B.F., Park J., Knafl K.A. & Thoyre S.M. (2017) Feeding problems in infancy and early childhood: evolutionary concept analysis. Journal of Advanced Nursing 73(1), 5670. doi: 10.1111/jan.13140 PMID: 27601073.

Pados, B.F., Thoyre, S.M., Estrem, H., Park, J., Knafl, G.J., & Nix, B. (2017). Effects of milk flow on the physiologic and behavioral responses to feeding in an infant with hypoplastic left heart syndrome. Cardiology in the Young, 27(1), 139-153. doi: 10.1017/S1047951116000251

Estrem, H., Pados, B.F., Thoyre, S., Knafl, K., McComish, C., and Park, J. (2016). Concept of pediatric feeding problems from the parents’ perspective. The American Journal of Maternal/Child Nursing (MCN), 41(4), 212-220. doi: 10.1097/NMC.0000000000000249 PubMed PMID: 27011001.

Pados, B.F., Park, J., Estrem, H., & Awotwi, A. (2016). Assessment tools for evaluation of oral feeding in infants less than 6 months old. Advances in Neonatal Care, 16(2), 143-150. doi:10.1097/ANC.0000000000000255 PMCID: PMC4781663