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A descriptive comparison of approaches to paediatric tube weaning across five countries

Alison Y Gardiner1, Peter J Vuillermin2,3,4,5, David G Fuller2,3

  • 1a Occupational Therapy Department , Barwon Health , Geelong , Australia.

International Journal of Speech-Language Pathology
|June 23, 2016
PubMed

Insights

Tube weaning programs worldwide commonly use multi-model approaches, integrating sensory-motor and psychological interventions. Further research is needed to confirm the effectiveness of these pediatric feeding tube weaning strategies.

Area of Science:

  • Pediatric Gastroenterology
  • Feeding Therapy
  • Child Health Services

Background:

  • Increased survival rates of high-risk infants often necessitate temporary feeding tubes.
  • A growing number of children require tube weaning interventions.
  • Paediatric feeding programs are essential for managing complex feeding needs.

Purpose of the Study:

  • To describe service delivery models in paediatric feeding/tube weaning programs.
  • To outline treatment approaches used in various tube weaning settings.
  • To understand current practices in pediatric tube weaning.

Main Methods:

  • A questionnaire on tube weaning was developed from a literature review.
  • Purposive maximum variation sampling included diverse feeding/weaning programs.
  • Eight international feeding teams participated and completed the questionnaire.

Main Results:

  • All participating teams utilized sensori-motor interventions.
  • Most teams incorporated psychological interventions.
  • Hunger induction was used by six teams, often preceding eating skill development.

Conclusions:

  • A multi-model tube weaning approach is prevalent globally.
  • Psychological theory underpins many tube weaning practices.
  • Further investigation into intervention efficacy is recommended for evidence-based practice.
Abstract

Keywords:
Enteral feedingpaediatric weaningrapid weantube weaning

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