Evaluation of a Home-Based Behavioral Treatment Model for Children With Tube Dependency
Sarah Taylor1, Suzanne C Purdy1, Bianca Jackson1
1University of Auckland.
Journal of Pediatric Psychology
|March 22, 2019
Summary
A home-based behavioral intervention effectively treated pediatric tube dependency, leading to significant improvements in feeding and weight for children. Most children were weaned off feeding tubes, showing this model
Area of Science:
- Pediatric Gastroenterology
- Behavioral Psychology
- Child Health
Background:
- Tube dependency in children presents significant challenges for feeding and development.
- Existing treatments for pediatric feeding disorders can be intensive and costly.
- Home-based interventions offer a potentially more accessible and cost-effective approach.
Purpose of the Study:
- To evaluate the efficacy of a home-based behavioral treatment model for children with tube dependency.
- To assess improvements in feeding behaviors, nutritional status, and caregiver well-being.
- To analyze the cost-effectiveness of the home-based intervention.
Main Methods:
- A cohort of nine children (4-14 years) dependent on nasogastric or gastrostomy tubes participated.
- A psychologist-led, multidisciplinary team implemented a home-based applied behavior analysis program.
- A multiple-baseline across participants design evaluated behavioral and nutritional outcomes, caregiver stress, and costs.
Main Results:
- Significant improvements were observed in food acceptance, swallowing, and oral intake (intention-to-treat effect size 0.74-2.1).
- All participants maintained or increased body weight; six of nine children were weaned off feeding tubes by follow-up.
- High treatment satisfaction was reported by caregivers and professionals, with cost-saving potential identified.
Conclusions:
- Home-based, multicomponent behavioral interventions are effective for pediatric feeding disorders.
- This model supports successful weaning from tube feeding and improves nutritional outcomes.
- The intervention demonstrates a cost-effective alternative to traditional treatment approaches.
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