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Published on: September 20, 2019
The parental experience and perceptions of blenderized tube feeding for children with medical complexity
Joanna Soscia1,2,3, Sherri Adams1,2,3, Eyal Cohen1,3,4
1Division of Paediatric Medicine, Department of Paediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Insights
Blenderized tube feeding (BTF) empowers parents of children with medical complexity, enhancing child wellbeing and normalizing family life. Despite being time-consuming, parents are satisfied and plan to continue BTF.
Area of Science:
- Pediatric Health
- Nutrition Science
- Family Caregiving
Background:
- Enteral tube feeding is common for children with medical complexity.
- Enteral feeding can present psychosocial challenges for families.
- Blenderized tube feeding (BTF) involves pureed food via a feeding tube, with limited research on parental experiences.
Purpose of the Study:
- To explore the lived experiences of parents providing blenderized tube feeding (BTF) to their children.
- To understand the psychosocial implications of BTF from the parent's perspective.
Main Methods:
- Qualitative grounded theory analysis.
- Semi-structured interviews with 10 parents providing at least 50% of their child's diet via BTF.
- Constant comparative analysis of transcribed interviews until thematic saturation.
Main Results:
- Parents reported BTF positively impacted their child's health and wellbeing.
- BTF was perceived as a tool for parental self-empowerment and family normalization.
- Despite increased time commitment compared to formula, parents were satisfied and intended to continue BTF.
Conclusions:
- Blenderized tube feeding (BTF) can enhance the tube feeding experience for children with medical complexity.
- BTF may mitigate negative psychosocial effects of enteral feeding, offering parents a sense of normalcy and control.
Objectives:
Parents of children with medical complexity are often expected to implement complicated plans of care, such as enteral tube feeding, to support the health of their child. Enteral feeding can have psychosocial implications for the parent, child, and family. Blenderized tube feeding (BTF) refers to the administration of pureed food and drinks through a feeding tube. Little is known regarding parents' experiences with BTF. Therefore, the purpose of this qualitative study was to understand the lived experience of BTF from the parent's perspective.
Methods:
This qualitative study was a grounded theory analysis utilizing semi-structured interviews of parents who provided at least 50% of their child's diet through BTF. Participants were recruited using purposive sampling from the Complex Care Program at a tertiary care paediatric centre. Interviews were conducted until thematic saturation was achieved. Themes were identified using constant comparative analysis of transcribed interviews.
Results:
Parents (n=10) felt that BTF positively affected the experience of tube feeding and enhanced their child's health and wellbeing. Parents described BTF as a means of self-empowerment and a mechanism to normalize feeding and care for the entire family. Despite reporting BTF as more time consuming than formula feeding, all parents were satisfied with having made the change, and planned on continuing the diet.
Conclusion:
BTFs can improve the experience of tube feeding and positively address some of the negative psychosocial implications of enteral tube feeding, providing a sense of normalcy and control for parents caring for a child with medical complexity.
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