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Evaluating Outcome Measure Data for an Intensive Interdisciplinary Home-Based Pediatric Feeding Disorders Program.

Meeta R Patel^1,2, Vipul Y Patel¹, Ashley S Andersen¹

¹Clinic 4 Kidz, P.O. Box 1711, Sausalito, CA 94966, USA.

|November 11, 2022

Summary

An interdisciplinary home-based feeding program successfully treated children with complex feeding issues. Most tube-dependent patients eliminated feeding tubes, and all patients showed significant improvements in weight and food consumption.

Keywords:

failure to thrive feeding tube dependence food selectivity

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Area of Science:

Pediatric Nutrition
Interdisciplinary Healthcare
Feeding Therapy

Background:

Complex feeding problems in children require innovative treatment approaches.
Home-based programs offer a unique service delivery model for pediatric feeding interventions.

Purpose of the Study:

To evaluate the effectiveness of an interdisciplinary home-based feeding program.
To assess outcomes for children with tube dependence, failure to thrive, liquid dependence, and food selectivity.

Main Methods:

Data collected on oral intake, tube feeding elimination, and weight.
Patient groups included tube-dependent (n=78), failure to thrive (n=49), liquid-dependent (n=23), and food-selective (n=61).
Paired sample t-tests with 95% confidence intervals were used for analysis.

Main Results:

81% of tube-dependent patients achieved elimination after an average of 8 months.
All failure-to-thrive patients demonstrated weight gain.
Liquid-dependent patients increased food consumption from 2 to 32 foods; food-selective patients increased from 4 to 35 foods.
Statistically significant results with large effect sizes were observed across all dependent variables.

Conclusions:

An intensive, interdisciplinary home-based program is effective for treating complex pediatric feeding problems.
This unique service delivery model demonstrates success in improving oral intake and nutritional status in children.