Outcomes for Feeding Tube-Dependent Children with Oral Aversion in an Intensive Interdisciplinary Treatment Program

Autor/inn/en	Bandstra, Nancy F.; Huston, Parker L.; Zvonek, Kate; Heinz, Carly; Piccione, Emily
Titel	Outcomes for Feeding Tube-Dependent Children with Oral Aversion in an Intensive Interdisciplinary Treatment Program
Quelle	In: Journal of Speech, Language, and Hearing Research, 63 (2020) 8, S.2497-2507 (11 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Huston, Parker L.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Assistive Technology; Nutrition; Barriers; Psychological Patterns; Food; Eating Disorders; Young Children; Intervention; Program Effectiveness; Behavior Problems; Behavior Change; Interdisciplinary Approach; Clinics; Stimuli + Suchen Sie Ihr Suchwort? Ernährung; Lebensmittel; Appetite disorder; Essstörung; Frühe Kindheit; Fächerübergreifender Unterricht; Fächerverbindender Unterricht; Interdisziplinarität; Anreizsystem
Abstract	Purpose: Feeding challenges in children are common, at times reaching a severity that requires the placement and long-term use of enteral feedings. A significant barrier to advancing the oral eating of some tube-dependent children is the presence of oral aversion. Although some research exists regarding the treatment of tube-dependent children who are averse to food or the process of eating, specifically, there has yet to be an examination of children who are truly "orally" averse--resisting not just the presentation of food or liquid but also nonnutritive stimuli presented extra- or intra-orally. Method: Using a retrospective chart review, the current study aimed to examine the treatment outcomes of 18 feeding tube-dependent children with significant oral aversion (nine boys, nine girls; M[subscript age] = 46.7 months, SD = 20.0 months, range: 11.4-89.3 months) as compared to 29 tube-dependent, but nonorally averse, clinical controls. Children completed approximately 6-8 weeks of intensive interdisciplinary feeding treatment. Results: Analyses revealed significant improvements in all measured treatment outcomes for both patient groups, including children's rates of acceptance and maladaptive mealtime behavior. Significant reductions in tube use were also observed across both groups, with tube utilization decreasing, on average, by 76.2% for orally averse and by 64.3% for nonorally averse children by program discharge. Conclusion: Results demonstrate the therapeutic benefits of intensive interdisciplinary intervention for both groups of tube-dependent children, highlighting that orally averse children, believed to be an especially challenging subset of pediatric feeding patients, demonstrate similarly positive treatment responses. Interestingly, in this preliminary examination, orally averse children demonstrated significantly greater reductions in tube utilization following discharge when compared with their nonorally averse clinical peers. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01