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Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program.

Publication ,  Journal Article
Silverman, AH; Kirby, M; Clifford, LM; Fischer, E; Berlin, KS; Rudolph, CD; Noel, RJ
Published in: J Pediatr Gastroenterol Nutr
November 2013

OBJECTIVES: Limited published data describe the long-term effects of behavioral strategies to wean children from gastrostomy tube (GT) feeding dependence. This study presents data relating to nutritional and psychosocial outcomes observed during a 1-year period in medically complex GT feeding-dependent patients who completed an inpatient behavioral-based tube weaning protocol. METHODS: This was a retrospective study of prospectively and retrospectively collected data associated with a clinical cohort of 77 children diagnosed as having a feeding disorder, GT feeding dependence (>1 year), and an inability to maintain acceptable growth via oral feeding completing an inpatient tube weaning protocol. Nutritional data (percentage of ideal body weight, and oral energy intake as percent ofenergy goal) and psychosocial data (mealtime behavior problems, quality of caregiver and child interactions, and parenting stress) were assessed pre- and post-hospitalization. Nutritional data were also monitored longitudinally at 1, 3, 6, and 12 months postreatment. Data were grouped for retrospective analysis. RESULTS: Mealtime environment and feeding behaviors significantly improved, and all of the patients demonstrated reductions in tube dependence aside from 1 treatment failure. Fifty-one percent of patients were fully weaned from tube feeding after 2 weeks and an additional 12% completed weaning in the outpatient follow-up clinic within 1 year. Patients maintained nutritional stability at the 1-year posttreatment follow-up appointment. CONCLUSIONS: Inpatient behavioral interventions are highly effective and safe for transitioning long-term tube feeding children to oral feeding.

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Published In

J Pediatr Gastroenterol Nutr

DOI

EISSN

1536-4801

Publication Date

November 2013

Volume

57

Issue

5

Start / End Page

668 / 672

Location

United States

Related Subject Headings

  • Wisconsin
  • Surveys and Questionnaires
  • Retrospective Studies
  • Parent-Child Relations
  • Nutritional Status
  • Male
  • Longitudinal Studies
  • Humans
  • Hospitals, Pediatric
  • Gastrostomy
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Silverman, A. H., Kirby, M., Clifford, L. M., Fischer, E., Berlin, K. S., Rudolph, C. D., & Noel, R. J. (2013). Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program. J Pediatr Gastroenterol Nutr, 57(5), 668–672. https://doi.org/10.1097/MPG.0b013e3182a027a3
Silverman, Alan H., Midge Kirby, Lisa M. Clifford, Elizabeth Fischer, Kristoffer S. Berlin, Colin D. Rudolph, and Richard J. Noel. “Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program.J Pediatr Gastroenterol Nutr 57, no. 5 (November 2013): 668–72. https://doi.org/10.1097/MPG.0b013e3182a027a3.
Silverman AH, Kirby M, Clifford LM, Fischer E, Berlin KS, Rudolph CD, et al. Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program. J Pediatr Gastroenterol Nutr. 2013 Nov;57(5):668–72.
Silverman, Alan H., et al. “Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program.J Pediatr Gastroenterol Nutr, vol. 57, no. 5, Nov. 2013, pp. 668–72. Pubmed, doi:10.1097/MPG.0b013e3182a027a3.
Silverman AH, Kirby M, Clifford LM, Fischer E, Berlin KS, Rudolph CD, Noel RJ. Nutritional and psychosocial outcomes of gastrostomy tube-dependent children completing an intensive inpatient behavioral treatment program. J Pediatr Gastroenterol Nutr. 2013 Nov;57(5):668–672.

Published In

J Pediatr Gastroenterol Nutr

DOI

EISSN

1536-4801

Publication Date

November 2013

Volume

57

Issue

5

Start / End Page

668 / 672

Location

United States

Related Subject Headings

  • Wisconsin
  • Surveys and Questionnaires
  • Retrospective Studies
  • Parent-Child Relations
  • Nutritional Status
  • Male
  • Longitudinal Studies
  • Humans
  • Hospitals, Pediatric
  • Gastrostomy