Reviews novel important details on the processes and outcomes involved in empirically-supported treatment for paediatric feeding disorders/ARFID/tube weaning
Jam packed with resources!
Top-Read Papers! “Interested in catching up on some of the most engaging papers from EJOBA in 2023?…
Prolonged tube feeding has a multitude of negative outcomes. The transition to oral feeding is essential for child and family quality of life. Behaviour-analytic interventions are effective for paediatric feeding disorders, but information is lacking regarding the treatment process and outcomes. This study evaluated a home-based behavioural intervention for a 19-month-old child dependent on tube feeding. An intensive period was followed by caregiver support to advance feeding skills. We applied differential reinforcement and volume fading within a multiple probe design. Results showed clinically significant behavioural and nutritional outcomes, the cessation of tube feeding, and a process valued by the family.
“Our review focused on looking at the evidence across different treatment options for transitioning children from tube feeding to eating (commonly known as tube weaning).” “Behavioural treatments reported significant gains in oral consumption and improvement in mealtime behaviours but there were less reports of children being tube weaned. Behavioural studies often involved children with very complex and severe feeding difficulties, and many had DD.” “A high level of treatment intensity is needed, at least over a few weeks. This involves multiple meals per day, over consecutive days.”
