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A descriptive comparison of approaches to paediatric tube weaning across five countries

Gardiner, Alison Y., Vuillermin, Peter J. and Fuller, David G. 2016, A descriptive comparison of approaches to paediatric tube weaning across five countries, International journal of speech-language pathology, In Press, pp. 1-7, doi: 10.1080/17549507.2016.1193898.

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Title A descriptive comparison of approaches to paediatric tube weaning across five countries
Author(s) Gardiner, Alison Y.
Vuillermin, Peter J.
Fuller, David G.
Journal name International journal of speech-language pathology
Season In Press
Start page 1
End page 7
Total pages 7
Publisher Taylor & Francis
Place of publication London, Eng.
Publication date 2016
ISSN 1754-9515
Keyword(s) Enteral feeding
paediatric weaning
rapid wean
tube weaning
Summary PURPOSE: Many children are requiring tube weaning intervention as a result of increased survival rates of high risk infants and the temporary use of feeding tubes. This study aimed to describe service delivery models and treatment approaches in a variety of paediatric feeding/tube weaning programs. METHOD: A questionnaire on tube weaning was formulated based on a literature review. Purposive maximum variation sampling was used to include feeding/ weaning programs operating in a variety of settings and countries. Eight feeding teams in Australia, Europe and the USA agreed to participate and completed the questionnaire. RESULT: All teams employed sensori-motor interventions, with the majority also offering psychological interventions. Six of eight teams utilised hunger induction during the initiation of tube weaning, and in many cases this preceded eating skill development or controlled sensory modulation. CONCLUSION: A multi-model tube weaning approach is commonly adopted by many centres worldwide. In many cases, psychological theory and theoretical orientation is fundamental to tube weaning practice. Further investigation regarding the efficacy and effectiveness of weaning interventions is recommended to ensure clinical practice is based on sound evidence. This may present as a challenge given many interventions occur concomitantly and the psychotherapeutic experience is difficult to evaluate.
Language eng
DOI 10.1080/17549507.2016.1193898
Field of Research 1103 Clinical Sciences
1702 Cognitive Science
2004 Linguistics
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Taylor & Francis
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Document type: Journal Article
Collection: School of Medicine
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