Pediatric Tube Weaning: A Meta-Analysis of Factors Contributing to Success

Approximately 3–10% of children have severe feeding issues, and some require enteral/tube nutrition to grow and thrive. For many children, tube feeding is temporary, making efficacious interventions for tube weaning essential. We conducted a systematic review and meta-analysis of tube weaning treatm...

Full description

Saved in:
Bibliographic Details
Published in:Journal of clinical psychology in medical settings 2023-12, Vol.30 (4), p.753-769
Main Authors: Killian, Haley J., Bakula, Dana M., Wallisch, Anna, Swinburn Romine, Rebecca, Fleming, Kandace, Edwards, Sarah T., Bruce, Amanda S., Chang, Chi-Ning, Mousa, Hayat, Davis, Ann M.
Format: Article
Language:English
Subjects:
Behavior modification
Child
Enteral nutrition
Enteral Nutrition - methods
Family Medicine
Feeding Behavior
General Practice
Health Psychology
Humans
Intervention
Medicine
Medicine & Public Health
Meta-analysis
Nutrition
Ostomy
Pediatrics
Prospective Studies
Success
Systematic review
Weaning
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Approximately 3–10% of children have severe feeding issues, and some require enteral/tube nutrition to grow and thrive. For many children, tube feeding is temporary, making efficacious interventions for tube weaning essential. We conducted a systematic review and meta-analysis of tube weaning treatments. Outcomes included percentage of participants completely weaned from the tube, and mean percentage of kilocalories consumed orally following treatment. Data were extracted from 42 studies, including cohort studies and single-subject research design studies. We evaluated moderators of treatment success, including treatment setting, use of behavioral approaches, use of hunger provocation, and use of a multidisciplinary approach. Results indicated that, after treatment, children received significantly more calories orally, and 67–69% of children were fully weaned. These analyses suggest that current interventions are generally effective; however, variability within treatments exist. Prospective randomized clinical trials are needed to understand effective components of weaning interventions.
ISSN:1068-9583
1573-3572
DOI:10.1007/s10880-023-09948-2