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Hindi Research Article
Multiple Case Study to Describe Influencing Factors on Effectiveness of an Interdisciplinary In-Patient Intervention for Feeding Problems in Children
Lianne Remijn1,2*, Renée Speyer3,4, Pétri CM Holtus1,2, Jacques van Limbeek5 and Maria WG Nijhuis - van der Sanden61HAN University of Applied Sciences, Institute of Health Studies, Postbox 6960 6503 GL Nijmegen, the Netherlands
2Sint Maartenskliniek Research, Postbox 9011, 6500 GM Nijmegen, the Netherlands
3School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville City, Queensland 4811, Australia
4Department of Otorhinolaryngology and Head and Neck Surgery, Leiden University Medical Center, Postbox 9600, 2300 RC Leiden, the Netherlands
5Achmea Health Insurance Company, Postbox 1717, 3800 BS Amersfoort, the Netherlands
6Radboud University Medical Center, Radboud Institute for Health Sciences, IQ healthcare, Postbox 9101, 6500 HB Nijmegen, the Netherlands
- *Corresponding Author:
- Lianne Remijn
HAN University of Applied Sciences
Institute of Health StudiesPostbox 69606503 GLNijmegen, the Netherlands
Tel: +31 24 3531320
E-mail: lianne.remijn@han.nl
Received Date: January 07, 2015; Accepted Date: January 29, 2015; Published Date: February 5, 2015
Citation:Remijn L,Speyer R, Holtus PC, Limbeek JV, Nijhuis MWG, et al. (2015) Multiple Case Study to Describe Influencing Factors on Effectiveness of an Interdisciplinary In-Patient Intervention for Feeding Problems in Children. J Child Adolesc Behav 3:184.doi:10.4172/2375-4494.1000184
Copyright: ©2015 Remijn L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Abstract In children with chronic feeding problems diagnoses and physical, cognitive and behavioral impairments vary enormous. In addition to these variables, we hypothesize that personal and environmental factors also contribute to the success of intervention for feeding problems. This exploratory study describes the effectiveness and influencing factors of an intensive, multidisciplinary child and parent centered intervention on calorie intake and solid food consumption. The intervention included a behavioral program, oral motor training, parental coaching and dietary support. The children participating in the intervention could be separated into three groups: tube-fed (n=12), selective food refusal by texture (n=6) and unpredictable food refusal (n=11). For each group we present a descriptive representative case study. Outcome measures were calorie intake and amount of solid food consumed. The average duration of the in-patient feeding intervention was 4.3 weeks (SD 1.4 weeks). Three months after discharge, 50% of the children receiving tube feeding had complete oral intake. Children with selective food refusal by texture made small progresses during the intervention but solid food intake had increased at follow-up. Children with unpredictable food refusal increased their oral intake already during the intervention and maintained these gains at home. The intensive interdisciplinary intervention showed increased calorie and oral intake in most children and reduced tube feeding, but was less successful in children with metabolic dysfunction. Recovery time was longest in the tube feeding group but results varied considerably per child. Successful feeding intervention in children needs to take into account a child's underlying physical and behavioral and environmental factors.
