Feeding Induction in Children Who Refuse to Eat

Handen, Benjamin L.; Mandell, Frederick; Russo, Dennis C.

doi:10.1001/archpedi.1986.02140150054033

Cited by 25 publications

(24 citation statements)

References 11 publications

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“…Thus, in the present programme, once children 'acquire the taste' for the fruits and vegetables, these foods provide their own intrinsic rewards to supplement and, in time, perhaps entirely replace the programme's extrinsic rewards. The effectiveness of the present study's extrinsic rewards in increasing consumption and liking of fruit and vegetables is consistent with the findings of many other studies that have used rewards to alter food consumption and choice (Bernal, 1972;Hatcher, 1979;Siegel, 1982;Riordan et al, 1984;Handen et al, 1986;Stark et al, 1986;Baer et al, 1987;Hendy, 2002;.…”

Section: Discussionsupporting

confidence: 90%

“…However, there is also a large body of research testifying to the efficacy of rewards (eg see Dickinson, 1989;Cameron et al, 2001). A number of studies, for example, have employed them successfully to encourage food consumption among children with feeding difficulties (Bernal, 1972;Hatcher, 1979;Siegel, 1982;Riordan et al, 1984;Handen et al, 1986) and to increase children's healthy snack choices (Stark et al, 1986;Baer et al, 1987). This evidence indicates that, when used appropriately, rewards can be very effective at altering behaviour such as children's food consumption.…”

Section: Introductionmentioning

confidence: 99%

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Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children

et al. 2004

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Objective: To measure children's consumption of, and liking for, fruit and vegetables and how these are altered by a peer modelling and rewards-based intervention. Design: In this initial evaluation of the programme, children's consumption of fruit and vegetables were compared within and across baseline and intervention phases. Setting: Three primary schools in England and Wales. Subjects: In total, 402 children, aged from 4 to 11 y. Intervention: Over 16 days, children watched six video adventures featuring heroic peers (the Food Dudes) who enjoy eating fruit and vegetables, and received small rewards for eating these foods themselves. Main outcome measures: Fruit and vegetable consumption was measured (i) in school at lunchtime and snacktime using a fivepoint observation scale, with inter-rated reliability and weighed validation tests; and (ii) at home using parental recall. A questionnaire measured children's liking for fruit and vegetables before and after the intervention. Results: Consumption during the intervention was significantly higher than during baseline at lunchtime and at snacktime (Po0.001 in all instances). Consumption outside school was significantly higher during the intervention on weekdays (Po0.05) but not weekend days. Following the intervention, children's liking for fruit and vegetables also showed a significant increase (Po0.001). Conclusions:The peer modelling and rewards-based intervention was shown to be effective in bringing about substantial increases in children's consumption of, and expressed liking for, fruit and vegetables.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children

et al. 2004

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“…Although the present study did not address the issue of whether specific interventions were associated with specific outcomes, it is possible that infants who exhibit an unwillingness, rather than or in addition to, an inability to eat may respond differently to therapeutic interventions (1,3,(13)(14)(15)(16)18,19,22,24). Future research on the natural history and outcome of enterostomy tube feeding should examine the effects of specific interventions on outcome.…”

Section: Discussionmentioning

confidence: 89%

“…Weaning children off tube feeding is a complex, frustrating and difficult endeavour that is overwhelming for many families (3,5,8,15,16,18,20). Although the present study did not address the issue of whether specific interventions were associated with specific outcomes, it is possible that infants who exhibit an unwillingness, rather than or in addition to, an inability to eat may respond differently to therapeutic interventions (1,3,(13)(14)(15)(16)18,19,22,24).…”

Section: Discussionmentioning

confidence: 99%

“…CONCLUSION : Les enfants atteints de paralysie cérébrale ne sont pas susceptibles de faire retirer leur sonde dans l'année suivant l'insertion. G astrostomy (G) and gastrojejunostomy (G-J) tubes are used increasingly for infants who have a functional gastrointestinal tract but cannot swallow safely, refuse to eat or are expected to require tube feeding for more than two months (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13). The chronic medical problems that are most often associated with the use of tube feeding include neurological problems (in 31.5% to 39.4% of children), lung disease (in 10.1% to 12.2% of children) and gastrointestinal disease (in 8.8% to 14.4% of children) (9,10).…”

Section: Les Caractéristiques Et Les Issues De Nourrissons Stomisés Mmentioning

confidence: 99%

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Characteristics and outcomes of children with enterostomy feeding tubes: A study of 325 children

Benoit

Wang

Zlotkin

2001

Paediatrics &Amp; Child Health

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Inpatient tube weaning in children with long‐term feeding tube dependency: A retrospective analysis

Trabi

Dunitz-Scheer

Kratky

et al. 2010

Infant Mental Health Journal

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This study investigates the outcome of an intervention program to establish oral feeding after prolonged tube feeding in children. The intervention is based on supervised reduction of enteral formula within a few days supported by a 3-week program of speech therapy, occupational therapy, psychoanalytically based eating therapy, physical therapy, psychodynamic coaching, and nutritional counseling of the infant and his or her parents. Two hundred twenty-one cases were included in this study. All patients had been severely ill or were handicapped and had been exclusively fed by tube for most of their lives. The major outcome variable was complete discontinuation of tube feeding with sufficient oral feeding after treatment, defined as the child's ability to sustain stable body weight by self-motivated oral feeding. Two hundred three patients (92%) were completely fed orally after treatment. Tube feeding was discontinued completely within 8 days in mean, and mean in-patient treatment time was 21.6 days. The current method can be used by a trained and experienced team to wean tube-dependent children from prolonged tube feeding. Tube weaning should be addressed from the beginning of tube feeding in all children who are expected to restore oral feeding after the phase of nutritional stabilization. Since successful programs are rare, we were motivated to present our results of this elaborate program in this article.

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Feeding Induction in Children Who Refuse to Eat

Cited by 25 publications

References 11 publications

Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children

Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children

Characteristics and outcomes of children with enterostomy feeding tubes: A study of 325 children

Inpatient tube weaning in children with long‐term feeding tube dependency: A retrospective analysis

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