The use and experience of registered dietitians with blended diets given via a gastrostomy in the UK

Cantwell, Laura; Ellahi, Basma

doi:10.1016/j.clnesp.2017.07.007

Clinical Nutrition ESPEN

2017

DOI: 10.1016/j.clnesp.2017.07.007

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The use and experience of registered dietitians with blended diets given via a gastrostomy in the UK

Laura Cantwell

Basma Ellahi

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Cited by 3 publications

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Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Brown,

Johnson,

Gomes

et al. 2024

Nut in Clin Prac

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BackgroundBlenderized tube feedings (BTFs) are used by patients/caregivers who report improvements in gastrointestinal tolerance compared with standard commercial feedings. Despite positive outcomes, registered dietitian nutritionists or international equivalents (RDN/Is) hesitate to recommend BTFs. We aimed to determine if an association exists between dietitian characteristics and willingness to recommend BTFs.MethodsA BTF‐specific survey (N = 157) assessed for validity and reliability was administered to the American Society for Parenteral and Enteral Nutrition (ASPEN) RDN/I members. Binary logistic regression analyses examined the association between age, years of clinical practice, BTF training/education, patient population served, and willingness to recommend BTFs.ResultsThe response rate was 4.3% of ASPEN RDN/I members. Most respondents were White females with a median age of 39.0 years and 12 years of clinical experience. Although 98.7% of respondents expressed a willingness to support and 73% to recommend BTFs, 60% were not using BTFs in clinical practice. For 94.8% of RDN/Is, the primary reason for BTF use was patient/caregiver requests. After adjustment for age and years of clinical practice, RDN/Is who served pediatric populations (odds ratio [OR] = 4.28; 95% CI, 1.52–12.09) or used three or more professional resources (OR = 2.49; 95% CI, 1.12–5.57), industry‐sponsored resources (OR = 3.15; 95% CI, 1.39–7.15), or one or more experiential learning resources (OR = 3.14; 95% CI, 1.38–7.17) were more likely to recommend BTFs whereas those serving adults were less likely to recommend BTFs (OR = 0.33; 95% CI, 0.12–0.95).ConclusionPediatric RDN/Is and individuals with BTF‐specific education/training were more inclined to recommend BTFs.

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Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Brown,

Johnson,

Gomes

et al. 2024

Nut in Clin Prac

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Parents and health professionals’ experiences and perceptions of blended feeding in tube-fed children

Doyle

Louw

Shovlin

et al. 2021

JBI Evidence Synthesis

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Experiences and perceptions of multidisciplinary paediatric teams of blended tube feeding in children

Clancy,

McCormack,

Graham

et al. 2024

Nutr Health

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Background: Blended tube feeding (BTF) is the administration of pureed whole foods via gastric feeding tubes. There is some evidence to suggest that BTF may have clinical and psychosocial benefits when compared to commercial formula, but further investigation of how BTF is understood and recommended by health professionals is needed. This study aims to investigate awareness and knowledge of BTF among multi-disciplinary paediatric staff in Ireland. Methods: A cross-sectional observational study was conducted among paediatric staff in Children's Health Ireland (CHI). The 16-item anonymous online survey gathered information on awareness of BTF, willingness to recommend BTF, confidence in BTF knowledge, and self-assessed competence in managing BTF. Results: Of the 207 responses, doctors ( n68), nurses ( n66), and dietitians ( n32) provided 80.3% of responses. Two-thirds ( n136, 66%) of the total group were aware of BTF. Of these, 68.1% had cared for a child on BTF and 70% ( n = 63/90) were willing to recommend BTF. Three in five ( n = 39/63, 61.9%) stated they were somewhat confident in their BTF knowledge and one in five ( n = 12/56, 21.4%) were not yet competent in managing children on BTF. The most common reasons for recommending BTF were parental desire ( n17, 39.5%) and commercial formula intolerance ( n15, 34.9%). The most common barrier to recommending BTF was family logistics ( n18, 41.9%). The most valuable sources of information on BTF for two-thirds (68.3%) of participants were other healthcare professionals (HCPs) and patients/caregivers. Conclusion: Healthcare settings should provide evidence-based training to HCPs on BTF to optimise the treatment and safety of children under their care.

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The use and experience of registered dietitians with blended diets given via a gastrostomy in the UK

Cited by 3 publications

References 2 publications

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Parents and health professionals’ experiences and perceptions of blended feeding in tube-fed children

Experiences and perceptions of multidisciplinary paediatric teams of blended tube feeding in children

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