Experiences of Allied Health Clinicians Accessing a Pilot Project ECHO® Program to Support Learning in Pediatric Feeding.

Introduction: Pediatric feeding disorder is increasing in prevalence, yet low clinician confidence regarding its management is a barrier to care. Targeted clinician training is needed as traditional didactic training programs are limited in both their accessibility and capacity to provide opportunities for the application of theory-based learning.

Methods: This study examined the experiences of a group of clinicians involved in a multidisciplinary PedFeed ECHO® network, a virtual community of practice established to support speech pathologists, occupational therapists, dieticians, and psychologists in Queensland, Australia, working with children with pediatric feeding disorder.

Examining the Outcomes of Project ECHO as an Interprofessional Community of Practice for Pediatric Feeding Clinicians.

Project ECHO is a virtual, interprofessional, cased-based peer-learning model. To date, no studies have explored ECHO as a model for pediatric feeding education. This study examined the outcomes of establishing a pediatric feeding ECHO network.

Characteristics and health service utilization of children most at risk for prolonged temporary tube feeding.

Background: This study aimed to describe children at risk of prolonged temporary tube feeding and evaluate associations between tube feeding duration and child and health service variables.

Methods: A prospective medical hospital records audit was conducted between November 1, 2018, and November 30, 2019. Children at risk of prolonged temporary tube feeding were identified as having a tube feeding duration of >5 days.

Understanding Training Needs in Pediatric Feeding for Allied Health Professionals: An Australian Perspective.

Purpose: Clinician experience and confidence can negatively impact pediatric feeding service availability, but limited research has investigated what training allied health professionals (AHPs) need to increase these factors. This study developed and distributed a survey investigating Australian AHPs' self-reported confidence and anxiousness, training needs, factors impacting training access, and training preferences.

Method: This study was conducted over two phases.

A natural history of temporary tube feeding care at a children's hospital: A prospective audit of medical records.

This chart audit characterized the natural history of temporary tube feeding use at a children's hospital between 1 November 2018 and 30 November 2019. Data were collected from the decision-making phase until tube removal or 4 months post-tube insertion. Children's tube feeding journeys were described, and associations determined between patient and service-related variables and outcomes of tube feeding duration and being discharged with a feeding tube.

Paediatric tube-feeding: An agenda for care improvement and research.

This article presents an agenda to improve the care and wellbeing of children with paediatric feeding disorder who require tube feeding (PFD-T). PFD-T requires urgent attention in practice and research. Priorities include: routine collection of PFD-T data in health-care records; addressing the tube-feeding lifecycle; and reducing the severity and duration of disruption caused by PFD-T where possible.

Temporary feeding tube dependency in pediatric patients: A retrospective analysis of risk factors and preventative practices.

Background & Aims: Prolonged temporary tube feeding places pediatric patients at risk of tube dependency. This chart audit aimed to identify current temporary tube feeding practice within an Australian tertiary hospital, risk factors of prolonged temporary tube feeding, and the likelihood of high risk patients receiving tube dependency preventative practices.

Methods: A retrospective chart audit was conducted of the medical records of 187 pediatric inpatients who had temporary feeding tubes placed in an Australian tertiary hospital between November 2014 and March 2017.

Weaning children from temporary tube feeding: Staff survey of knowledge and practices.

Aim: To explore the understanding of and practices of health-care workers in weaning children from feeding tubes.

Methods: An electronic survey of doctors, nurses, and allied health professionals at Children's Health Queensland obtained demographic information and awareness of various areas of tube feeding management particularly tube weaning.

Results: The 155 health-care providers formed three well-matched groups in terms of number and years of experience.

Characterisation of information Hospitals Provide Parents on Tube Feeding, Including Tube Weaning.

Purpose: The purpose of this study was to characterise the content of hospital parent guides related to pediatric tube feeding.

Design And Methods: A naturalistic search strategy was used to retrieve parent guides produced by hospitals using Google. Guides were analysed and content identified as being associated with codes which were derived from previous research into the education of parents on tube feeding and the prevention and treatment of tube feeding dependency and tube weaning.

Is sensory processing an issue for infants with colic?

Objectives: To determine the association between sensory functioning, sleep, cry/fuss, and feeding behaviors of infants with colic younger than 4 months of age.

Methods: Dunn's Infant/Toddler Sensory Profile™ and a modified Barr Baby Day Diary were used to assess 44 breastfed infants with colic under four months of age. Colic was defined according to Wessel's criteria.

Spray on skin improves psychosocial functioning in pediatric burns patients: a randomized controlled trial.

Purpose: Microskin is a sprayed on, computer color-matched, skin camouflage which can last for up to 5 days after application. It binds to the epidermis and the patient can sweat and swim with it on. The purpose of the current study was to determine whether Microskin produces psychosocial benefit in pediatric burns patients.