The role of different diets in children who are gastrostomy fed

Conditions

Children who are gastrostomy fed Not Applicable

Fraser LK, Bedendo A, O'Neill M, Taylor J, Hackett J, Horridge KA, Cade J, Richardson G, Phung H, McCarter A, Hewitt CE.

2024-07-185 citations

10.1136/archdischild-2023-326393

‘Your Tube’: the role of different diets in children who are gastrostomy fed: protocol for a mixed methods exploratory sequential study

Jo Taylor, Mark O’Neill, Jane Maddison, Gerry Richardson, Catherine Hewitt et al. (10 authors)

BMJ Open2019-10-0112 citations

10.1136/bmjopen-2019-033831

Interventions

Stage 1: Interviews of parents (n=20) of children who are gastrostomy fed, young people (n=5-10) who are gastrostomy fed, and relevant healthcare professionals (n=24-32) including paediatrician, dieti

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Workstream 1: 1. Parents of children and young people (aged 6 months up to 18 years) who are fed via a gastrostomy 2. Young people aged 12-18 years currently using a gastrostomy and with no significant cognitive impairments 3. Health professionals, specifically paediatricians, dietitians, children’s community nurses, and Speech and Language Therapists Workstream 2: Children (aged 6 months - 18 years inclusive) who receive all or part of their nutrition via gastrostomy tube, and their parent/guardian

Exclusion criteria

Exclusion criteria: 1. Children with a temporary gastrostomy 2. Infants up to 6 months and young people who are 19 years and older 3. Non-residents of England

Design outcomes

Primary

Measure	Time frame
Gastrointestinal symptoms measured using the PedsQL Gastrointestinal Symptoms module at baseline, 9 and 18 months	—

Secondary

Measure	Time frame
1. Child health-related quality of life measured using the PedsQL Generic module at baseline, 9 and 18 months 2. Parent health-related quality of life measured using the EQ5D-5L at baseline, 9 and 18 months 3. Dietary intake measured using parent-reported food diaries and using the MyFood24 dietary assessment tool at baseline, 9 and 18 months 4. Anthropometric measurements (weight, height/length, body mass index, mid upper arm circumference, multiple skin folds) measured at baseline, 9 and 18 months 5. Healthcare usage (appointments with paediatric and dietetic teams, emergency hospital admissions, GP attendance, A&E visits) measured at baseline, 9 and 18 months 6. Safety (parent-reported tube blockages, A&E or hospital visits to unblock or replace the gastrostomy device, gut or stoma site infections and antibiotics prescribed for these) measured at baseline, 9 and 18 months 7. Resource use (cost of feeds, including dietetic resources, cost of equipment to prepare feeds, time to prepare and administer feeds) measured at baseline, 9 and 18 months Outcomes are subject to change based on the results of phase 1 of the study	—

Measure

Time frame

1. Child health-related quality of life measured using the PedsQL Generic module at baseline, 9 and 18 months 2. Parent health-related quality of life measured using the EQ5D-5L at baseline, 9 and 18 months 3. Dietary intake measured using parent-reported food diaries and using the MyFood24 dietary assessment tool at baseline, 9 and 18 months 4. Anthropometric measurements (weight, height/length, body mass index, mid upper arm circumference, multiple skin folds) measured at baseline, 9 and 18 months 5. Healthcare usage (appointments with paediatric and dietetic teams, emergency hospital admissions, GP attendance, A&E visits) measured at baseline, 9 and 18 months 6. Safety (parent-reported tube blockages, A&E or hospital visits to unblock or replace the gastrostomy device, gut or stoma site infections and antibiotics prescribed for these) measured at baseline, 9 and 18 months 7. Resource use (cost of feeds, including dietetic resources, cost of equipment to prepare feeds, time to prepare and administer feeds) measured at baseline, 9 and 18 months Outcomes are subject to change based on the results of phase 1 of the study

—

Countries

England, United Kingdom

Outcome results

None listed