Feeding Difficulties, Pediatric Feeding Disorders, Remote Patient Monitoring
Conditions
Keywords
Pediatric, Tube Weaning
Brief summary
Recent developments in remote monitoring software can provide a proactive means for data transfer for healthcare teams to communicate with families regarding activities like weaning from feeding tubes. Children's Mercy began utilizing a mHealth technology - CHAMP App® - for tube weaning in the Fall of 2023. Research gaps remain in this population, including comparing the experiences of families who could wean with methods available prior to the innovative use of a medical team collaborating with mHealth technology. This will be a single site study with one-time naturalistic, semi-structured parent interviews of children who have attempted tube weaning in their homes with two different models of care (standard ambulatory tube weaning and with the CHAMP App pilot).
Interventions
Qualitative research interview of parents of pediatric patients seen in an interdisciplinary feeding clinic who underwent a tube weaning program
Sponsors
Study design
Intervention model description
Interviews
Eligibility
Inclusion criteria
* Adults that are at least 18 years of age that are parent(s) of children with pediatric feeding disorder who have been seen in the Children's Mercy Interdisciplinary Feeding Clinic. * Parent/Legal Guardian of a child \< 6 years of age when they attempted tube weaning * Pediatric patients that have attempted a tube wean in the last 3 years (2022-2025) with the Interdisciplinary Feeding Clinic through either standard of care or through utilization of the CHAMP App
Exclusion criteria
* Non-English-speaking parent(s)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Parental Perspective | During the Tube weaning attempt, an average of 8 weeks | Explore the parental perspectives of the process of weaning from feeding tubes to all calories by mouth while in the home setting to identify preference for weaning via remote health monitoring. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Communication | During the Tube weaning attempt, an average of 8 weeks | Determine differences in communication between parents and care teams during the weaning process. |
| Stress | During the Tube weaning attempt, an average of 8 weeks | Identify how parents perceive the tube feeding process with regards to stress. |
| Social Determinates of Health | During the Tube weaning attempt, an average of 8 weeks | Identify whether social determinates of health impact tube weaning for all families. |
| Access | During the Tube weaning attempt, an average of 8 weeks | Determine if having increased access to healthcare teams during the tube weaning process has an effect on the confidence of parents to complete the wean. |
Countries
United States