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Single-Case Evaluation of Oral Feeding Intervention and Gastrostomy Tube Fading in Adults with Intellectual and Multiple Disabilities

Title: Single-Case Evaluation of Oral Feeding Intervention and Gastrostomy Tube Fading in Adults with Intellectual and Multiple Disabilities
Language: English
Authors: Lindsay Bly; Maureen McBeth; Ibukun Olagunju; Heather Hirst; Dani Block; Frank Bird; James K. Luiselli
Source: Journal of Intellectual & Developmental Disability. 2024 49(1):107-114.
Availability: Taylor & Francis. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 8
Publication Date: 2024
Document Type: Journal Articles; Reports - Research
Descriptors: Adults; Intellectual Disability; Nutrition; Multiple Disabilities; Intervention; Program Effectiveness; Interdisciplinary Approach; Food
DOI: 10.3109/13668250.2023.2206296
ISSN: 1366-8250; 1469-9532
Abstract: Background: Some adults with intellectual disabilities do not acquire oral feeding skills and are dependent on gastrostomy tube supplementation. Methods: Two adults with intellectual and multiple disabilities received intervention for oral consumption during daily meals (standardised food and liquid quantities, individualised procedural guidelines, and consumption-contingent consequences) while the frequency and amount of gastrostomy tube feedings were gradually decreased and eliminated. Results: Compared to baseline (pre-intervention) conditions, the adults increased oral consumption of food and liquid during the intervention and gastrostomy tube supplementation was eliminated. These intervention results continued through multiyear follow-up, one participant lost considerable weight, the second participant maintained weight, and both participants had good health (no hospitalisations, illnesses, and missed medications) and benefited from eating daily meals among their peers. Conclusions: Behaviourally-based intervention with interdisciplinary collaboration and appetite stimulation strategy can establish and improve oral feeding in adults with intellectual and multiple disabilities who were previously gastrostomy tube dependent.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1407601
Database: ERIC