Messy Play Therapy in the Treatment of Food Aversion in a Patient With Intestinal Failure: Our Experience
| Autor: | Antonino Morabito, Lynette Forsythe, Riccardo Coletta, Andrea Aversano, F. Chiatto, Tracy Warburton |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Parenteral Nutrition Psychological intervention Medicine (miscellaneous) Feeding and Eating Disorders 03 medical and health sciences 0302 clinical medicine Quality of life Interquartile range 030225 pediatrics Intervention (counseling) Play therapy Medicine Weaning Humans 030212 general & internal medicine Retrospective Studies Nutrition and Dietetics business.industry Infant Oral aversion Play Therapy Intestinal Diseases Parenteral nutrition Treatment Outcome Infant Behavior Quality of Life Female business |
| Zdroj: | JPEN. Journal of parenteral and enteral nutrition. 43(3) |
| ISSN: | 1941-2444 |
| Popis: | Background Food aversion (FA) is an eating behavior where children refuse solid or fluid intake. FA can compromise the weaning off parenteral nutrition (PN) in children with intestinal failure (IF), reducing their quality of life (QoL). Around 25% of children with IF experience FA, but few data are available on interventions to get over FA. Messy play therapy (MPT) uses sensory activities to provide another meaningful avenue for learning in children by creating a fun way to experience new textures. This study aims to assess the efficacy of MPT in FA. Methods Demographic data and MPT intervention were retrospectively recorded between 2004 and 2017. Food was categorized by tastes and textures. Data are expressed as median and interquartile range (25%-75%). Results Twelve children were identified. MPT was started at 9 (6-16) months with an enrolling time within the program of 10.11 (7.75-12.5) months. MPT was ended after 19.5 (16.75-28.5) months, and all patients achieved tolerance to oral diet. Significant improvement in savory (P = .001), sweet (P = .002), and mixed texture (P = .001) of food intake was reported. Better QoL and mealtimes with family were reported at median follow-up of 39 (24-56) months. Conclusions MPT seems to be a positive intervention to overcome FA. In our experience, the children have gone from not tolerating any intake to tolerating an oral diet, which means enjoying their mealtimes. Further studies are needed to evaluate the effectiveness of MPT in a larger scale of patients. |
| Databáze: | OpenAIRE |
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