Nutritional Care After Discharge in Children Term Born-18years Old
Nutritional Care After Hospital Discharge
Erasmus Medical Center
260 participants
Apr 23, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this stepped wedge cluster randomized trial is to compare nutritional care after discharge to an intervention in children term born - 18 years old discharged with newly initiated nutritional care. The main question it aims to answer is: To investigate whether a tailored nutritional care follow-up program in children who are being discharged from the hospital with nutritional support improves nutritional intake and status as well as feeding behavior and quality of life (QoL) in children and their parents. Furthermore, the effect on parental stress, anxiety, depression, and post-traumatic stress (PTSD) as well as QoL will be assessed with and without a tailored nutritional care follow-up program
Eligibility
Inclusion Criteria3
- Children term born neonates till 18 years old
- Admitted with newly initiated nutritional support(oral and/or enteral nutritional support) during hospitalization
- Nutritional Support continues at home after discharge.
Exclusion Criteria4
- Children with existing nutritional support upon admission
- Children in need of parenteral nutrition at discharge
- Children with DSM-5 diagnosed feeding disorders such as anorexia
- Absence of written informed consent
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Interventions
The goal is a structured follow-up after discharge. Parents need to fill in questionnaires about eating behavior en feeding difficulties about their child. They also need to fill in a questionnaire about their stress. Together with their nutritional intake (3-days food diary) and growth a tailor-made nutritional plan is made. All the information I showed in a dashboard and discussed it with their dietitian. Who discusses this information in a multi-disciplinary team (pediatrician, psychologist and if needed a speech therapist).
Locations(1)
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NCT06414200