Clinical outcomes associated with blenderized tube feedings in adults: A systematic review

Schultz, Erin R.; Kim, Yeonsoo

doi:10.1002/ncp.11087

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…10,[13][14][15] There are a lack of randomized controlled trials comparing CEFs with BTFs; however, observational studies indicate BTFs are associated with improved health outcomes and quality of life, such as decreased hospital use and increased patient satisfaction compared with CEFs. 3,16,17 More recent studies have shown that BTFs are safe and well tolerated. [18][19][20] Barriers to BTF use include the need for a specialized blender, time and labor involved in preparing BTFs, cost, difficulty managing BTFs away from home, concerns caused by commercial insurance coverage, and inadequate support from the family or HCP.…”

Section: Btf Benefits and Barriersmentioning

confidence: 99%

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Brown,

Johnson,

Gomes

et al. 2024

Nut in Clin Prac

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BackgroundBlenderized tube feedings (BTFs) are used by patients/caregivers who report improvements in gastrointestinal tolerance compared with standard commercial feedings. Despite positive outcomes, registered dietitian nutritionists or international equivalents (RDN/Is) hesitate to recommend BTFs. We aimed to determine if an association exists between dietitian characteristics and willingness to recommend BTFs.MethodsA BTF‐specific survey (N = 157) assessed for validity and reliability was administered to the American Society for Parenteral and Enteral Nutrition (ASPEN) RDN/I members. Binary logistic regression analyses examined the association between age, years of clinical practice, BTF training/education, patient population served, and willingness to recommend BTFs.ResultsThe response rate was 4.3% of ASPEN RDN/I members. Most respondents were White females with a median age of 39.0 years and 12 years of clinical experience. Although 98.7% of respondents expressed a willingness to support and 73% to recommend BTFs, 60% were not using BTFs in clinical practice. For 94.8% of RDN/Is, the primary reason for BTF use was patient/caregiver requests. After adjustment for age and years of clinical practice, RDN/Is who served pediatric populations (odds ratio [OR] = 4.28; 95% CI, 1.52–12.09) or used three or more professional resources (OR = 2.49; 95% CI, 1.12–5.57), industry‐sponsored resources (OR = 3.15; 95% CI, 1.39–7.15), or one or more experiential learning resources (OR = 3.14; 95% CI, 1.38–7.17) were more likely to recommend BTFs whereas those serving adults were less likely to recommend BTFs (OR = 0.33; 95% CI, 0.12–0.95).ConclusionPediatric RDN/Is and individuals with BTF‐specific education/training were more inclined to recommend BTFs.

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Section: Btf Benefits and Barriersmentioning

confidence: 99%

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Brown,

Johnson,

Gomes

et al. 2024

Nut in Clin Prac

View full text Add to dashboard Cite

show abstract

A study of professional practices, attitudes and barriers to blended tube feeding in Australia and New Zealand

Reilly,

Ross,

Watene

et al. 2024

Nutrition & Dietetics

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AimsThis study investigates the utilisation of blended tube feeding by health professionals in Australia and New Zealand, assessing factors influencing its implementation following the Australasian Society of Parenteral and Enteral Nutrition blended tube feeding consensus statement.MethodsA cross‐sectional survey was conducted targeting health professionals across Australia and New Zealand. The survey comprised 35‐questions including multiple choice, Likert scales and open‐ended responses, to gain insights into blended tube feeding practices and perspectives. The effect of the health professional factors on outcomes was explored in pairs with a series of Chi‐squared tests. Odds ratios (ORs) were calculated using standard univariate logistic regression. An exploratory content analysis was used to code the open‐ended text responses to the survey questions which were then categorised and further synthesised into overarching themes.ResultsOut of 89 health professionals who completed the survey, the majority were dietitians, 63% reported managing fewer than five patients using blended tube feeding within their services. Parental request was the leading reason for adoption. Notable barriers included clinician time constraints, resource limitations and a lack of formal guidelines. Some health professionals considered the primary risk associated with blended tube feeding to be poor growth and/or weight loss. Professional development was pivotal in increasing confidence and advocating for blended tube feeding, with significant correlations observed between blended tube feeding training and clinical practice.ConclusionsThis study emphasises the essential role of education, resource availability and institutional policy in promoting blended tube feeding practices for health professionals. Findings suggest that focusing on professional development and standardised resources could significantly enhance knowledge, confidence and competence of health professionals in blended tube feeding application. The outcomes point towards the need for a coordinated approach to support evidence‐based blended tube feeding practices, aligning with the Australasian Society of Parenteral and Enteral Nutrition blended tube feeding resources and recommendations.

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The transition from blenderized tube feeding to medical nutrition therapy in the adult patient with spastic dystonia

Ulusoy,

Kangalgil,

Bayramoğlu

et al. 2024

Clin Sci Nutr

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The popularity of blenderized tube feeding continues to increase due to patient and caregiver demand. However, the evidence for blenderized tube feeding is limited, particularly for its effectiveness and safety in long-term use. This case study, the transition process from blenderized tube feeding to medical nutrition therapy with commercial enteral formula in an adult patient with spastic dystonia. The patient was a 27-year-old male who was admitted to the neurology service. The patient, who had been on a long period of blenderized tube feeding, was malnourished when the nutritional status was assessed. The patient who was resistant to nutrition regimen changes was administered medical nutrition therapy, which included a commercial enteral formula with a gradual increase in dose, with a monitoring protocol for approximately three months. This case report discusses and applies the provision of individualized medical nutrition therapy in conjunction with appropriate decision-making by the nutrition support team for the nutritional management of an adult patient with a history of long-term blenderized tube feeding. Further research is needed to determine the indications, contraindications and treatment protocols for blenderized tube feeding.

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Clinical outcomes associated with blenderized tube feedings in adults: A systematic review

Cited by 3 publications

References 38 publications

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

Knowledge and clinical practice of ASPEN registered dietitian nutritionist members regarding blenderized tube feedings

A study of professional practices, attitudes and barriers to blended tube feeding in Australia and New Zealand

The transition from blenderized tube feeding to medical nutrition therapy in the adult patient with spastic dystonia

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