Long-term evaluation of Tube Weaning Therapy
Background: The tube weaning program based in self-regulation concept has shown a high rate of success in short term outcome. In home-based and inpatient settings a success rate around 90 % are reported (Dunitz-Scheer et al., 2001; Wilken & Jotzo, 2008). Less is known about the long term outcome. In this research project the long term outcome will be evaluated.
Patients and methods: Between January 2005 and Mai 2007 85 cases were involved in the tube weaning program. All cases have been systematically evaluated before the beginning of the tube weaning therapy. At the moment, these cases are reevaluated, addressing the question: How is the actual feeding, growth, and nutritional status? Parents are sent a questionnaire which has been used before for diagnostic purpose when the children are involved in the program.
Inclusion criteria: Child is tube fed when involved in the program and therapy program is completed since 12 months.

Developmental theory of feeding development
Development of feeding has been described from different professional areas for a broad range of different aspects, like breast feeding, gastrointestinal development, the weaning period, the use of feeding spoons or family feeding relationship. All these certain aspects of feeding development have to be integrated to explain why and how children are eating at which period.

In this review project the developmental areas of feeding development should be described and the interrelationship analyzed. From this a developmental framework to describe and explain feeding development should be derived. This framework should be the basis for further experimental and field investigation.