A co-designed online education resource on gastrostomy feeding for parents and caregivers to support clinical care.

Abstract

Children with complex needs and severe disability may undergo gastrostomy insertion to support feeding difficulties. Parent education programs are critical components of clinical care pathways but there is little information on parent-reported educational needs. This study describes the collaborative process that yielded a resource to assist parents considering gastrostomy tube placement for their children, and the evaluation of the resource. A qualitative descriptive study was conducted to identify parent needs for gastrostomy education. Based on these data and co-designing with parents with a child with gastrostomy tubes, an online resource comprising video and written materials was developed. Twenty parents then evaluated its suitability for parent learning. Data describing parent needs were coded into categories which represented the gastrostomy "journey" - Decision Making, Hospital Stay and Living with Gastrostomy. Called Nourish, the gastrostomy training resource comprised 19 videos and 18 accompanying worksheets. Twenty parent caregivers rated it highly for its support for learning, confidence building and planning. The process that created Nourish generated a useful resource for parents considering or managing gastrostomy tube feedings for their children. Positive feedback suggests that this approach could be a valuable adjunct to clinical care.