{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:42:26Z","timestamp":1761007346130,"version":"build-2065373602"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"JSPS KAKENHI","award":["26460852","17K09221)"],"award-info":[{"award-number":["26460852","17K09221)"]}]}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nut in Clin Prac"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Swallowing rehabilitation for patients living with a percutaneous endoscopic gastrostomy (PEG) tube for home enteral nutrition (HEN) is poorly documented, and the quality of caregivers\u2019 daily lives is also unknown.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study based on constant comparative analysis was conducted. The study subjects were the caregivers of acquired brain injury survivors residing at home and living with a PEG tube for HEN who had recovered slight oral intake because of swallowing rehabilitation. Interviews were transcribed into anonymous transcripts and analyzed using inductive qualitative analysis. After 2 researchers performed the initial analysis, related concepts were extracted using matrix\u2010based methods. Finally, an audit was conducted to verify the consistency between the data and extracted concepts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 22 caregivers (17 stroke cases and 5 traumatic brain injury cases), 21 were female and 1 was male. The psychological impact on caregivers\u2019 daily lives because of the patients\u2019 slight recovery of oral intake consisted of 4 concepts: (1) reconstructing and\/or strengthening a sense of family belonging, (2) combining oral intake and other rehabilitation, (3) reducing the burden of providing care, and (4) relieving social isolation. Additionally, the evaluation of swallowing function using video endoscopy at every visit led to compliance with eating safety to fit patients\u2019 swallowing ability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Slight recovery of patients\u2019 oral intake changed the daily lives of emotionally overwhelmed caregivers. The evaluation of swallowing disabilities using video endoscopy for patients with a PEG tube for HEN may reveal recovery of eating function and increase compliance with eating safety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ncp.10253","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T09:56:28Z","timestamp":1549878988000},"page":"272-279","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Caregivers\u2019 Perspectives on the Slight Recovery of Oral Intake of Home\u2010Dwelling Patients Living With a Percutaneous Endoscopic Gastrostomy Tube: A Qualitative Study Using Focus Group Interviews"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6994-7567","authenticated-orcid":false,"given":"Hiroko","family":"Mori","sequence":"first","affiliation":[{"name":"Department of Health Informatics Kyoto University School of Public Health  Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariko","family":"Naito","sequence":"additional","affiliation":[{"name":"Department of Oral Epidemiology Graduate School of Biomedical and Health Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayako","family":"Nakane","sequence":"additional","affiliation":[{"name":"Gerodontology and Oral Rehabilitation Department of Gerontology and Gerodontology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haruka","family":"Tohara","sequence":"additional","affiliation":[{"name":"Gerodontology and Oral Rehabilitation Department of Gerontology and Gerodontology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533617718472"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000190056.76543.eb"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/63.12.1992"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/02699058909008069"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.30.4.744"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2016.40.3.432"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2017.06.019"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu7042524"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426506021006557"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1300948"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2011.10.016"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-230X-6-37"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpt.12664"},{"volume-title":"Disability and Health: Short Version","year":"2001","author":"World Health Organization","key":"e_1_2_6_15_1"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.56"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.06.021"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-016-9717-7"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616661012"},{"volume-title":"Handbook of Qualitative Research","year":"1994","author":"Denzin NK","key":"e_1_2_6_20_1"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.19.5.604"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.11.049"},{"volume-title":"Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory","year":"1990","author":"Strauss A","key":"e_1_2_6_23_1"},{"volume-title":"Qualitative Research Practice: A Guide for Social Science Students and Researchers","year":"2003","author":"Ritchie J","key":"e_1_2_6_24_1"},{"key":"e_1_2_6_25_1","unstructured":"1984 SAGE Thousand Oaks MB Miles AM Huberman Qualitative data analysis: an expanded sourcebook"},{"key":"e_1_2_6_26_1","unstructured":"Ministry of Health Labor and Welfare.Long\u2010term care insurance system of Japan.https:\/\/www.mhlw.go.jp\/english\/policy\/care-welfare\/care-welfare-elderly\/dl\/ltcisj_e.pdf. Accessed October 11 2018."},{"issue":"495","key":"e_1_2_6_27_1","first-page":"803","article-title":"Developing a primary care\u2010based stroke model: the prevalence of longer\u2010term problems experienced by patients and carers","volume":"53","author":"Murray J","year":"2003","journal-title":"Br J Gen Pract"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.783630"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0082896"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607107031004334"},{"key":"e_1_2_6_31_1","unstructured":"Stroke Association.A complete guide to emotional change after stroke.https:\/\/www.stroke.org.uk\/sites\/default\/files\/feeling_overwhelmed_final_web_0.pdf. Accessed June 2017."},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/09602011.2015.1051056"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.3233\/NRE-2007-22105"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1140836"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-014-9527-8"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3226"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2012.10.004"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533617701401"},{"key":"e_1_2_6_39_1","unstructured":"GESIS 2016.ISSP 2012 \u2013 Family and Changing Gender Roles IV Variable Report: Documentation release 2016\/11\/23 related to the international dataset Archive\u2010Study\u2010No. ZA5900 Version 4.0.0 Variable Reports 2016|12.Cologne:GESIS. Accessed June 2017."}],"container-title":["Nutrition in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fncp.10253","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ncp.10253","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:48:42Z","timestamp":1760964522000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ncp.10253"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,11]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/ncp.10253"],"URL":"https:\/\/doi.org\/10.1002\/ncp.10253","archive":["Portico"],"relation":{},"ISSN":["0884-5336","1941-2452"],"issn-type":[{"type":"print","value":"0884-5336"},{"type":"electronic","value":"1941-2452"}],"subject":[],"published":{"date-parts":[[2019,2,11]]},"assertion":[{"value":"2019-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}