Psychometric Properties of the SMART Feeding Tool

NCT ID: NCT05729828

Last Updated: 2024-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

76 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-05-05

Study Completion Date

2022-02-10

Brief Summary

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This observational study aims to evaluate the psychometric properties of a new infant feeding tool called "SMART Tool" in the neonatal intensive care unit. The main questions it aims to answer are:

1. To design a feeding tool to assess oral motor and neurobehavioral skills in neonates
2. To establish psychometrics of the new tool by doing reliability and validity tests.

Detailed Description

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Research supports the use of infant-directed feeding practices versus a volume-driven approach. Infant-directed feeding practices provide developmentally supportive and neuroprotective care to fragile feeders. In addition, various assessment tools exist to evaluate both breast and bottle feeding. Assessment tools are crucial to feeders with guidance in their decision-making, identifying when an infant is ready to feed and recognizing any feeding-related safety concerns.

The scoring of a tool should provide an opportunity to reflect on the strengths and areas of deficit in feeding events and allow feeders to modify feeding practices for the next attempt or pursue further assessment by a feeding specialist. Few tools exist to evaluate both oral skills and neurobehavioral skills. Some tools available have inadequate psychometric data to support their use. If robust psychometrics exist, the length and complexity of the device may intimidate users and deter consistent use.

The SMART tool was developed to capture the multifaceted aspects of feeding while remaining brief in its administration time. The tool provides an opportunity to evaluate skills and develop a plan after feeding to provide consistent quality care. Additionally, tracking scores over time helps in patient safety for the goal of a high-reliability organization.

This study has two objectives: 1. to create a new tool using synactive development theory and trauma-informed care approach for neonates and 2. to establish this tool's psychometrics (validity and reliability). This multicenter trial will be done over four sites (NICU) in Advocate Aurora Health (AAH) to observe feeding events in neonates. Before and after each feed, scoring of feeding quality will be done to do psychometrics. If the study succeeds, this tool will be employed in clinical care in all the NICUs of AAH.

Acronyms \& Abbreviations:

* AAH: Advocate Aurora Health
* NEOA: Neonatal Eating Outcome Assessment Tool
* NICU: Neonatal Intensive care unit
* PMA: Postmenstrual age (weeks)
* SMART: State of Arousal, Motor Tone, Autonomic Instability, Response to Stimulation, Total Oral Skills

Conditions

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Feeding; Difficult, Newborn Premature Infant Disease Dysphagia of Newborn Nurse's Role Feeding Disorder of Infancy or Early Childhood Trauma and Stressor Related Disorders Deglutition Disorders in Infants Malnutrition, Infant

Keywords

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neonate dysphagia trauma informed care infant and family centred developmental care synactive developmental theory psychometrics deglutition pediatric feeding disorder SMART Tool life course health development

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Observation group

Neonates with PMA 33 weeks, 0 days or more, present in NICU. No intervention was done.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1. At least 33 weeks, 0 days PMA
2. Able to tolerate enteral feedings
3. Parental consent available

Exclusion Criteria

1\) Respiratory support of more than two liter-per-minute oxygen via nasal cannula
Minimum Eligible Age

33 Weeks

Maximum Eligible Age

50 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ravi Mishra, MD, FAAP

Role: PRINCIPAL_INVESTIGATOR

Advocate Health

Anne Albi, SLP, IBCLC

Role: PRINCIPAL_INVESTIGATOR

Advocate Health

Cynthia Liracrame, MSN, RNC-NIC

Role: PRINCIPAL_INVESTIGATOR

Advocate Health

Locations

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Advocate Illinois Masonic Medical Center

Chicago, Illinois, United States

Site Status

Advocate Good Samaritan Hospital

Downers Grove, Illinois, United States

Site Status

Advocate Children's Hospital - Oak Lawn

Oak Lawn, Illinois, United States

Site Status

Advocate Children's Hospital - Park Ridge

Park Ridge, Illinois, United States

Site Status

Countries

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United States

Other Identifiers

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21.001E

Identifier Type: -

Identifier Source: org_study_id