Psychometric Properties of the SMART Feeding Tool

Status Completed

Clinical Trial Summary

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.

Clinical Trial Description

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 ;

Study Design

Related Conditions & MeSH terms

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

Clinical Trial Details

NCT number	NCT05729828
Study type	Observational
Source	Advocate Health Care
Contact
Status	Completed
Phase
Start date	May 5, 2021
Completion date	February 10, 2022

View Details

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