scholarly journals The Interrater and Intrarater Reliability of the Preterm Infant Oral Feeding Readiness Assessment Scale

2019 ◽  
pp. 31-38 ◽  
Author(s):  
Faride Kamran ◽  
Setare Sagheb ◽  
Mahshid Aghajanzade ◽  
Abbas Ebadi ◽  
Yser Faryadras ◽  
...  
Author(s):  
Faride kamran ◽  
Setare Sagheb ◽  
Mashid Aghajanzade ◽  
Abbas Ebadi ◽  
Yaser Faryadras ◽  
...  

Introduction: One of the most challenging decisions is to assess the preterm infant’s transition from tube feeding to oral feeding. Thus, we require a reliable tool for determining the time to start oral feeding. This study aimed to measure the interrater and intrarater reliability of the Preterm Infant Oral Feeding Readiness Assessment scale (PIOFRA). Materials and Methods: This study was an observational, cross-sectional study. The study participants were preterm infants who had been hospitalized in the Neonatal Intensive Care Unit of Shariati Hospital affiliated to Tehran University of Medical Sciences, between December 2017 and February 2018. The inclusion  criteria  were  absence  of neurological and gastrointestinal disorders or major congenital anomalies, Apgar score 3 or more in the first 1 minute, and 5 or more in the first 5 minutes. The exclusion criteria included family’s unwillingness to participate in the study, infant’s death, or a sudden change that affects neonates’ nutritional status, like cerebral hemorrhage or intestinal problems. Results: The interrater and intrarater reliability of the total PIOFRA scale was good Intraclass Correlation Coefficients (ICC˃0.75). The interrater and intrarater reliability of most items were good and excellent, with weighted kappa more than 0.50, with the exception of lip posture and especially stress sign, with weighted kappa less than 0.40. Conclusion: Generally, most items of the PIOFRA scale had acceptable interrater and intrarater reliability. Also, the interrater and intrarater reliabilities of the total POFRAs score was good.


Author(s):  
Yu-Jung Chang ◽  
Grace Hao ◽  
Jing-Yang Huang ◽  
Shun-Fa Yang ◽  
Chia-Chen Huang ◽  
...  

Revista CEFAC ◽  
2017 ◽  
Vol 19 (4) ◽  
pp. 503-509 ◽  
Author(s):  
Raquel Coube de Carvalho Yamamoto ◽  
Leila Sauer Prade ◽  
Geovana de Paula Bolzan ◽  
Angela Regina Maciel Weinmann ◽  
Márcia Keske-Soares

ABSTRACT Objective: this study aimed at investigating the Schedule Oral Motor Assessment (SOMA) tool to be used with preterm infants and to compare its results with the Preterm Oral Feeding Readiness Assessment Scale (POFRAS) to start oral feeding. Methods: a cross-sectional and quantitative study, consisting in a sample of 45 healthy and clinically stable preterm infants, assessed at their first oral feeding with two tools: the Schedule Oral Motor Assessment and Preterm Oral Feeding Readiness Assessment Scale. Stata 10.0 software was used for data analysis. Results: 10 preterm infants with readiness for oral feeding showed normal oral motor function, and 16, presented with oral motor dysfunction, did not show readiness for feeding (p <0.05). The time of transition for full oral feeding was 13.5 (± 8.1) days for preterm infants with better results in both assessment tools, and 17.7 (± 10.9) days for those who did not show readiness for oral feeding and had oral motor dysfunction to initiate oral feeding, resulting in a given clinical relevance, even showing no significance (p> 0.05). Conclusion: these results suggest that the Schedule Oral Motor Assessment can be an adjunctive method for evaluation of the oral motor function at the first oral feeding in preterm infants.


2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Bruna Lima da Silveira ◽  
Regina Célia Sales Santos ◽  
Maria Gabriella Silva Araújo ◽  
Gláucia Alyne Nunes de Lacerda ◽  
Mércia Lisieux Vaz da Costa Mascarenhas ◽  
...  

ABSTRACT Objective: To correlate nine facial anthropometric measurements with the readiness for oral feeding of late preterm newborns using an orogastric tube. Methods: Observational study, carried out in two institutions in Maceió, Alagoas. Fifty-two newborns participated. A single measuring of nine facial measurements and daily measuring of the interface area for fixing the tube was performed. For readiness assessment, the Premature Oral Feeding Readiness Assessment Scale was used. Results: An average readiness of 28.81 (± 3.18) was observed in the first evaluation and 30.65 (± 3.23) in the second. Most facial measurements are correlated with weight. There was a positive and slight correlation between glabella-subnasale distance and readiness. No correlation was observed between the area of the tube fixation interface and facial measurements. Conclusion: It is concluded that the glabella-subnasale measurement is positively correlated with the readiness for oral feeding in late preterm newborns who used an orogastric tube for feeding.


2016 ◽  
Vol 28 (4) ◽  
pp. 92-92 ◽  
Author(s):  
Ilaria Orsenigo ◽  
Simona Serveli ◽  
Angela Cicconetti ◽  
Roberta Da Rin Della Mora

2013 ◽  
Vol 21 (spe) ◽  
pp. 140-145 ◽  
Author(s):  
Cristina Ide Fujinaga ◽  
Suzana Alves de Moraes ◽  
Nelma Ellen Zamberlan-Amorim ◽  
Thaíla Corrêa Castral ◽  
Andreara de Almeida e Silva ◽  
...  

INTRODUCTION: Health professionals have great difficulties to establish the adequate and safe time to start breast feeding in preterm infants. There is a need to develop a standardized tool to help health professionals to comprehensively evaluate preterm infant readiness to transition preterm infants´ feeding from gastric to oral, and encourage breast feeding practice in neonatal units. Aims: To clinical validate the accuracy of a Preterm Oral Feeding Readiness Assessment Scale with 60 clinically stable preterm infants. METHODS: Global accuracy, sensitivity and specificity of Preterm Oral Feeding Readiness Assessment Scale cut-offs, compared to milk intake through translactation, were estimated through ROC curves (Receiver Operating Characteristic Curves). RESULTS: The global accuracy of Preterm Oral Feeding Readiness Assessment Scale was 74.38%. The highest sensitivity and specificity were obtained for three cut-offs: 28, 29 and 30. Since higher specificity (75.68%) for the Preterm Oral Feeding Readiness Assessment Scale was found at a score cut-off=of 30 showed higher specificity (75.68%), it should be used as a cut-off score to select initiate breastfeeding the preterm newborns' oral feeding readiness. CONCLUSION: The Preterm Oral Feeding Readiness Assessment Scale is considered valid to assist health professionals to initiate preterm feeding in view of promoting safe and objective breastfeeding.


2002 ◽  
Vol 83 (10) ◽  
pp. 1349-1354 ◽  
Author(s):  
Allison Brashear ◽  
Ross Zafonte ◽  
Michael Corcoran ◽  
Nestor Galvez-Jimenez ◽  
Jean-Michel Gracies ◽  
...  

2003 ◽  
Vol 21 (1) ◽  
pp. 61-92 ◽  
Author(s):  
SUZANNE M THOYRE

The development of early oral feeding skills in the preterm infant is an active and complex area of nursing research. This integrative review summarizes the accumulated nursing research since 1990 that describes feeding the preterm infant during the transition from gavage to full oral feeding. Literature was identified through searches of databases covering the fields of nursing and medicine and of journals and nurse researchers who publish in this area of study. Four main areas of research were identified: development of infant feeding skills, descriptive studies on the transition period, studies that focus on identifying infant readiness to begin oral feeding, and studies that explore optimal ways to advance oral feeding as the infant moves toward full oral feeding. Research studies were critiqued from a developmental science perspective, which conceptualizes feeding skill as an emergent property of multiple systems, both within and outside the infant, that are interacting and working together to promote optimal functioning. Through this analysis, areas for future research are identified.


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