scholarly journals Evaluating the Use of Telepractice for Bottle-Feeding Assessments

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 989
Author(s):  
Madeline Raatz ◽  
Elizabeth C. Ward ◽  
Jeanne Marshall ◽  
Clare L. Burns
Keyword(s):  
Motor Skills ◽  
Bottle Feeding ◽  
Developmental Level ◽  
Limited Evidence ◽  
Oral Motor ◽  
The Family ◽  
Clinician Satisfaction ◽  
Feeding Assessment ◽  
Feeding Skills ◽  
Session Satisfaction

There is currently limited evidence supporting the use of telepractice to conduct bottle-feeding assessments. This study aimed to investigate the inter-rater reliability of bottle-feeding assessments conducted via synchronous telepractice (real-time videoconferencing). Secondary aims were to investigate parent and clinician satisfaction. Bottle-feeding skills of 30 children (aged 1 month–2 years) were simultaneously assessed by a telepractice SP (T-SP) at a remote location and an in-person SP (IP-SP) at the family home. A purpose-designed assessment form was used to evaluate: (1) developmental level (screen only), (2) state, color, and respiration, (3) oral motor skills, (4), infant oral reflexes, (5) tongue tie (screen only), (6) non-nutritive suck, (7) bottle-feeding, (8) overall feeding skills and (9) recommendations. Results of the T-SP and IP-SP assessments were compared using agreement statistics. Parents reported perceptions of telepractice pre and post session, and also rated post-session satisfaction. The telepractice SP completed a satisfaction questionnaire post-appointment. The majority of assessment components (45/53, 85%) met the agreement criteria (≥80% exact agreement). Difficulties were noted for the assessment of palate integrity, gagging during non-nutritive suck assessment, and 6 components of the tongue tie screen. Parent and clinician satisfaction was high; SPs reported that they would offer telepractice services to 93% of families again in the future. Overall, the results demonstrated that most components of a bottle-feeding assessment could be reliably completed via synchronous telepractice in family homes. However, further research is required to improve the reliability of some intra-oral assessment components.

Evaluating the Use of Telepractice to Deliver Pediatric Feeding Assessments

2021 ◽  
pp. 1-14
Author(s):  
Madeline Raatz ◽  
Elizabeth C. Ward ◽  
Jeanne Marshall ◽  
Clare L. Burns
Keyword(s):  
Interrater Reliability ◽  
Delivery Method ◽  
Speech Language Pathologist ◽  
Child Interaction ◽  
Study Results ◽  
The Family ◽  
Clinician Satisfaction ◽  
Feeding Skills ◽  
Pediatric Feeding ◽  
Effective Service

Purpose This study aimed to investigate the interrater reliability of pediatric feeding assessments conducted via synchronous (real-time) telepractice. Secondary aims were to investigate parent and clinician satisfaction. Method The eating and/or cup drinking skills of 40 children (aged 4 months to 7 years) were simultaneously assessed by one speech-language pathologist (SLP) leading the appointment via telepractice and a second SLP present in the family home. A purpose-designed assessment form was used to assess (a) positioning, (b) development, (c) oral sensorimotor function, (d) prefeeding respiratory status, (e) observation of eating and drinking, (f) parent–child interaction, (g) overall feeding skills, and (h) feeding recommendations. The telepractice SLP completed a postappointment satisfaction questionnaire, and parents completed five questionnaires specifically investigating perceptions of and satisfaction with the telepractice feeding appointment. Results Agreement for all assessment components except intraoral examination (palate integrity and tonsils) was > 85%. All appointments were able to be conducted via telepractice, and for 90% of these ( n = 36), clinicians agreed that telepractice was an effective service delivery method. Parents reported high levels of satisfaction with telepractice, with 76% reporting that the telepractice appointment was similar to a traditional in-person appointment. Conclusion Study results demonstrated that synchronous pediatric feeding assessments conducted in family homes via telepractice were feasible, reliable, and acceptable to both clinicians and parents. Supplemental Material https://doi.org/10.23641/asha.14700228

scholarly journals Oral Motor Treatment Efficacy: Feeding and Swallowing Skills in Children with Cerebral Palsy

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Maria E. Widman-Valencia ◽  
Luis F. Gongora-Meza ◽  
Héctor Rubio-Zapata ◽  
Rita E. Zapata-Vázquez ◽  
Elma Vega Lizama ◽  
...  
Keyword(s):  
Motor Skills ◽  
Respiratory Diseases ◽  
Control Of Breathing ◽  
Gross Motor ◽  
Gross Motor Skills ◽  
Oral Motor ◽  
Low Weight ◽  
Feeding Skills ◽  
Mandibular Mobility ◽  
The Relationship

This study is aimed at identifying the relationship between oral motor treatment and the improvement of abilities for feeding and swallowing in boys and girls with CP residing in the state of Yucatán. The sample consisted of 30 patients with a diagnosis of CP and the presence of ADT, with gross motor function levels from II to V, between 3 and 14 years old, of which 50% received oral motor treatment. The predominant diagnosis was spastic CP and tetraplegia. An interview was carried out with the tutor, the application of the gross motor skills scale, and an assessment of feeding skills. The feeding and swallowing skills that improved significantly with the oral motor treatment were mandibular mobility, tongue activity, abnormal reflexes, control of breathing, and general oral motor skills ( p ≤ 0.05 ). Within the sample that did not receive oral motor treatment, 46% presented low or very low weight and 40% referred recurrent respiratory diseases. In the end, it was concluded that feeding skills improve significantly with oral motor treatment, regardless of the severity of gross motor involvement. Likewise, oral motor treatment was associated with a lower presence of respiratory diseases and nutritional compromise.

Predicting Bottle-Feeding Performance Using a Reorganized Neonatal Oral–Motor Assessment Scale

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500030p1-7512500030p1
Author(s):  
Tsu-Hsin Howe ◽  
Ching-Fan Sheu
Keyword(s):  
Motor Skills ◽  
Bottle Feeding ◽  
Assessment Scale ◽  
Standardized Assessment ◽  
Clinical Tool ◽  
Motor Assessment ◽  
Feeding Performance ◽  
Oral Motor ◽  
Primary Author

Abstract Date Presented 04/23/21 The Neonatal Oral–Motor Assessment Scale is a clinical tool commonly used to evaluate the oral–motor skills of neonates. This study is to examine its predictability in feeding performance using newly organized items. The results showed that in addition to the adjusted age and weight at observed feed, jaw depression and jaw initiation were the significant predictors for successful bottle feed. Discuss implications of findings and the need for standardized assessment in neonates' feeding. Primary Author and Speaker: Tsu-Hsin Howe Additional Authors and Speakers: Christine L. Kroll

Effect of Position and Support on Oral-Motor Skills of a Child with Bronchopulmonary Dysplasia

1994 ◽  
Vol 33 (1) ◽  
pp. 8-13 ◽  
Author(s):  
MaryLouise E. Kerwin ◽  
Mary Osborne ◽  
Peggy S. Eicher
Keyword(s):  
Bronchopulmonary Dysplasia ◽  
Motor Skills ◽  
Oral Motor

A Prospective, Longitudinal Study of Feeding Skills in a Cohort of Babies with Cleft Conditions

2006 ◽  
Vol 43 (6) ◽  
pp. 702-709 ◽  
Author(s):  
Julie Reid ◽  
Nicky Kilpatrick ◽  
Sheena Reilly
Keyword(s):  
Risk Factors ◽  
Cleft Palate ◽  
Motor Function ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Oral Motor ◽  
Feeding Efficiency ◽  
Oral Motor Function ◽  
Feeding Skills ◽  
Prospective Longitudinal

Objective: To examine the natural history of feeding skills in babies with clefts and identify risk factors and predictors of poor feeding. Participants: Sixty-two babies with clefts were examined at 2 weeks, 3 months, and 14 months of age. Main Outcome Measures: Feeding ability, oral motor function, and feeding efficiency were assessed. Univariate analyses were used to determine whether oral motor function and sequelae varied according to feeding ability or cleft condition. Multivariable logistic regressions were used to determine risk factors for poor feeding. Results: Poor feeding skills were detected in one third of newborns. The prevalence of poor feeding reduced to 19% at 3 months of age and 15% at 14 months of age. Oral motor dysfunction and sequelae (particularly nasal regurgitation) were more commonly observed in babies with poor feeding skills irrespective of comorbidity. The main risk factor for poor feeding was a diagnosis of syndrome or Pierre Robin sequence (PRS). At 2 weeks of age, babies with syndrome or PRS were 15 times more likely to have poor feeding skills than their nonsyndromic counterparts. When syndrome or PRS was controlled for, babies with cleft palate and cleft lip and palate were equally likely to have poor feeding skills. Parental report of feeding efficiency was predictive of poor feeding in young babies. Conclusions: Poor feeding skills are relatively common in newborns with cleft palate and cleft lip and palate. Treatment for feeding problems may be needed beyond the first year of life, especially for babies born with PRS or a syndrome.

scholarly journals Anti-microbial susceptibility pattern of infant feeding bottles from bottle fed infants

2017 ◽  
Vol 5 (1) ◽  
pp. 27
Author(s):  
Chandra Sekhar Kondapalli ◽  
Garikapati Siddhartha
Keyword(s):  
Infant Feeding ◽  
Working Women ◽  
Respiratory Illness ◽  
Bottle Feeding ◽  
Agar Culture ◽  
Fungal Isolation ◽  
E Coli ◽  
Care Workers ◽  
The Family ◽  
Breast Fed

Background: Breastfeeding, which has been declining in the recent years because of advances in science. Thought the importance of breastfeeding have been studied, the implementation of the same is being difficult, because of lack of awareness among mothers, health care workers etc.Methods: Consent was taken from the parents who fed their babies with infant feeding bottle and explained about the necessity to obtain culture of the bottles and nipples. Swab was inoculated on the MacConkey agar culture. Antibiotic susceptibility testing will be done for all the isolates.Results: This study showed that 32% were initiated on bottle feeding before 6mo of age and 45% during 6-12mo of age and 23% after age of 1 yr. The most common presenting illness were diarrhea (43%) followed by respiratory illness (39%). Bottle feeding has contribution to the malnutrition and showed that adequate cleaning practices were followed by only 41 % of mothers and 9% of mothers had poor cleaning practices. The incidence of illness is 60. 7% in only top fed babies compared to babies who are both breast fed and bottle fed 39.3%. The most common isolate found was E-coli 45% (24) followed by. Kliebsella 24% (12), Staphylococcus 16% (9), CONS 9% (5), Enterobacterecciea 3% (2) and Pseudomonas 0.8% (1). 52% of the sample showed fungal isolation positive.Conclusions: The incidence of bottle feeding was found more common in working women(53%) compared to housewife(19%). Illiteracy of the family contributed to the over dilution of top milk .most common organism is E-coli.

Homeomorphy in the Asteroidea (Echinodermata); a new Late Cretaceous genus and species from Colorado

2002 ◽  
Vol 76 (6) ◽  
pp. 1007-1013 ◽  
Author(s):  
Daniel B. Blake ◽  
Barry S. Kues
Keyword(s):  
Upper Cretaceous ◽  
New Genus ◽  
New Genus And Species ◽  
Limited Evidence ◽  
Morphological Response ◽  
Shallow Marine ◽  
Body Form ◽  
Selective Pressures ◽  
Modern Species ◽  
The Family

Codellaster keepersae new genus and species, from the Upper Cretaceous Codell Sandstone Member of the Carlile Shale of Colorado (U.S.A.), is assigned to the asteroid (Echinodermata) family Goniasteridae. Although clearly a goniasterid, the flattened body form and details of morphology of C. keepersae are remarkably similar to corresponding features of the modern astropectinid Astropecten regalis and also of the luidiid Luidia (Platasterias) latiradiata. The discovery facies of C. keepersae includes low-angle crossbeds and asymmetrical ripple marks that are suggestive of a very shallow marine environment. Both the modern species occur in shallow, turbulent settings, and homeomorphy beween ancient and modern asteroids suggests similar selective pressures and evolutionary responses. Limited evidence suggests goniasterids might have been more common in shallower waters during the Cretaceous than they are today, and absence of modern Codellaster-like goniasterids indicates that the family abandoned these habitats, although the fundamental morphological response to such settings remained viable for asteroid organization.

scholarly journals Functional Evaluation of Eating Difficulties Scale to predict oral motor skills in infants with neurodevelopmental disorders: a longitudinal study

2019 ◽  
Vol 61 (7) ◽  
pp. 813-819
Author(s):  
Anna Cavallini ◽  
Livio Provenzi ◽  
Giunia Scotto Di Minico ◽  
Daniela Sacchi ◽  
Lidia Gavazzi ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Motor Skills ◽  
Neurodevelopmental Disorders ◽  
Functional Evaluation ◽  
Oral Motor
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