Advertisement

Clinical validation of the infant-driven feeding scales© in Turkey

Published:September 17, 2022DOI:https://doi.org/10.1016/j.pedn.2022.09.007

      Highlights

      • Selection of appropriate and supportive feeding interventions for preterm neonates begins with comprehensive assessment of the infant's feeding skills.
      • The aim of this study was to adapt the (IDFS), developed to ease safe and successful development of oral feeding skills of preterm infants and plan evidence-based interventions, into the Turkish language.
      • The IDFS appears to be a beneficial measurement tool for use to assess the readiness for oral feeding of preterm infants and for early detection of risks that may develop due to delayed feeding independence of infants.

      Abstract

      Background

      Supporting the development of feeding skills among preterm infants is an important component of neonatal care. The selection of appropriate and supportive feeding interventions begins with a comprehensive assessment of the infant's skills.

      Purpose

      This study aimed to adapt the Infant-Driven Feeding Scales© (IDFS) to the Turkish language.

      Methods

      This was a methodological, observational, single-center cross-sectional study. The study included 80 infants born at a gestational age ≥ 32 weeks, consecutively admitted to a tertiary Neonatal Intensive Care Unit (NICU). Research data were collected using a premature infant descriptive information form (IDIF), IDFS, and LATCH Score for Breastfeeding Assessment. For the Turkish validity-reliability of the IDF, the translate-back translate method was used with the content validity index (CVI) assessed.

      Results

      The scale had CVI values between 0.90 and 1.00 with a mean CVI = 0.96. For measures 1 and 2, there were significant positive and high-level correlations between IFDS-R and IFDS-Q correlation values (r = 0.553–0.958; p = 0.001) and significant negative, low-level correlations between IFDS-R and IFDS-Q with the LATCH scale (r = 0.439–0.532; p = 0.001). According to inter-observer compatibility analyses, the kappa value was 0.94–1.00 for the first measure and 0.96–1.00 for the second measure (p = 0.001). There were negative significant correlations between IDFS-R points with gestational age and postmenstrual age (PMA) (p = 0.001), and gestational age and PMA were explanatory factors for 13.8% of IDFS-R points (F = 7.30, p = 0.001).

      Conclusions

      The IDFS is recommended for use as a valid and reliable tool to ease the safe and successful development of oral feeding skills in preterm infants and to plan evidence-based interventions.

      Implications for practice

      The IDFS appears to be a beneficial measurement device for use in assessing the state of readiness of preterm infants for oral feeding and for early determination of risks that may occur due to delayed feeding independence of infants.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Amaizu N.
        • Shulman R.
        • Schanler R.
        • Lau C.
        Maturation of oral feeding skills in preterm infants.
        Acta Paediatrica. 2008; 97: 61-67
        • American Academy of Pediatrics Committee on Fetus and Newborn
        Hospital discharge of the high-risk neonate.
        Pediatrics. 2008; 122: 1119-1126
        • Bache M.
        • Pizon E.
        • Jacobs J.
        • Vaillant M.
        • Lecomte A.
        Effects of pre-feeding oral stimulation on oral feeding in preterm infants: A randomized clinical trial.
        Early Human Development. 2014; 90: 125-129
      1. Bakewell-Sachs, S., Madoff-Copper, B., Escobar, G., Silber, J.H., & Lorch, S.A. (2009). Infant functional status: The timing of physiologic maturation of premature infants. Pediatrics,123, e878-86. https://doi.org/10.1542/peds.2008-2568

        • Balcı A.
        Sosyal Bilimlerde Araştırma Yöntem, Teknik ve İlkeler. 11. baskı.
        Pegem Akademi, Ankara2015: 111-146
        • Bandara S.
        • Nyqvist K.H.
        • Musmar S.M.
        • Procaccini D.B.
        • Wang S.F.
        Round table discussion: Use of alternative feeding methods in the hospital.
        Journal of Human Lactation. 2012; 28: 122-124
        • Barlow S.M.
        Oral and respiratory control for preterm feeding.
        Current Opinion in Otolaryngology & Head and Neck Surgery. 2009; 17: 179-186
        • Blencowe H.
        • Lee A.C.
        • Cousens S.
        • Bahalim A.
        • Narwal R.
        • Zhong N.
        • Lawn J.E.
        Preterm birth–associated neurodevelopmental impairment estimates at regional and global levels for 2010.
        Pediatric Research. 2013; 74: 17-34
        • Browne J.V.
        • Ross E.S.
        Eating as a neurodevelopmental process for high-risk newborn.
        Clinical Perinatology. 2011; 38: 731-743
        • Çam O.
        • Baysan-Arabacı L.
        Qualitative and quantitative steps on attitude scale construction qualitative and quantitative steps on attitude scale construction.
        Hemşirelikte Araştırma Geliştirme Dergisi. 2010; 12: 59-71
        • Crestani A.H.
        • Moraes A.B.
        • Souza A.P.R.
        Content validation: Clarity/relevance, reliability and internal consistency of enunciative signs of language acquisition.
        Codas. 2017; 29e20160180
        • Daicampi C.
        • Comoretto R.I.
        • Soriani N.
        • Lolli E.
        • Boschetto S.
        • Cecchin M.
        • Gregori D.
        Protocols for early discharging of premature infants: An empirical assessment on safety and savings.
        Journal of Perinatal Medicine. 2019; 47: 885-893
        • Davidson E.
        • Hinton D.
        • Ryan-Wenger N.
        • Jadcherla S.
        Quality improvement study of effectiveness of cue-based feeding in infants with bronchopulmonary dysplasia in the neonatal intensive care unit.
        Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2013; 42: 629-640
        • DeVellis R.F.
        Scale development, theory and applications.
        Sage Publication, California, USA2012: 31-59
        • Dodrill P.
        • McMahon S.
        • Donovan T.
        • ve Cleghorn G.
        Current management of transitional feeding issues in preterm neonates born in Queensland, Australia.
        Early Human Development. 2008; 84: 637-643
        • Ersig A.L.
        • Kleiber C.
        • McCarthy A.M.
        • ve Hanrahan K.
        Validation of a clinically useful measure of children’s state anxiety before medical procedures.
        Journal for Specialists in Pediatric Nursing. 2013; 18: 311-319
        • Esin M.N.
        Veri toplama yöntem ve araçları & veri toplama araçlarının güvenirlik ve geçerliği.
        in: Erdoğan S. Nahçıvan N. Esin M.N. Hemşirelikte araştırma süre, uygulama ve kritik. İstanbul, Nobel2014: 193-232
        • Fanton T.R.
        • Kim J.H.
        A systematic review and meta-analysis to revize the Fenton growth chart for prematüre infants.
        BMC Pediatrics. 2013; 13: 1-13
        • Gelfer P.
        • McCarthy A.
        • Spruill C.T.
        Infant driven feeding for preterm infants: Learning through experience.
        Newborn and Infant Nursing Reviews. 2015; 15: 64-67
        • Gennattasio A.
        • Perri E.A.
        • Baranek D.
        • Rohan A.
        Oral feeding readiness assessment in premature infants.
        MCN: The American Journal of Maternal/Child Nursing. 2015; 40: 96-104
        • Gewolb I.H.
        • Vice F.L.
        Abnormalities in the coordination of respiration and swallow in preterm infants with bronchopulmonary dysplasia.
        Developmental Medicine and Child Neurology. 2006; 48: 595-599
        • Giannì M.L.
        • Sannino P.
        • Bezze E.
        • Plevani L.
        • di Cugno N.
        • Roggero P.
        • Mosca F.
        Effect of co-morbidities on the development of oral feeding ability in pre-term infants: A retrospective study.
        Scientific Reports. 2015; 5: 16603
        • Giannì M.L.
        • Sannino P.
        • Bezze E.
        • Plevani L.
        • Esposito C.
        • Muscolo S.
        • Mosca F.
        Usefulness of the infant driven scale in the early identification of preterm infants at risk for delayed oral feeding independency.
        Early Human Development. 2017; 115: 18-22
        • Gözükara Bağ H.G.
        • Karabulut E.
        • Alpar R.
        2x2 tablolarda gözlemciler/ gözlemler arası uyumun değerlendirilmesi.
        Hacettepe Diş Hekimliği Fakültesi Dergisi. 2010; 34: 46-52
        • Gözüm S.
        • Aksayan S.
        Kültürlerarası ölçek uyarlaması için rehber II: psikometrik özellikler ve kültürlerarası karşılaştırma.
        Hemşirelikte Araştırma ve Geliştirme Dergisi. 2003; 5: 3-14
        • Howe T.H.
        • Lin K.C.
        • Fu C.P.
        • Su C.T.
        • Hsieh C.L.
        A review of psychometric properties of feeding assessment tools used in neonates.
        Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2008; 37: 338-349
        • Hwang Y.S.
        • Ma M.C.
        • Tseng Y.M.
        • Tsai W.H.
        Associations among perinatal factors and age of achievement of full oral feeding in very preterm infants.
        Pediatrics and Neonatology. 2013; 54: 309-314
        • Jadcherla S.R.
        • Wang M.
        • Vijaypal A.S.
        • Leuthner S.R.
        Impact of prematurity and comorbidities on feeding milestones in neonates: A retrospective study.
        Journal of Perinatology. 2010; 30: 201-208
        • Johnston M.
        • Landers S.
        • Noble L.
        • Szucs K.
        • Viehmann L.
        Breastfeeding and the use of human milk.
        Pediatrics. 2012; 129: e827-e841
        • Jonhson B.
        • Christensen L.
        Educational research: Quantitative, qualitative, and mixed approaches.
        Sage, Thousand Oaks (CA)2014: 190-222
        • Kish M.Z.
        Oral feeding readiness in preterm infants: A concept analysis.
        Advances in Neonatal Care. 2013; 13: 230-237
        • Laptook A.R.
        Neurologic and metabolic issues in moderately preterm, late preterm, and early term infants.
        Clinical Perinatology. 2013; 40: 723-738
        • Lau C.
        • Smith E.O.
        Interventions to improve the oral feeding performance of preterm infants.
        Acta Paediatrica. 2012; 101: 269-274
        • Ludwig S.M.
        • Waitzman K.A.
        Changing feeding documentation to reflect infant driven feeding practice.
        Newborn and Infant Nursing Reviews. 2007; 7: 155-160
        • Maggio L.
        • Costa S.
        • Zecca C.
        • Giordano L.
        Methods of enteral feeding in preterm infants.
        Early Human Development. 2012; 88: 31-33
        • Mizuno K.
        • Nishida Y.
        • Taki M.
        • Hibino S.
        • Murase M.
        • Sakurai M.
        • Itabashi K.
        Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding.
        Pediatrics. 2007; 120: 1035-1042
        • Newland L.
        • L'huillier M.W.
        • Petrey B.
        Implementation of cue-based feeding in a level III NICU.
        Neonatal Network. 2013; 32: 132-137
        • Nyqvist K.H.
        Early attainment of breastfeeding competence in very preterm infants.
        Acta Paediatrica. 2008; 97: 776-781
        • Park J.
        • Knafl G.
        • Thoyre S.
        • Brandon D.
        Factors associated with feeding progression in extremely preterm infants.
        Nursing Research. 2015; 64: 159-167
        • Pickler R.H.
        • Best A.
        • Crosson D.
        The effect of feeding experience on clinical outcomes in preterm infants.
        Journal of Perinatology. 2009; 29: 124-129
        • Polit D.F.
        • Beck C.T.
        The content validity index: Are you sure you know what’s being reported? Critique and recommendations.
        Research in Nursing & Health. 2006; 29: 489-497
        • Sahni R.
        • Polin R.A.
        Physiologic underpinnings for clinical problems in moderately preterm and late preterm infants.
        Clinical Perinatology. 2013; 40: 645-663
        • Shaker C.S.
        Cue-based co-regulated feeding in the neonatal intensive care unit: Supporting parents in learning to feed their preterm infant.
        Newborn and Infant Nursing Reviews. 2013; 13: 51-55
        • Tavsancil E.
        Tutumların Ölçülmesi ve SPSS ile veri analizi. Attitudes measurement and data analysis with SPSS.
        Atlas Yayınevi, Ankara (Turkey)2002: 135e66
        • Thoyre S.M.
        • Pados B.F.
        • Catherine S.
        • Fuller K.L.
        • Park J.
        Psychometric properties of the early feeding skills assessment tool.
        Advances in Neonatal Care. 2018; 18: E13-E23
        • Waitzman K.A.
        • Ludwig S.M.
        • Nelson C.L.
        Contributing to content validity of the infant-driven feeding scales© through Delphi surveys.
        Newborn and Infant Nursing Reviews. 2014; 14: 88-91
        • Wellington A.
        • Perlman J.M.
        Infant-driven feeding in premature infants: A quality improvement project.
        Archives of Disease in Childhood. Fetal and Neonatal Edition. 2015; 100: 495-500
        • White-Traut R.
        • Pham T.
        • Rankin K.N.
        • Shapiro N.
        • Yoder J.
        Exploring factors related to oral feeding progression in premature infants.
        Advances in Neonatal Care. 2013; 13: 288-294
        • Wilken M.
        • Bartmann P.
        Posttraumatic feeding disorder in low birth weight young children: A nested case-control study of a home-based intervention program.
        Journal of Pediatric Nursing. 2014; 29: 466-473
        • Wolke D.
        • Schmid G.
        • Schreier A.
        • Meyer R.
        Crying and feeding problems in infancy and cognitive outcome in preschool children born at risk: A prospective population study.
        Journal of Developmental & Behavioral Pediatrics. 2009; 30: 226-238
        • Yenal K
        • Okumuş H
        Use age of LATCH breast- feeding asessment tool and the effectson the success breast- feeding..
        Journal of Research and Development in Nursing. 2003; 51: 38-44