FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4200614519> ?p ?o ?g. }

• W4200614519 endingPage "146" @default.
• W4200614519 startingPage "1" @default.
• W4200614519 abstract "There is a lack of evidence of the effect of cue-based feeding compared with scheduled feeding on important outcomes for preterm infants.The objectives were as follows: (1) to describe the characteristics, components, theoretical basis and outcomes of approaches to feeding preterm infants transitioning from tube to oral feeding; (2) to identify operational policies, barriers and facilitators, and staff and parents' educational needs in neonatal units implementing cue-based feeding; (3) to co-produce an intervention for feeding preterm infants in response to feeding cues; (4) to appraise the willingness of parents and staff to implement and sustain the intervention; (5) to assess associated costs of implementing cue-based feeding; (6) to determine the feasibility and acceptability of a future trial; (7) to scope existing data-recording systems and potential outcome measures; and (8) to determine stakeholders' views of whether or not a randomised controlled trial of this approach is feasible.This was a mixed-methods intervention development and feasibility study comprising (1) a systematic review, case studies, qualitative research and stakeholder consensus; (2) the co-production of the intervention; (3) a mixed-methods feasibility study; and (4) an assessment of stakeholder preferences for a future evaluation.Three neonatal units in the UK (two level 3 units and one level 2 unit).Developmentally normal, clinically stable preterm infants receiving enteral feeds (n = 50), parents (n = 15 pre intervention development; n = 14 in the feasibility study) and health-care practitioners (n = 54 pre intervention development; n = 16 in the feasibility study).An evidence-informed multicomponent intervention comprising training, a feeding protocol, feeding assessment tools, supplementary training materials [including posters, a film and a narrated PowerPoint (Microsoft Corporation, Redmond, WA, USA) presentation] and the 'Our Feeding Journey' document.The main outcome measures were recruitment and screening rates, infant weight gain, duration of the intervention, feeding outcomes, implementation outcomes (contextual facilitators and barriers, acceptability, adoption, appropriateness and fidelity) and stakeholder preferences for a future evaluation.The systematic review of 25 studies concluded that evidence in favour of cue-based feeding should be treated cautiously. The case studies and qualitative research highlighted contextual barriers to and facilitators of the implementation of cue-based feeding. The telephone survey found that many neonatal units are considering implementing cue-based feeding. We recruited 37% of eligible infants, and there was good retention in the study until discharge but a high loss to follow-up at 2 weeks post discharge. The mean number of days from intervention to transition to full oral feeding was 10.8, and the mean daily change in weight gain was 25 g. The intervention was acceptable to parents and staff, although there was dissatisfaction with the study documentation. Intervention training did not reach all staff. A cluster-randomised design with a composite outcome was suggested by stakeholders for a future study.The intervention was available only in English. Intervention training did not reach all staff. There was low recruitment to qualitative interviews and observations. Only a small number of medical staff engaged in either the training or the interviews.It is feasible to implement a cue-based feeding intervention with improved training and documentation. Further work is needed to assess the feasibility of a future trial, noting evidence of existing lack of equipoise.The next steps are to digitalise the intervention and conduct a survey of all neonatal units in the UK.This study is registered as PROSPERO CRD42018097317 and ISRCTN13414304.This project was funded by the National Institute for Health Research (NIHR) Health Technology Assessment programme and will be published in full in Health Technology Assessment; Vol. 25, No. 74. See the NIHR Journals Library website for further project information.Preterm babies who are ready to progress from tube feeding to oral feeding are usually fed according to a fixed schedule. Scheduled feeding protocols set a minimum corrected gestational age at which oral feeding may commence, and specify the rate of change from tube to oral feeding. Scheduled feeding also sets the volume and timing of each feed. A few small studies show that feeding babies according to their cues might have benefits for them and their parents; for example, babies may be discharged from hospital sooner. Cue-based feeding may help parents to understand the needs of their baby and be more involved in their care. Examples of hunger cues are mouthing movements, bringing hands to mouth and sucking. Examples of stop cues are falling asleep and stopping sucking. We developed a cue-based feeding intervention and tested it in three neonatal units to see if a large trial could be done and if parents and staff liked the intervention. We reviewed previous research, visited three hospitals that use cue-based feeding and interviewed parents and staff about their experiences of feeding preterm babies. We developed the intervention with parents and staff. The intervention included a feeding protocol, training for parents and staff, and a feeding record. Parents and staff liked most parts of the intervention. The training did not reach all staff, and staff and parents found it time-consuming to record every feed. Many parents and staff thought that cue-based feeding was better for babies, and parents thought that neonatal units should change to cue-based feeding. We discussed our findings with parents, staff and research experts. Based on their ideas, we recommend that the intervention is developed into an app (application) and that all neonatal units in the UK are surveyed to find out if they use cue-based feeding and if they would agree to be part of a large trial." @default.
• W4200614519 created "2021-12-31" @default.
• W4200614519 creator A5000537501 @default.
• W4200614519 creator A5003792572 @default.
• W4200614519 creator A5039396777 @default.
• W4200614519 creator A5050861054 @default.
• W4200614519 creator A5067193771 @default.
• W4200614519 creator A5072685409 @default.
• W4200614519 creator A5081153655 @default.
• W4200614519 creator A5084421139 @default.
• W4200614519 creator A5084827019 @default.
• W4200614519 creator A5089003259 @default.
• W4200614519 creator A5089637467 @default.
• W4200614519 date "2021-12-01" @default.
• W4200614519 modified "2023-10-12" @default.
• W4200614519 title "Cue-based versus scheduled feeding for preterm infants transitioning from tube to oral feeding: the Cubs mixed-methods feasibility study" @default.
• W4200614519 cites W186247606 @default.
• W4200614519 cites W1915409201 @default.
• W4200614519 cites W1931257791 @default.
• W4200614519 cites W1964416502 @default.
• W4200614519 cites W1965724065 @default.
• W4200614519 cites W1975780500 @default.
• W4200614519 cites W1976542237 @default.
• W4200614519 cites W1976770755 @default.
• W4200614519 cites W1979290264 @default.
• W4200614519 cites W1982152799 @default.
• W4200614519 cites W1988816604 @default.
• W4200614519 cites W1990907272 @default.
• W4200614519 cites W1991021106 @default.
• W4200614519 cites W1993235524 @default.
• W4200614519 cites W2000819829 @default.
• W4200614519 cites W2033198100 @default.
• W4200614519 cites W2037530728 @default.
• W4200614519 cites W2038174220 @default.
• W4200614519 cites W2041194644 @default.
• W4200614519 cites W2049079272 @default.
• W4200614519 cites W2051785948 @default.
• W4200614519 cites W2061034939 @default.
• W4200614519 cites W2063051151 @default.
• W4200614519 cites W2071884388 @default.
• W4200614519 cites W2079615074 @default.
• W4200614519 cites W2085001923 @default.
• W4200614519 cites W2091302146 @default.
• W4200614519 cites W2091608160 @default.
• W4200614519 cites W2095640712 @default.
• W4200614519 cites W2097831015 @default.
• W4200614519 cites W2098935559 @default.
• W4200614519 cites W2100485843 @default.
• W4200614519 cites W2105501846 @default.
• W4200614519 cites W2109560955 @default.
• W4200614519 cites W2112732667 @default.
• W4200614519 cites W2117800775 @default.
• W4200614519 cites W2118255840 @default.
• W4200614519 cites W2123744603 @default.
• W4200614519 cites W2125556434 @default.
• W4200614519 cites W2127403974 @default.
• W4200614519 cites W2131584257 @default.
• W4200614519 cites W2137312835 @default.
• W4200614519 cites W2138197632 @default.
• W4200614519 cites W2140092196 @default.
• W4200614519 cites W2140260086 @default.
• W4200614519 cites W2144185507 @default.
• W4200614519 cites W2145555293 @default.
• W4200614519 cites W2148343957 @default.
• W4200614519 cites W2150063271 @default.
• W4200614519 cites W2155615201 @default.
• W4200614519 cites W2163139421 @default.
• W4200614519 cites W2169434152 @default.
• W4200614519 cites W2237126789 @default.
• W4200614519 cites W2319169610 @default.
• W4200614519 cites W2338581177 @default.
• W4200614519 cites W2488143390 @default.
• W4200614519 cites W2513425760 @default.
• W4200614519 cites W2531269403 @default.
• W4200614519 cites W2557371448 @default.
• W4200614519 cites W2573949953 @default.
• W4200614519 cites W2588182016 @default.
• W4200614519 cites W2592848832 @default.
• W4200614519 cites W2745441027 @default.
• W4200614519 cites W2884313467 @default.
• W4200614519 cites W2909183131 @default.
• W4200614519 cites W3092618407 @default.
• W4200614519 cites W4231262217 @default.
• W4200614519 cites W4253289976 @default.
• W4200614519 cites W2091851191 @default.
• W4200614519 doi "https://doi.org/10.3310/hta25740" @default.
• W4200614519 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/34878383" @default.
• W4200614519 hasPublicationYear "2021" @default.
• W4200614519 type Work @default.
• W4200614519 citedByCount "0" @default.
• W4200614519 crossrefType "journal-article" @default.
• W4200614519 hasAuthorship W4200614519A5000537501 @default.
• W4200614519 hasAuthorship W4200614519A5003792572 @default.
• W4200614519 hasAuthorship W4200614519A5039396777 @default.
• W4200614519 hasAuthorship W4200614519A5050861054 @default.
• W4200614519 hasAuthorship W4200614519A5067193771 @default.
• W4200614519 hasAuthorship W4200614519A5072685409 @default.
• W4200614519 hasAuthorship W4200614519A5081153655 @default.

• next