Evaluating the Use of Telepractice for Bottle-Feeding Assessments

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 investi...

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Autores principales:	Madeline Raatz, Elizabeth C. Ward, Jeanne Marshall, Clare L. Burns
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	pediatric infant pediatric feeding disorder dysphagia assessment bottle-feeding Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/27ad811644ff466c9ca2688fa5d7d4be
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spelling	oai:doaj.org-article:27ad811644ff466c9ca2688fa5d7d4be2021-11-25T17:14:16ZEvaluating the Use of Telepractice for Bottle-Feeding Assessments10.3390/children81109892227-9067https://doaj.org/article/27ad811644ff466c9ca2688fa5d7d4be2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/989https://doaj.org/toc/2227-9067There 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.Madeline RaatzElizabeth C. WardJeanne MarshallClare L. BurnsMDPI AGarticlepediatricinfantpediatric feeding disorderdysphagiaassessmentbottle-feedingPediatricsRJ1-570ENChildren, Vol 8, Iss 989, p 989 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pediatric infant pediatric feeding disorder dysphagia assessment bottle-feeding Pediatrics RJ1-570
spellingShingle	pediatric infant pediatric feeding disorder dysphagia assessment bottle-feeding Pediatrics RJ1-570 Madeline Raatz Elizabeth C. Ward Jeanne Marshall Clare L. Burns Evaluating the Use of Telepractice for Bottle-Feeding Assessments
description	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.
format	article
author	Madeline Raatz Elizabeth C. Ward Jeanne Marshall Clare L. Burns
author_facet	Madeline Raatz Elizabeth C. Ward Jeanne Marshall Clare L. Burns
author_sort	Madeline Raatz
title	Evaluating the Use of Telepractice for Bottle-Feeding Assessments
title_short	Evaluating the Use of Telepractice for Bottle-Feeding Assessments
title_full	Evaluating the Use of Telepractice for Bottle-Feeding Assessments
title_fullStr	Evaluating the Use of Telepractice for Bottle-Feeding Assessments
title_full_unstemmed	Evaluating the Use of Telepractice for Bottle-Feeding Assessments
title_sort	evaluating the use of telepractice for bottle-feeding assessments
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/27ad811644ff466c9ca2688fa5d7d4be
work_keys_str_mv	AT madelineraatz evaluatingtheuseoftelepracticeforbottlefeedingassessments AT elizabethcward evaluatingtheuseoftelepracticeforbottlefeedingassessments AT jeannemarshall evaluatingtheuseoftelepracticeforbottlefeedingassessments AT clarelburns evaluatingtheuseoftelepracticeforbottlefeedingassessments
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Evaluating the Use of Telepractice for Bottle-Feeding Assessments

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