The Impact of Implementing an Infant Driven Feeding Program on Oral Feeding and Growth Outcomes of Medically Fragile Infants in the NICU
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Oral Feeding Outcomes
- Sponsor
- Ann & Robert H Lurie Children's Hospital of Chicago
- Enrollment
- 156
- Locations
- 1
- Primary Endpoint
- Oral Feeding Outcomes
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
The specific aim of this pre-post trial is to compare data regarding oral feeding, length of stay, and growth outcomes of 100 NICU infants to these same outcomes following the implementation of a developmentally supportive, infant driven feeding program with the NICU staff, specifically the Supporting Oral Feeding in Fragile Infants (SOFFI) infant feeding program on a second sample of 100 NICU infants at Children's Memorial Hospital.
The specific research questions considered in this study are:
- What is the impact of implementing the SOFFI on the oral feeding outcomes of medically fragile infants in the NICU at discharge and at 3 months post-term?
- What is the impact of implementing the SOFFI on the growth outcomes of medically fragile infants in the NICU at discharge and at 3 months post-term?
- What is the impact of implementing the SOFFI on the length of stay of medically fragile infants in the NICU?
- What is the impact of implementing the SOFFI on the clarity and consistency of NICU staff evaluations and communications related to managing oral feedings with medically fragile infants?
Investigators
Susan M Horner, MS, APN/CNS, RNC-NIC
Developmental Specialist
Ann & Robert H Lurie Children's Hospital of Chicago
Eligibility Criteria
Inclusion Criteria
- •Infants of all gestations and diagnostic groups in this tertiary level NICU will be included in the sample
Exclusion Criteria
- •Infants with medical diagnoses known to impact sucking and swallowing
- •Infants unable to manage their oral secretions
- •Infants who remain hospitalized beyond 3 months adjusted age
- •Infants who expire or are transferred to another inpatient unit or hospital/facility prior to discharge from the NICU
Outcomes
Primary Outcomes
Oral Feeding Outcomes
Time Frame: Up to 5 months
Infant oral feeding outcomes per structured parent phone interview at home.
Oral feeding outcomes
Time Frame: Up to 3 months
Defined as percentage of ordered full feeding volume as ordered by NICU staff taken orally at NICU discharge and, if applicable, the number of days to take 100% of ordered feeding volume orally.
Secondary Outcomes
- Growth Outcomes(Up to 5 months)
- Growth outcomes(Up to 3 months)