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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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-SOFFI infants | Infants discharged from the NICU prior to the implementation of the SOFFI infant driven feeding program with NICU staff. | ||
| Post SOFFI infants | Subject infants discharged from the NICU at least 6 months after the implementation of the SOFFI infant driven feeding program and |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SOFFI | Other | NICU nursing and multidisciplinary staff were trained to use the SOFFI infant driven feeding program. A small group of learners (20) were trained as resources via a 2-day course and the entire nursing staff received training during a 1-1.5 hour training lecture during their annual competencies. |
| Measure | Description | Time Frame |
|---|---|---|
| Oral feeding outcomes | 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. | Up to 3 months |
| Oral Feeding Outcomes | Infant oral feeding outcomes per structured parent phone interview at home. | Up to 5 months |
| Measure | Description | Time Frame |
|---|---|---|
| Growth outcomes | Defined as an infant's height, weight and length percentiles on the Center for Disease Control (CDC) growth chart at NICU discharge | Up to 3 months |
| Growth Outcomes | Growth outcomes per parent report during phone interview at home include current weight to be reported as percentile on CDC growth chart. |
| Measure | Description | Time Frame |
|---|---|---|
| Length of Stay | Length of stay in days in the NICU | Up to 3 months |
| Change in NICU staff evaluations and communications r/t infants' oral feeding pre-SOFFI to post-SOFFI | Measured by staff surveys done prior to and at least 3 months following SOFFI training with NICU staff. Two surveys include one for Registered Nurses (RNs)and second survey for MD/Advanced Practice Nursing (APN) staff. |
Inclusion Criteria:
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
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Convenience sample of NICU infants discharged home prior to the implementation of the SOFFI will be compared to a convenience sample of NICU infants discharged home following the implementation of the SOFFI.
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| Name | Affiliation | Role |
|---|---|---|
| Susan M Horner, MS | Ann & Robert H Lurie Children's Hospital of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ann & Robert H Lurie Childrens Hospital of Chicago | Chicago | Illinois | 60611 | United States |
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| Up to 5 months |
| Up to 2 years |