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In this parallel-group randomized controlled trial, very low birthweight infants will be randomly assigned in a 1:1 ratio to either cue-based (intervention group) or clinician-driven feeding (control group). For infants in the intervention group, Speech therapists and nurses will use their cue-based assessment training to aid in clinical management of oral feeding. For infants in the control group, clinicians caring for these infants will define the feeding plan based on their daily assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Active Comparator | Cue-based feedings |
|
| Control | No Intervention | Clinician based feedings |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cue-based feedings | Behavioral | Speech therapists will use cue-based protocols to guide feeds |
|
| Measure | Description | Time Frame |
|---|---|---|
| Time interval in days from introduction to attainment of independent oral feeding | 4-20 days |
| Measure | Description | Time Frame |
|---|---|---|
| Postnatal age at discharge in days | 34 to 40 weeks postnatal age | |
| Length of hospital stay in days | 10-60 days | |
| Average weight gain during the transition from tube to oral feeding |
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Inclusion criteria:
Exclusion criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama at Birmingham | Birmingham | Alabama | 35233 | United States |
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| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D001522 | Behavior, Animal |
| D001519 | Behavior |
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Intervention and Control groups
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| 10-60 days |
| Total number of tube feeding events per infant during the transition from tube to oral feeding | 10-60 days |
| Follow up phone call | A follow-up phone call 3 months after NICU discharge will also be performed to assess long-term outcomes including the need for tube feeding or hospitalizations related to feeding/nutrition problems. | 4-6 months after birth |