Development of a clinical feeding assessment scale for very young infants in South Africa

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dc.contributor.author Viviers, Mari
dc.contributor.author Kritzinger, Alta M. (Aletta Margaretha)
dc.contributor.author Vinck, Bart M.
dc.date.accessioned 2016-11-22T09:08:31Z
dc.date.available 2016-11-22T09:08:31Z
dc.date.issued 2016-10-26
dc.description.abstract BACKGROUND : There is a need for validated neonatal feeding assessment instruments in South Africa. A locally developed instrument may contribute to standardised evaluation procedures of high-risk neonates and address needs in resource constrained developing settings. OBJECTIVE : The aim of the study was to develop and validate the content of a clinical feeding assessment scale to diagnose oropharyngeal dysphagia (OPD) in neonates. METHOD : The Neonatal Feeding Assessment Scale (NFAS) was developed using the Delphi method. Five international and South African speech-language therapists (SLTs) formed the expert panel, participating in two rounds of electronic questionnaires to develop and validate the content of the NFAS. RESULTS : All participants agreed on the need for the development of a valid clinical feeding assessment instrument to use with the neonatal population. The initial NFAS consisted of 240 items across 8 sections, and after the Delphi process was implemented, the final format was reduced to 211 items across 6 sections. The final format of the NFAS is scored using a binary scoring system guiding the clinician to diagnose the presence or absence of OPD. All members agreed on the format, the scoring system and the feeding constructs addressed in the revised final format of the NFAS. CONCLUSION : The Delphi method and the diverse clinical and research experience of participants could be integrated to develop the NFAS which may be used in clinical practice in South Africa or similar developing contexts. Because of demographically different work settings marked by developed versus developing contexts, participants did not have the same expectations of a clinical dysphagia assessment. The international participants contributed to evidence-based content development. Local participants considered the contextual challenges of South African SLTs entering the field with basic competencies in neonatal dysphagia management, thereby justifying a comprehensive clinical instrument. The NFAS is aimed at clinicians working in Neonatal Intensive Care Units where they manage large caseloads of high-risk neonates. Further validation of the NFAS is recommended to determine its criterion validity in comparison with a widely accepted standard such as the modified barium swallow study. en_ZA
dc.description.department Speech-Language Pathology and Audiology en_ZA
dc.description.librarian am2016 en_ZA
dc.description.uri http://www.sajcd.org.za en_ZA
dc.identifier.citation Viviers, M., Kritzinger, A., & Vinck, B. (2016). Development of a clinical feeding assessment scale for very young infants in South Africa. South African Journal of Communication Disorders 63(1), a148. http://dx.DOI. org/ 10.4102/sajcd.v63i1.148. en_ZA
dc.identifier.issn 0379-8046 (print)
dc.identifier.issn 2225-4765 (online)
dc.identifier.other 10.4102/sajcd.v63i1.148
dc.identifier.uri http://hdl.handle.net/2263/58241
dc.language.iso en en_ZA
dc.publisher AOSIS OpenJournals en_ZA
dc.rights © 2016. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject Neonatal feeding en_ZA
dc.subject Oropharyngeal dysphagia (OPD) en_ZA
dc.subject Neonatal feeding assessment scale (NFAS) en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Speech-language therapists (SLTs) en_ZA
dc.title Development of a clinical feeding assessment scale for very young infants in South Africa en_ZA
dc.type Article en_ZA


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