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The Functional Evaluation of Eating Difficulties Scale: Study Protocol and Validation in Infants with
Anna Cavallini1, Livio Provenzi2, Daniela Sacchi1
1Neuropsychiatry and Neurorehabilitation Unit, Scientific Institute IRCCS Eugenio Medea, Bosisio Parini, Italy.
Insights
This study introduces the Functional Evaluation of Eating Difficulties Scale (FEEDS) for assessing oral-motor skills in at-risk newborns and infants. Preliminary validation demonstrates its reliability for early intervention in feeding disorders.
Area of Science:
- Pediatrics
- Developmental Neuroscience
- Clinical Assessment Tools
Background:
- Effective early intervention for swallowing and feeding disorders in newborns requires accurate oral-motor skill evaluation.
- Limited evidence exists on the reliability and predictive validity of current assessment tools for at-risk infants.
- The Functional Evaluation of Eating Difficulties Scale (FEEDS) was developed to address this gap.
Purpose of the Study:
- To develop a clinically grounded tool, the Functional Evaluation of Eating Difficulties Scale (FEEDS).
- To provide preliminary validation and assess the reliability of the FEEDS for at-risk newborns and infants.
- To establish a reliable method for evaluating oral-motor skills in infants with feeding difficulties.
Main Methods:
- The FEEDS was developed by a multidisciplinary team based on clinical expertise and evidence.
- The tool was applied to 136 infants aged 0-12 months with neurodevelopmental disabilities.
- Internal consistency (Cronbach's alpha) and inter-rater reliability were assessed.
Main Results:
- The study describes the development process, items, scoring, and clinical cutoff of the FEEDS.
- Preliminary data on the reliability of the FEEDS are provided.
- The FEEDS was applied to a sample of 136 infants with neurodevelopmental disabilities.
Conclusions:
- The FEEDS is a new, clinically grounded tool for assessing oral-motor skills in at-risk newborns and infants.
- The study provides initial information on the reliability of the FEEDS.
- Further validation studies are planned to assess psychometric characteristics and predictive validity.
Introduction:
A reliable and accurate evaluation of oral-motor skills in newborns at risk for swallowing and feeding disorders is key to set the goals of effective early interventions. Although many tools are available to assess oral-motor skills in newborns, limited evidence exists for what pertains their reliability and their effectivity in predicting short- and long-term developmental outcomes in at-risk infants. The aim of the present study is to develop and provide a preliminary validation of a new clinically grounded tool [i.e., the Functional Evaluation of Eating Difficulties Scale (FEEDS)] specifically designed to be used with at-risk newborns and infants. The paper describes the steps of tool development and information on the reliability of the tool are provided.
Methods/Analysis:
The FEEDS has been developed according to clinical evidence and expertise by a multidisciplinary team of professionals dealing with feeding problems in at-risk infants diagnosed with neurodevelopmental impairments and disabilities. The steps of FEEDS development are reported, together with a detailed description of items, scoring procedure, and clinical cutoff. The FEEDS has been applied to a relatively large sample of 0- to 12-month-old infants (N = 136) with neurodevelopmental disability, enrolled consecutively between 2004 and 2016 at the Scientific Institute IRCCS Eugenio Medea (Bosisio Parini, Italy), which is the main rehabilitation hospital for children with neurodevelopmental disabilities in Italy. Internal consistency (Cronbach's alpha) and reliability (inter-rater agreement) have been assessed.
Ethics And Dissemination:
All the procedures are consistent with the World Medical Association Declaration of Helsinki (2013) and the FEEDS has been approved by the clinical committee of the Scientific Institute IRCCS Eugenio Medea. Further psychometric characteristics and evidence of the predictive validity of the FEEDS will be obtained on a larger sample and they will be reported in future publications from this group.
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