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Factor Structure and Psychometric Properties of the Neonatal Eating Assessment Tool-Bottle-Feeding

Britt Frisk Pados1, Suzanne M Thoyre, Hayley H Estrem

  • 1Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts (Drs Pados and Park); The University of North Carolina at Chapel Hill School of Nursing (Dr Thoyre); University of North Carolina at Chapel Hill Center for Developmental Sciences (Dr Estrem); and University of North Carolina at Chapel Hill School of Medicine, Department of Allied Health Sciences, Division of Speech and Hearing Sciences (Dr McComish).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|May 11, 2018
PubMed

Insights

The Neonatal Eating Assessment Tool (NeoEAT)-Bottle-feeding is a new, reliable parent-report measure for infant feeding difficulties. It is validated for clinical practice and research in infants under 7 months.

Area of Science:

  • Neonatal care
  • Pediatric nutrition
  • Infant feeding behavior

Background:

  • Infant feeding difficulties are prevalent.
  • No validated parent-report tools exist for assessing bottle-feeding in infants under 7 months.
  • The Neonatal Eating Assessment Tool (NeoEAT)-Bottle-feeding was developed and content validated.

Purpose of the Study:

  • To establish the factor structure of the NeoEAT-Bottle-feeding.
  • To evaluate the psychometric properties of the NeoEAT-Bottle-feeding.

Main Methods:

  • Exploratory factor analysis was used to determine the scale's factor structure.
  • Internal consistency and test-retest reliability were assessed.
  • Construct validity was examined using correlations with established questionnaires (I-GERQ-R, IGSQ).
  • Known-groups validation compared scores between healthy infants and those with feeding issues.

Main Results:

  • A 64-item, 5-factor scale emerged from exploratory factor analysis.
  • Excellent internal consistency (α = .92) and test-retest reliability (r = 0.90) were found.
  • The NeoEAT-Bottle-feeding demonstrated strong construct validity with the I-GERQ-R (r = 0.74) and IGSQ (r = 0.64).
  • Infants with feeding problems scored significantly higher than healthy infants, supporting known-groups validity.

Conclusions:

  • The NeoEAT-Bottle-feeding is a valid and reliable tool for assessing bottle-feeding in infants under 7 months.
  • This measure is suitable for use in clinical practice and feeding research.
  • The tool aids in identifying infants needing feeding support.
Abstract

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