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Psychometric Properties of the Early Feeding Skills Assessment Tool

Suzanne M Thoyre1, Britt Frisk Pados, Catherine S Shaker

  • 1School of Nursing, The University of North Carolina, Chapel Hill (Dr Thoyre); Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts (Drs Pados and Park); Florida Hospital for Children, Orlando (Ms Shaker); and University of Iowa Stead Family Children's Hospital, Iowa City (Ms Fuller).

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|September 22, 2018
PubMed

Insights

The Early Feeding Skills (EFS) tool is a valid and reliable instrument for assessing infant feeding development. Its strong psychometric properties support its use in clinical practice and future research.

Area of Science:

  • Neonatal and pediatric feeding interventions.
  • Clinical assessment tools for infant development.

Background:

  • Assessing infant feeding skills is crucial for neonatal and pediatric care.
  • The Early Feeding Skills (EFS) tool aids in evaluating early feeding abilities and identifying intervention needs.

Purpose of the Study:

  • To determine the factor structure of the EFS tool.
  • To evaluate the psychometric properties of the EFS, including reliability and validity.

Main Methods:

  • 142 infant feeding observations (33-50 weeks postmenstrual age) were scored by trained clinicians.
  • Factor analysis was used to identify subscales after removing redundant items.
  • Construct validity was assessed against the Infant-Driven Feeding Scale-Quality (IDFS-Q) and infant gestational age.

Main Results:

  • A 5-factor structure was supported by principal components analysis.
  • The EFS demonstrated good internal consistency reliability (Cronbach α=0.81).
  • The EFS showed construct validity with the IDFS-Q (r=-0.73) and gestational age (r=0.22).

Conclusions:

  • The EFS is a valid and reliable tool for interprofessional feeding teams to organize assessments and plan care.
  • The robust psychometric properties of the EFS support its application in future research.
Abstract

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