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A Feeding Adequacy Scale for Children With Bronchiolitis: Prospective Multicenter Study

Agnes Sebastian1,2, Cornelia M Borkhoff3,4,2, Gita Wahi5

  • 1Temerty Faculty of Medicine.

Hospital Pediatrics
|September 15, 2023
PubMed

Insights

The Feeding Adequacy Scale (FAS) is a feasible, reliable, and valid tool for assessing feeding in infants with bronchiolitis. It accurately measures feeding adequacy and responsiveness to clinical changes during hospitalization.

Area of Science:

  • Pediatrics
  • Clinical Assessment
  • Health Outcomes Research

Background:

  • Bronchiolitis is a common respiratory infection in infants, often leading to hospitalization and feeding difficulties.
  • Assessing feeding adequacy is crucial for managing hospitalized infants and predicting discharge readiness.

Purpose of the Study:

  • To evaluate the measurement properties of the Feeding Adequacy Scale (FAS).
  • To determine the feasibility, reliability, validity, and responsiveness of the FAS in young children hospitalized with bronchiolitis.

Main Methods:

  • A multicenter cohort study involving 228 infants hospitalized with bronchiolitis.
  • Caregivers and nurses completed the FAS, a 10-cm visual analog scale, to assess feeding.
  • Measurement properties including feasibility, test-retest reliability, interrater reliability, construct validity, and responsiveness were analyzed.

Main Results:

  • The FAS was feasible for both caregivers and nurses, with no floor or ceiling effects.
  • Moderate to good reliability was observed for test-retest (caregivers: ICC 0.73; nurses: ICC 0.75) and interrater assessments (ICC 0.55).
  • The FAS demonstrated good construct validity and responsiveness, correlating with length of stay and readiness for discharge, and showing significant improvement from admission to discharge.

Conclusions:

  • The Feeding Adequacy Scale (FAS) is a feasible, reliable, valid, and responsive measure for assessing feeding adequacy in infants hospitalized with bronchiolitis.
  • Caregiver and nurse completion of the FAS provides valuable insights into infant feeding status during hospitalization and recovery.
Abstract

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