Related Experiment Video
Updated: Jul 27, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
11.5K
Evaluation of a Digital Home Weight Monitoring Program for Infants With Cleft Palate
Thomas J Sitzman1,2,3, Kayla Tymous1, Megan Halvorson1
1Phoenix Children's Center for Cleft and Craniofacial Care a Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA.
Summary
Digital home monitoring for infants with cleft palate did not reduce malnutrition rates but decreased speech-language pathology visits. The program identifies feeding issues but doesn't solve all malnutrition causes.
Area of Science:
- Pediatric care
- Medical technology
- Cleft lip and palate research
Background:
- Infants with cleft palate with or without cleft lip (CP±L) require careful monitoring for feeding and growth.
- Traditional monitoring involves frequent in-person clinic visits, which can be burdensome for families.
Purpose of the Study:
- To evaluate the effectiveness of a digital home monitoring program for infants with CP±L.
- To compare this program against traditional in-person clinic visit monitoring.
Main Methods:
- A retrospective cohort study was conducted at a metropolitan pediatric hospital.
- 88 infants with CP±L were analyzed: 41 in the digital home monitoring group and 47 in the traditional in-person visit group.
- Digital monitoring involved weekly caregiver submission of infant weights and feeding evaluations via a secure website.
Main Results:
- No significant difference in the incidence of malnutrition at 4 months of age between the two groups (13% vs 17%).
- Infants in the digital home monitoring program had significantly fewer in-person speech-language pathology visits (3.9 vs 5.4).
- Malnutrition was associated with Child Protective Services involvement and the presence of a syndrome.
Conclusions:
- Digital home monitoring for infants with CP±L did not reduce malnutrition incidence.
- The program effectively reduced the need for in-person speech-language pathology visits.
- While capable of identifying infants with feeding challenges, the program does not fully address multifactorial malnutrition contributors.
Related Concept Videos
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:28Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...