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Allied health interventions for preterm infants with feeding aversion: a scoping review protocol
Ailish Harrison1,2, Sarah Massey1, Philip Powell3
1Sheffield Children's NHS Foundation Trust, Sheffield, England.
Insights
This scoping review maps allied health interventions for preterm infants experiencing feeding aversion. It aims to identify current practices and highlight gaps in evidence for these crucial early interventions.
Area of Science:
- Neonatal care
- Allied health professions
- Pediatric feeding disorders
Background:
- Preterm infants often exhibit feeding aversion, leading to poor growth and parental stress.
- Limited evidence exists on allied health interventions for this vulnerable population.
- Identifying interventions is crucial for improving infant outcomes and family well-being.
Purpose of the Study:
- To conduct a scoping review to identify and map existing literature on allied health interventions for preterm infants with feeding aversion.
- To explore the range of allied health professions involved and the types of interventions utilized.
- To identify potential gaps in the current evidence base.
Main Methods:
- The review will follow the JBI methodology for scoping reviews.
- Searches will be conducted across multiple databases (MEDLINE, AMED, Embase, Emcare, PsycINFO, CINAHL, PubMed) from January 2014 onwards.
- Independent screening and data extraction by two reviewers, with descriptive analysis of findings.
Main Results:
- This section is to be populated upon completion of the review.
- Anticipated results include a summary of identified allied health interventions, target populations, and reported outcomes.
- Evidence gaps in specific intervention types or populations will be highlighted.
Conclusions:
- This scoping review will provide a comprehensive overview of allied health interventions for preterm infants with feeding aversion.
- Findings will inform clinical practice, guide future research, and support the development of evidence-based guidelines.
- The review aims to enhance the understanding of effective strategies to support oral feeding in this population.
Objective:
The proposed scoping review will identify and map the literature on allied health interventions for preterm infants with feeding aversion.
Introduction:
Infants born preterm can have aversive responses to food in the mouth (eg, avoidance, gagging), which can lead to refusal to eat, poor diet, poor weight gain, long-term tube feeding, and stress and anxiety during mealtimes. There is currently limited evidence on allied health professional interventions for infants with feeding aversion and their families. A comprehensive scoping review will identify allied health interventions to address this issue, as well as potential evidence gaps.
Eligibility Criteria:
Eligible studies will include infants born preterm (≤37 weeks' gestational age), aged ≤12 months (corrected age), with feeding aversion, and their parents/families. Studies will also be eligible if they report on allied health (speech and language therapy, occupational therapy, dietetic, psychology) interventions to improve infants' oral feeding.
Methods:
The review will follow the JBI methodology for scoping reviews. MEDLINE (Ovid), AMED (Ovid), Embase (Ovid), Emcare (Ovid), PsycINFO (ProQuest), and CINAHL (EBSCOhost) databases will be searched from January 2014 onward. PubMed will be searched in its entirety for cited and similar articles. Hand-searches of gray literature, reference lists, and specific professional publications will also be conducted. No language restrictions will be applied. Data published in languages other than English will be translated using free online translation tools. Two reviewers will independently screen studies and extract data using a piloted data extraction form. Descriptive analysis will include narrative summaries, frequency counts, descriptive statistics, and/or basic descriptive qualitative coding and categorizing.
Review Registration:
Figshare https://figshare.com/articles/preprint/Allied_health_interventions_for_preterm_infants_with_feeding_aversion_Protocol_abstract/26954929.
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