Impact of Implementing an Infant Driven Feeding Program on Oral Feeding and Growth Outcomes of Medically Fragile Infants in the Neonatal ICU (NICU)
The Impact of Implementing an Infant Driven Feeding Program on Oral Feeding and Growth Outcomes of Medically Fragile Infants in the NICU
1 other identifier
observational
156
1 country
1
Brief Summary
The specific aim of this pre-post trial is to compare data regarding oral feeding, length of stay, and growth outcomes of 100 NICU infants to these same outcomes following the implementation of a developmentally supportive, infant driven feeding program with the NICU staff, specifically the Supporting Oral Feeding in Fragile Infants (SOFFI) infant feeding program on a second sample of 100 NICU infants at Children's Memorial Hospital. The specific research questions considered in this study are:
- 1.What is the impact of implementing the SOFFI on the oral feeding outcomes of medically fragile infants in the NICU at discharge and at 3 months post-term?
- 2.What is the impact of implementing the SOFFI on the growth outcomes of medically fragile infants in the NICU at discharge and at 3 months post-term?
- 3.What is the impact of implementing the SOFFI on the length of stay of medically fragile infants in the NICU?
- 4.What is the impact of implementing the SOFFI on the clarity and consistency of NICU staff evaluations and communications related to managing oral feedings with medically fragile infants?
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2009
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedFirst Submitted
Initial submission to the registry
August 13, 2012
CompletedFirst Posted
Study publicly available on registry
August 16, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2017
CompletedAugust 17, 2018
August 1, 2018
2 years
August 13, 2012
August 16, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Oral feeding outcomes
Defined as percentage of ordered full feeding volume as ordered by NICU staff taken orally at NICU discharge and, if applicable, the number of days to take 100% of ordered feeding volume orally.
Up to 3 months
Oral Feeding Outcomes
Infant oral feeding outcomes per structured parent phone interview at home.
Up to 5 months
Secondary Outcomes (2)
Growth outcomes
Up to 3 months
Growth Outcomes
Up to 5 months
Other Outcomes (2)
Length of Stay
Up to 3 months
Change in NICU staff evaluations and communications r/t infants' oral feeding pre-SOFFI to post-SOFFI
Up to 2 years
Study Arms (2)
Pre-SOFFI infants
Infants discharged from the NICU prior to the implementation of the SOFFI infant driven feeding program with NICU staff.
Post SOFFI infants
Subject infants discharged from the NICU at least 6 months after the implementation of the SOFFI infant driven feeding program and
Interventions
NICU nursing and multidisciplinary staff were trained to use the SOFFI infant driven feeding program. A small group of learners (20) were trained as resources via a 2-day course and the entire nursing staff received training during a 1-1.5 hour training lecture during their annual competencies.
Eligibility Criteria
Convenience sample of NICU infants discharged home prior to the implementation of the SOFFI will be compared to a convenience sample of NICU infants discharged home following the implementation of the SOFFI.
You may qualify if:
- Infants of all gestations and diagnostic groups in this tertiary level NICU will be included in the sample
You may not qualify if:
- Infants with medical diagnoses known to impact sucking and swallowing
- Infants unable to manage their oral secretions
- Infants who remain hospitalized beyond 3 months adjusted age
- Infants who expire or are transferred to another inpatient unit or hospital/facility prior to discharge from the NICU
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ann & Robert H Lurie Childrens Hospital of Chicago
Chicago, Illinois, 60611, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Susan M Horner, MS
Ann & Robert H Lurie Children's Hospital of Chicago
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Developmental Specialist
Study Record Dates
First Submitted
August 13, 2012
First Posted
August 16, 2012
Study Start
September 1, 2009
Primary Completion
September 1, 2011
Study Completion
June 30, 2017
Last Updated
August 17, 2018
Record last verified: 2018-08