Clinical trial NCT06266507: Examining the Effect of Occupational Therapy-Based Parent Coaching on Feeding Problems in Children with a Preterm Birth
Official title: Examining the Effect of Occupational Therapy-Based Parent Coaching on Feeding Problems in Children with a History of Premature Birth
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Feeding Behavior
Mother-Child Relations
Feeding and Eating Disorders
Keywords: prematurity
feeding problems
occupational therapy
parent coaching
Lead sponsor: Ankara Medipol University
Sponsor class: OTHER
First posted: 2024-02-20
Enrollment: 46
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Feeding problems are common in children with a history of premature birth, and these problems continue into early childhood. Feeding problems are affected by many biopsychosocial factors, and the context in which feeding takes place and the attitudes and behaviors of parents can also be effective in the emergence or continuation of these problems. The aim of our study is to evaluate the effects of occupational therapy-based parent coaching intervention on mothers and their children, who are considered to be primarily responsible for the feeding of children in our country. 46 mothers with premature children will be included in our study and participants will be randomly assigned to intervention/control groups. Mothers will fill out a sociodemographic information form, Behavioral Pediatric Feeding Assessment Scale, Sensory Profile Questionnaire - Oral Sensory Processing Subtest, Family Feeding Strategies Scale and Parental Self-Efficacy Scale via Google forms. Mothers in the research group will be given online occupational therapy-based parent coaching training for 10 weeks. Second evaluations will be carried out after the training; Final evaluations will be applied after 1 month of follow-up.


Eligibility criteria: Inclusion Criteria:

* Prematurity of the child (Birth week \<37)
* The child is between 3-6 years old
* The mother must have the competence to use online platforms, technological tools and internet connection.
* The mother must have sufficient education to read, understand and fill out the scales.
* Mothers reporting complaints about feeding problems in their children

Exclusion Criteria:

* It may affect the child's feeding; Having a food allergy, disability, neurodevelopmental disease, chromosomal or structural anomalies
* The child is fed non-orally
* Being receiving occupational therapy, oral motor therapy or nutritional therapy at any center
* Not allowing practices such as video sharing, camera/audio sharing, and recording of sessions during the intervention.

Primary outcomes:
measure: Behavioral Pediatric Feeding Assessment Scale
timeFrame: The scale will be applied 3 times in total: at the beginning of the study, 10 weeks after the first evaluation and 4 weeks after the second evaluation.
measure: Sensory Profile Questionnaire - Oral Sensory Processing Test
timeFrame: The scale will be applied 3 times in total: at the beginning of the study, 10 weeks after the first evaluation and 4 weeks after the second evaluation.
Secondary outcomes:
measure: Feeding Strategies Quesstionnaire
timeFrame: The scale will be applied 3 times in total: at the beginning of the study, 10 weeks after the first evaluation and 4 weeks after the second evaluation.
measure: Parental Self-Efficacy Scale
timeFrame: The scale will be applied 3 times in total: at the beginning of the study, 10 weeks after the first evaluation and 4 weeks after the second evaluation.
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ankara Medipol University
state: Ankara/ Altındağ
Study officials:
affiliation: Hacettepe University
name: Gökçen Akyürek, Ph. D.
role: STUDY_DIRECTOR
References:
citation: Walton K, Daniel AI, Mahood Q, Vaz S, Law N, Unger SL, O'Connor DL. Eating Behaviors, Caregiver Feeding Interactions, and Dietary Patterns of Children Born Preterm: A Systematic Review and Meta-Analysis. Adv Nutr. 2022 Jun 1;13(3):875-912. doi: 10.1093/advances/nmac017.
citation: Dev DA, Padasas I, Hillburn C, Stage VC, Dzewaltowski DA. Ecological Approach to Family-Style, Multilevel Child Care Intervention: Formative Evaluation Using RE-AIM Framework. J Nutr Educ Behav. 2022 Aug;54(8):728-744. doi: 10.1016/j.jneb.2022.03.005. Epub 2022 Jun 26.