Item-Level Psychometrics of the Neonatal Eating Outcome Assessment in Orally Feeding Infants.

IF 1.5 4区医学 Q3 REHABILITATION Otjr-Occupation Participation and Health Pub Date : 2024-10-01 Epub Date: 2023-11-19 DOI:10.1177/15394492231212399

Brooke Mulrenin, Roberta Pineda, Cynthia Dodds, Craig A Velozo

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Abstract

Background: The Neonatal Eating Outcome Assessment determines feeding performance based on the infant's postmenstrual age (PMA).

Objective: To examine item-level measurement properties of this assessment's rating scale.

Methodology: In this retrospective study, Rasch analysis was completed on clinical data from the Neonatal Eating Outcome Assessment for 100 infants (52 preterm and 48 full-term) using Winsteps version 3.93.1. Instead of PMA-based scores, ordered letters converted to numerical scores were analyzed.

Results: Analysis demonstrated that Section I (Pre-Feeding Skills) represents a separate construct from Sections II and III (Oral Feeding and End of Feeding, respectively). Sections II and III were adequately unidimensional to complete Rasch analysis. These sections fit the Rasch model overall, but rating scale category underuse was common, which may be attributed to sample characteristics.

Implications: This analysis supports using validated ordered letter scoring of Sections II and III to measure oral feeding performance in preterm and full-term newborns.

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口服喂养婴儿进食结局评估的项目水平心理测量学。

背景:新生儿进食结局评估根据婴儿经后年龄(PMA)确定喂养表现。目的:检验该评定量表在项目层面的测量特性。方法:本回顾性研究采用Winsteps 3.93.1版本对100例新生儿进食结局评估(52例早产儿和48例足月婴儿)的临床资料进行Rasch分析。分析的不是基于pma的分数，而是将顺序字母转换为数字分数。结果:分析表明，第一节(喂食前技能)与第二节和第三节(分别为口服喂食和喂食结束)是一个独立的结构。第二节和第三节是足够的单维来完成拉希分析。这些部分总体上符合Rasch模型，但评级量表类别使用不足是常见的，这可能归因于样本特征。意义:本分析支持使用II和III部分的有效有序字母评分来衡量早产儿和足月新生儿的口服喂养表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.