Development and Validation of a Questionnaire to Measure Feeding Challenges and Nutritional Problems Associated With Long-Term Enteral Nutrition Among Children With Disabilities.

IF 2 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2025-03-03 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S502223
Sara Zaher, Sarah M Ajabnoor
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Abstract

Background: Children with disabilities receiving long-term enteral nutrition (EN) frequently struggle with feeding issues. This study aims to develop and validate a questionnaire to assess tube feeding challenges and nutritional problems among this group of children.

Methods: In this survey-based study, data was collected via an online survey of mothers or caregivers of children with disabilities receiving long-term EN. The questionnaire was prepared following a literature analysis of nasogastric, gastrostomy and jejunostomy-related complications in children. The validation of the tool was conducted with three experts in the field, followed by its translation into Arabic. It was then pilot-tested on six mothers of children with disabilities who receive long-term EN. The reliability of the questionnaire was assessed using Cronbach's-alpha coefficient and measurement of test-retest inter-rater reliability.

Results: Twenty-four children were included in this study; their median age was 4.7 years. The value of Cronbach's-alpha (α = 0.742) suggested good reliability of the tool items among the study sample. The test-retest reliability assessed by correlation coefficients showed a strong correlation for most items; the r-value of the overall tool was 0.922, P < 0.001.

Conclusion: Strong test-retest reliability was demonstrated by the developed EN feeding problem questionnaire. Suggesting that the questionnaire is reliable and valid for utilisation in children with disabilities.

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残疾儿童长期肠内营养相关的喂养挑战和营养问题问卷的编制和验证。
背景:接受长期肠内营养(EN)的残疾儿童经常与喂养问题作斗争。本研究旨在开发和验证一份问卷,以评估这组儿童的管饲挑战和营养问题。方法:在这项基于调查的研究中,通过对长期接受EN治疗的残疾儿童的母亲或照顾者进行在线调查收集数据。调查问卷是在对儿童鼻胃造口术、胃造口术和空肠造口术相关并发症进行文献分析后编制的。由该领域的三名专家对该工具进行了验证,然后将其翻译成阿拉伯语。然后在6位长期接受EN治疗的残疾儿童母亲身上进行了试点测试。问卷的信度采用Cronbach's-alpha系数和重测间信度测量进行评估。结果:本研究共纳入24例儿童;他们的平均年龄为4.7岁。Cronbach's-alpha值(α = 0.742)表明工具项目在研究样本中具有良好的信度。经相关系数评估的重测信度显示,大部分项目具有较强的相关性;整体工具的r值为0.922,P < 0.001。结论:所编制的EN喂养问题问卷具有较强的重测信度。提示问卷在残疾儿童中使用是可靠和有效的。
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
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
期刊介绍: Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.
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