Observational studyThe American journal of occupational therapy : official publication of the American Occupational Therapy Association
Interrater Reliability and Concurrent Validity of the Neonatal Eating Outcome Assessment.
Observational study in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed, 13 citations in OpenAlex.
- Psychometric properties of the SMART tool for infant oral feeding skill assessment.Scientific reports · 2025Observational
- Feeding challenges in early infancy: the role of reflexes, muscle tone, and developmental milestones.PeerJ · 2025Observational
- Relationships between preterm medical factors and feeding behaviors at term-equivalent age.Early human development · 2024Article
- Instrument for classifying dependency in neonatal intensive care: analysis of agreement and reliability.Revista latino-americana de enfermagem · 2024Article
- Neonatal feeding performance is related to feeding outcomes in childhood.Early human development · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
importanceFew neonatal feeding assessments are currently available, and the Neonatal Eating Outcome Assessment is the only one that identifies feeding impairment while considering the developmental changes that occur from preterm birth to term-equivalent age.
objectiveTo determine the interrater reliability and concurrent validity of the Neonatal Eating Outcome Assessment.
designProspective, observational study.
settingLevel 4 neonatal intensive care unit.
participantsA convenience sample of 7 neonatal therapists participated in reliability testing. For concurrent validity, a prospective cohort of 52 preterm infants born ≤32 wk gestation had feeding assessed at term-equivalent age. OUTCOMES AND MEASURES: Intraclass correlations (ICCs) and Fleiss's κ statistics were used to define reliability across therapists, who independently scored five videos of preterm infants orally feeding using the Neonatal Eating Outcome Assessment. Concurrent validity was determined by evaluating relationships between the Neonatal Oral Motor Assessment Scale (NOMAS) and the Neonatal Eating Outcome Assessment using an independent-samples t test and χ² analysis.
resultsThe ICC for the Neonatal Eating Outcome Assessment total score was 0.90 (confidence interval [CI] [0.70, 0.99]). Fleiss's κ scores for the 19 scorable items on the Neonatal Eating Outcome Assessment had predominately moderate, fair, and slight agreement, with 3 items having poor agreement. Dysfunctional NOMAS scores were related to lower Neonatal Eating Outcome Assessment scores (t[49.4] = 3.72, mean difference = 12.2, 95% CI [5.60, 18.75], p = .001). CONCLUSIONS AND RELEVANCE: The Neonatal Eating Outcome Assessment has excellent reliability. Concurrent validity was established. WHAT THIS ARTICLE ADDS: This article reports that the final version of the Neonatal Eating Outcome Assessment (Version 5.7) has excellent interrater and concurrent validity and is an important tool to assess the occupation of infant feeding in clinical practice.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.