ArticleBMJ paediatrics open2025
Cross-cultural adaptation and validation of Neonatal Eating Assessment Tool (NeoEAT)-Paladai/cup feeding in Tamil: a caregiver-reported assessment tool.
Article in BMJ paediatrics open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundCup feeding is an alternative method to provide nutrition to infants exhibiting difficulties in breastfeeding. Paladai is a cup commonly used to feed milk to infants in several parts of India. Parental reports of infant feeding help address feeding concerns and establish successful oral feeding.
methodThis cross-sectional study was conducted in a quaternary care hospital in South India. The NeoEAT-Paladai/cup in Tamil was developed through a systematic process of cross-cultural adaptation and included 64 items. A total of 325 Tamil-speaking mothers of children younger than 7 months who were fed through the paladai exclusively or partially, along with breastfeeding, completed the NeoEAT-Paladai (Tamil).
resultsFactor analysis of the responses yielded five subscales with high internal consistency reliability across subscales (α=0.858 to 0.908) and the full scale (α=0.963). Test-retest reliability was high for the full scale (intraclass correlation=0.995). Infants with feeding concerns demonstrated significantly higher total and subscale scores than infants without feeding concerns (p<0.001).
conclusionThe NeoEAT-Paladai (Tamil) allows clinicians and caregivers of Tamil-speaking populations to monitor the feeding behaviours of infants when being fed by paladai.
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