TY - JOUR
T1 - Implementing co-regulated feeding with mothers of preterm infants
AU - Thoyre, Suzanne M.
AU - Hubbard, Carol
AU - Park, Jinhee
AU - Pridham, Karen
AU - McKechnie, Anne
N1 - Publisher Copyright:
© 2016 Wolters Kluwer Health, Inc.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Purpose: The purpose of this study is to describe implementation of the Co-Regulated Feeding Intervention (CoReg), when provided by mothers and guided by intervention nurses trained in methods of guided participation (GP). Co-regulated feeding intervention aims to prevent stress during feeding and ease the challenge very preterm (VP) infants experience coordinating breathing and swallowing during the early months. Guided participation is a participatory learning method to guide the complex learning required for mothers. Study Design and Methods: Sixteen mothers of 17 VP infants participated. Each mother received a median of five intervention sessions during the infant's transition to oral feeding. Intervention fi eld notes, audio recordings of the sessions, and video recordings of the nurse-guided feedings were reviewed, organized, and content analyzed to evaluate implementation. Results: The co-regulated feeding intervention was well received by mothers; enrollment, participation, and retention rates were high. Most mothers chose to spread out the intervention sessions across the transition period. Scheduling sessions was the greatest barrier. Mothers had competing demands and infant readiness to eat could not be predicted. The top fi ve issues identifi ed as needing attention by the mother or nurse included reading cues, coregulating breathing, providing motoric stability, regulating milk fl ow, and providing rest periods. Main GP strategies included joint attention with the mother to the dyad's feeding challenges, auditory assessment of breathing and swallowing, and refl ection with planning for future feedings using video playback. Clinical Implications: Nurse presence while mothers feed affords rich opportunities to guide coregulated, cuebased feeding. Co-regulated feeding intervention would be enhanced if mothers are guided by the bedside nurse.
AB - Purpose: The purpose of this study is to describe implementation of the Co-Regulated Feeding Intervention (CoReg), when provided by mothers and guided by intervention nurses trained in methods of guided participation (GP). Co-regulated feeding intervention aims to prevent stress during feeding and ease the challenge very preterm (VP) infants experience coordinating breathing and swallowing during the early months. Guided participation is a participatory learning method to guide the complex learning required for mothers. Study Design and Methods: Sixteen mothers of 17 VP infants participated. Each mother received a median of five intervention sessions during the infant's transition to oral feeding. Intervention fi eld notes, audio recordings of the sessions, and video recordings of the nurse-guided feedings were reviewed, organized, and content analyzed to evaluate implementation. Results: The co-regulated feeding intervention was well received by mothers; enrollment, participation, and retention rates were high. Most mothers chose to spread out the intervention sessions across the transition period. Scheduling sessions was the greatest barrier. Mothers had competing demands and infant readiness to eat could not be predicted. The top fi ve issues identifi ed as needing attention by the mother or nurse included reading cues, coregulating breathing, providing motoric stability, regulating milk fl ow, and providing rest periods. Main GP strategies included joint attention with the mother to the dyad's feeding challenges, auditory assessment of breathing and swallowing, and refl ection with planning for future feedings using video playback. Clinical Implications: Nurse presence while mothers feed affords rich opportunities to guide coregulated, cuebased feeding. Co-regulated feeding intervention would be enhanced if mothers are guided by the bedside nurse.
KW - Feeding methods
KW - Intervention studies
KW - Maternal behavior
KW - Premature infants
UR - http://www.scopus.com/inward/record.url?scp=84964297990&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84964297990&partnerID=8YFLogxK
U2 - 10.1097/NMC.0000000000000245
DO - 10.1097/NMC.0000000000000245
M3 - Article
C2 - 27111440
AN - SCOPUS:84964297990
SN - 0361-929X
VL - 41
SP - 204
EP - 211
JO - MCN The American Journal of Maternal/Child Nursing
JF - MCN The American Journal of Maternal/Child Nursing
IS - 4
ER -