Standardized Application of Feeding Evaluations Using SMART Tool
NCT07136610 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 3500
Last updated 2025-08-28
Summary
Premature and medically complex infants have delayed development of oral feeding skills, leading to prolonged hospitalization, costs, and family stress. There is no "gold standard" infant feeding skill assessment tool for bedside clinicians. The research team developed a novel feeding skill assessment, the SMART Tool, to monitor infant feeding skill development in the neonatal intensive care unit. This study aims to determine whether this tool improves clinical outcomes, including reduced hospital days and enhanced safety and quality of infant feedings.
Conditions
- Infant and Young Child Feeding
Interventions
- BEHAVIORAL
-
SMART Tool
The intervention in this implementation study involves (1) integrating the SMART Tool into electronic health records (EPIC), (2) educating all NICU staff (about 850 nurses, lactation consultants, speech-language pathologists, and physicians), and (3) Quality improvement to reinforce learning.
Sponsors & Collaborators
-
Wake Forest University Health Sciences
lead OTHER
Principal Investigators
-
Ravi Mishra, MBBS, MD · Advocate Illinois Masonic Medical Center
-
Elizabeth Jensen, MPH, PhD · Wake Forest University Health Sciences
-
Joseph Chase, MPH · Advocate Aurora Research Institute
-
Anne Albi, BS, MS · Advocate Illinois Masonic Medical Center
-
Cynthia Lira-Crame, BSN, MSN · Advocate Illinois Masonic Medical Center
Study Design
- Allocation
- NA
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Max Age
- 1 Year
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-08-01
- Primary Completion
- 2026-07-31
- Completion
- 2026-07-31
Countries
- United States
Study Locations
More Related Trials
-
Evaluation of an Interdisciplinary Decision Guide for Infant Feeding Assessment
NCT04850794 ·Status: COMPLETED ·Phase: NA
-
Impact of Early Oral Stimulation on Reducing Cardiorespiratory Events and Transition to Oral Feeding in Preterm Infants
NCT01116765 ·Status: COMPLETED ·Phase: NA
-
Severe Intrauterine Growth Retardation: Developmental Newborn Intensive Care Unit (NICU) Care
NCT00914108 ·Status: COMPLETED ·Phase: NA
-
NICU Parent Education Program
NCT02528227 ·Status: COMPLETED ·Phase: NA
-
Comparison of Non-nutritive Suck (NNS) Measures to Clinical Estimates of Suck and Feeding Readiness in Preterm Infants
NCT01069731 ·Status: COMPLETED
-
Family-Centered Intervention for Preterm Children: Effects at School Age and Biosocial Mediators
NCT03668626 ·Status: COMPLETED ·Phase: NA
-
Efficacy of an Oral Stimulation Protocol in Preterm Infants to Shorten the Period Between Enteral and Oral Nutrition
NCT03016767 ·Status: COMPLETED ·Phase: NA
-
Shorten the Time Required to Correct the Arrival of Complete Oral Feeding in Premature Infants
NCT05208437 ·Status: COMPLETED ·Phase: NA
-
Positive Feeding of the Preterm Infant
NCT06189352 ·Status: RECRUITING ·Phase: NA
-
Therapeutic Intervention Supporting Development From NICU to 6 Months for Infants Post Hypoxic-Ischemic Encephalopathy
NCT05130528 ·Status: COMPLETED ·Phase: NA
-
Implementation of the Golden Hour for Preterm Infants : a Quality Improvement Study
NCT05175911 ·Status: UNKNOWN
-
Combined Oral Motor Stimulation and Language on Preterm Infant Feeding
NCT05861531 ·Status: RECRUITING ·Phase: NA
-
Implementation of a Tool on Alimentary Empowerment in New-born Baby
NCT03322722 ·Status: COMPLETED
-
Which Infants in a Neonatal Unit Are at Most Risk of Feeding Difficulties?
NCT02867410 ·Status: UNKNOWN
-
Near Infrared Spectroscopy (NIRS) and Superior Mesenteric Artery (SMA) Doppler Patterns as Predictor of Feeding Tolerance in Very Low Birth Weight (VLBW) IntraUterine Growth Restricted (IUGR) and NON IUGR Infants
NCT01341236 ·Status: COMPLETED ·Phase: PHASE4
-
Use Of Nfant(R) Technology Feeding System For Infants Less Than 30 Weeks GA
NCT04256889 ·Status: COMPLETED ·Phase: NA
-
Preterm Functional Early Enteral Development (FEED) Trial on Respiratory Support
NCT04531566 ·Status: UNKNOWN ·Phase: NA
-
Successful Extubation and Noninvasive Ventilation in Preterm ≤ 1500g Terms
NCT02396693 ·Status: COMPLETED ·Phase: NA
-
To Determine the Best Feeding Practice in Preterm Infants on Non-invasive Ventilation.
NCT05824377 ·Status: UNKNOWN ·Phase: NA
-
Initiation of Oral Feeding at 30 Versus 33 Weeks Postmenstrual Age
NCT01787019 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Oral Feeding Delay Prevention in Preterm Newborns
NCT06184386 ·Status: COMPLETED
-
The Effect of a Nurse-led Continuous Support Program on Neurodevelopment of Preterm Infants
NCT03151122 ·Status: UNKNOWN ·Phase: NA
-
Feeding Premature Infants During Non-invasive Respiratory Support
NCT03852641 ·Status: UNKNOWN ·Phase: NA
-
CTICU Pacifier Activated Music Player and Mother's Voice
NCT03035552 ·Status: COMPLETED ·Phase: NA
-
Manikin To Patient Intubation: Does It Translate?
NCT03046966 ·Status: COMPLETED ·Phase: NA