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Undersøgelse af effekten af ​​ergoterapi-baseret forældrecoaching på ernæringsproblemer hos børn med en for tidlig fødsel

9. august 2026 opdateret af: Rukiye Begüm KOCA, Ankara Medipol University

Undersøgelse af effekten af ​​ergoterapi-baseret forældrecoaching på ernæringsproblemer hos børn med en historie med for tidlig fødsel

Ernæringsproblemer er almindelige hos børn med en historie med for tidlig fødsel, og disse problemer fortsætter ind i den tidlige barndom. Ernæringsproblemer påvirkes af mange biopsykosociale faktorer, og den kontekst, hvori fodring finder sted, og forældrenes holdninger og adfærd kan også være effektive i forbindelse med opkomsten eller fortsættelsen af ​​disse problemer. Formålet med vores undersøgelse er at evaluere virkningerne af ergoterapi-baseret forældrecoaching-intervention på mødre og deres børn, som anses for at være primært ansvarlige for ernæring af børn i vores land. 46 mødre med for tidligt fødte børn vil blive inkluderet i vores undersøgelse, og deltagerne vil blive tilfældigt fordelt i interventions-/kontrolgrupper. Mødre udfylder en sociodemografisk informationsformular, Behavioral Pediatric Feeding Assessment Scale, Sensory Profile Questionnaire - Oral Sensory Processing Subtest, Family Feeding Strategies Scale og Parental Self-Efficacy Scale via Google-formularer. Mødre i forskergruppen får online ergoterapibaseret forældrecoachinguddannelse i 10 uger. Anden evaluering vil blive udført efter uddannelsen; Slutevalueringer vil blive anvendt efter 1 måneds opfølgning.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

39

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Tyrkiet (Türkiye)
    • Ankara/ Altındağ
      • Ankara, Ankara/ Altındağ, Tyrkiet (Türkiye), 06110
        • Ankara Medipol University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Beskrivelse

Inklusionskriterier:

  • Barnets præmaturitet (fødselsuge <37)
  • Barnet er mellem 3-6 år
  • Moderen skal have kompetence til at bruge online platforme, teknologiske værktøjer og internetforbindelse.
  • Moderen skal have tilstrækkelig uddannelse til at læse, forstå og udfylde skalaerne.
  • Mødre indberetter klager over fodringsproblemer hos deres børn

Ekskluderingskriterier:

  • Det kan påvirke barnets fodring; At have en fødevareallergi, handicap, neuroudviklingssygdom, kromosomale eller strukturelle anomalier
  • Barnet ernæres ikke oralt
  • At være i ergoterapi, oral motorisk terapi eller ernæringsterapi på ethvert center
  • Ikke at tillade praksis såsom videodeling, kamera/lyddeling og optagelse af sessioner under interventionen.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Forskningsgruppe
Mødre, der vil modtage en 10 ugers ergoterapibaseret forældrecoachingintervention, vil blive inkluderet i denne gruppe.
Adfærdsmæssigt: Ergoterapi baseret forældrecoaching
Ergoterapibaseret forældrecoachingintervention vil vare 10 sessioner og vil blive udført på online platformen. Sessioner er planlagt til at vare mellem 45-60 minutter. De samtaler, der skal afholdes under sessionerne, betragtes som de grundlæggende principper for forældrecoaching; Det vil blive gennemført i overensstemmelse med principperne om fælles planlægning, observation, implementering, refleksion og feedback. Denne intervention har til formål at oplyse mødre om korrekte ernæringsstrategier for deres børn og at sætte dem i stand til at udføre disse praksisser uafhængigt.
Andre navne:
  • Informativ brochuredistribution
Andet: Kontrolgruppe
Kontrollen vil ikke modtage en aktiv intervention, men vil blive forsynet med en informativ brochure om tidlig barndomsudvikling. Desuden vil retten til at deltage i interventionen blive givet, når forskningen er afsluttet.
Andet: Informativ Brochurefordeling
Der vil ikke blive foretaget nogen aktiv intervention over for mødrene i målgruppen; en informativ brochure om tidlig barndomsudvikling vil blive distribueret.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Behavioral Pediatric Feeding Assessment Scale
Tidsramme: The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
This scale will be used to evaluate children's nutritional problems. Behavioral Pediatrics Feeding Assessment Scale (BPFAS) was developed by Crist and Napier Philips in 2001 and its original version consists of 35 questions. The usage age range of the survey is between 9 months and 7 years, and it is the scale with the most comprehensive reliability and validity data among the nutrition surveys administered by parents for preschool children. The questionnaire has good test-retest reliability and internal consistency, acceptable-to-good sensitivity, and good-to-excellent specificity. The BPFAS is capable of screening for a broad spectrum of feeding difficulties (nutritional and textural selectivity, food refusal, and oral motor difficulties). Turkish validity study by Önal et al. It was made by in 2017.
The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
Sensory Profile Questionnaire - Oral Sensory Processing Test
Tidsramme: The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).

This scale will be used to examine how children's oral sensory processing skills change before and after the intervention. Ergotherapist Prof. Sensory Profile of the individual developed by Winnie Dunn; It is a measurement tool used to evaluate sensory modulation, in other words, the tendency to respond to sensory stimuli during daily activities and which sensory systems affect daily life more. It is used in children between the ages of 3-10. The individual; The test, which is used to measure functional performance in daily living activities, sensory processing abilities and sensory processing effects, consists of 3 main sub-parameters (sensory processing, modulation and behavioral-emotional responses) and 9 factor scores consisting of these parameters.

*In our study, it was decided to use only the oral sensory processing subtest of questionnaire.
The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
Canadian Occupational Therapy Measurement (COPM)
Tidsramme: The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
The Canadian Occupational Performance Measurement (COPM) is an outcome measure designed to identify changes in individuals' perceived performance and satisfaction levels over time in the areas of self-care, productivity, and leisure. In the application of the COPM, the client is first interviewed and listed occupations they want to do, are expected to do, but are unable to do, or are dissatisfied with the way they are performed. Performance and satisfaction levels are recorded before and after the intervention, allowing the difference between the two assessments to be calculated. The COPM will be used in this study to determine participants' goals for the intervention and to examine changes in performance and satisfaction following the intervention for the identified occupations.
The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
Feeding Strategies Quesstionnaire
Tidsramme: The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
This questionnaire will be used to measure whether mothers' feeding strategies have changed before and after the intervention.It is a scale developed by Berlin et al. in 2005 to measure parents' feeding strategies for their children. FSQ consists of 27 items and is administered to children between the ages of 2-6. FSQ; It consists of 6 subheadings: child control in eating, meal time, environment structure, family control in eating, release and coercive interventions. The FSQ scale includes answers ranging from 1 (strongly disagree) to 5 (strongly agree). It has been reported that the Feeding Strategies Scale can be used to evaluate child and parent feeding strategies regarding the prevention or treatment of pediatric feeding difficulties. A Turkish adaptation study was carried out by Meral in 2017, and the total Cronbach alpha value of the scale is 0.80.
The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
Parental Self-Efficacy Scale
Tidsramme: The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).
This scale will be used to examine how parents' self-efficacy changes before and after parent coaching intervention. Parental Self-Efficacy Scale Guimond et al. It was developed by Cavkaytar et al. in 2005 and adapted into Turkish by Diken in 2007. It is a scale updated in 2014 and used to measure the self-efficacy perceptions of parents of children with disabilities regarding their parenting skills. The scale is a 7-point Likert-type rating scale and consists of a total of 17 items. The lowest score can be obtained from the scale, 17 points, and the highest score can be 119 points. As the score obtained from the scale increases, the level of self-efficacy also increases. Cronbach's Alpha internal consistency coefficient of the scale was found to be 0.95.
The scale will be applied 3 times in total: at the beginning of the study (baseline), 10 weeks after the first evaluation (week 10) and 4 weeks after the second evaluation (week 14).

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Numerical Rating Scale
Tidsramme: This assessment was planned to be applied to the intervention group in post-intervention (T1: week 10) and post-follow-up (T2: week 14) evaluations.
In this study, satisfaction was assessed in parents in the intervention group during post-intervention (T1) and follow-up (T2) evaluations. A single-item 0-10 (0=not satisfied at all, 10=very satisfied) numerical rating scale was used to assess overall satisfaction with Occupational Therapy Based Parent Coaching.
This assessment was planned to be applied to the intervention group in post-intervention (T1: week 10) and post-follow-up (T2: week 14) evaluations.

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Ankara Medipol University

Efterforskere

  • Studieleder: Gökçen Akyürek, Ph. D., Hacettepe University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

29. juli 2024

Primær færdiggørelse (Faktiske)

22. juni 2025

Studieafslutning (Faktiske)

15. august 2025

Datoer for studieregistrering

Først indsendt

6. februar 2024

Først indsendt, der opfyldte QC-kriterier

16. februar 2024

Først opslået (Faktiske)

20. februar 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

12. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

9. august 2026

Sidst verificeret

1. august 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • 169

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