检查基于职业治疗的家长指导对早产儿喂养问题的影响

实验性的：研究小组

将接受为期 10 周基于职业治疗的家长辅导干预的母亲将被纳入该组。

行为的：基于运动疗法的家长辅导

基于职业治疗的家长辅导干预将持续 10 次，并将在在线平台上进行。 会议预计持续 45-60 分钟。 课程期间进行的面谈被认为是家长辅导的基本原则；按照共同规划、共同观察、共同实施、共同反思、共同反馈的原则开展。 这项干预措施旨在教育母亲为孩子制定正确的喂养策略，并使他们能够独立执行这些做法。

其他名称：

• 分发信息手册

其他：对照组

对照组将不会接受主动干预，但会获得一份关于儿童早期发展的信息手册。 此外，研究完成后，将授予参与干预的权利。

其他：信息手册分发

不会对目标组中的母亲进行任何主动干预；将分发一份关于儿童早期发展的信息手册。

Behavioral Pediatric Feeding Assessment Scale

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.

Sensory Profile Questionnaire - Oral Sensory Processing Test

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.

Canadian Occupational Therapy Measurement (COPM)

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.

Feeding Strategies Quesstionnaire

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.

Parental Self-Efficacy Scale

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.

Numerical Rating Scale

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.