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Psychometrics of theNeonatal Oral MotorAssessment Scale Cori ZaremHiroyuki KidokoroJeffrey J. Neil2013 год

Psychometrics of the Neonatal Oral Motor Assessment Scale
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Аннотация: Aim To establish the psychometrics of the N eonatal O ral M otor A ssessment S cale ( NOMAS ). Method In this prospective cohort study of 75 preterm infants (39 females, 36 males) born at or before 30 weeks gestation (mean gestational age 26.56wks, SD 1.90, range 23–30wks; mean birthweight 967.33g, SD 288.54, range 480–2240), oral feeding was videotaped before discharge from the neonatal intensive care unit ( NICU ). The NOMAS was used to classify feeding as normal, disorganized, or dysfunctional. Neurobehavior was assessed at term equivalent, and infants underwent magnetic resonance imaging. Children returned for developmental testing at 2 years corrected age. Associations between NOMAS scores and (1) neurobehavior; (2) cerebral injury and metrics; and (3) developmental outcome were investigated using χ 2 ‐analyses, t ‐tests, and linear regression. For reliability, six certified NOMAS evaluators rated five randomly selected NOMAS recordings and re‐scored them 2 weeks later in a second randomized order. Reliability was calculated with C ohen's kappa statistics. Results Dysfunctional NOMAS scores were associated with lower D ubowitz scores [ t =−2.14; mean difference −2.32 (95% confidence interval [ CI ] −0.157 to −4.49); p =0.036], higher stress on the NICU N etwork N eurobehavioral Scale ( t =2.61; mean difference 0.073 [95% CI 0.017–0.129]; p =0.0110), and decreased transcerebellar diameter ( t =−2.22; mean difference −2.04 [ CI =−3.89 to −0.203]; p =0.03). No significant associations were found between NOMAS scores and 2‐year outcome. Interpretation Some concurrent validity was established with associations between NOMAS scores and measures of infant behavior and cerebral structure. The NOMAS did not show predictive validity in this study of preterm infants at high risk of developmental delay. Reliability was variable and suboptimal.
Год издания: 2013
Авторы: Cori Zarem, Hiroyuki Kidokoro, Jeffrey J. Neil, Michael Wallendorf, Terrie E. Inder, Roberta Pineda
Издательство: Wiley
Источник: Developmental Medicine & Child Neurology
Ключевые слова: Infant Development and Preterm Care, Neonatal and fetal brain pathology, Neonatal Respiratory Health Research
Другие ссылки: Developmental Medicine & Child Neurology (HTML)
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PubMed Central (HTML)
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