Division of Communication Disorders, University of Wyoming, Laramie, WY, USA.
Phoenix Children's Center for Cleft and Craniofacial Care, Phoenix, AZ, USA.
Cleft Palate Craniofac J. 2024 Jun;61(6):1018-1026. doi: 10.1177/10556656231152358. Epub 2023 Jan 23.
To examine the current trends and practices across disciplines for feeding infants with cleft palate with or without cleft lip and to describe provider training within this area.
Prospective survey.
ACPA approved cleft palate teams and healthcare providers in the United States and Canada.
Interdisciplinary providers that regularly provide feeding services to infants with cleft palate.
50-item survey designed and distributed electronically via the ACPA.
Information on provider demographics and practice patterns.
76 respondents included providers in North America that have either currently or previously served on a cleft palate team. The majority of respondents were in speech-language pathology (49%) or nursing (38%) disciplines, worked in an outpatient setting (70%), and received no information (68%) regarding cleft palate feeding in their academic training. While specific practice patterns were relatively consistent across the respondent cohort, provider characteristics were significantly associated with squeezing the Haberman ( = .013) and likelihood of collaboration with other providers when counseling parents/caregivers ( = .039).
While provider characteristics varied, there were similar practice patterns observed across disciplines. Future research is needed explore training related to feeding knowledge as well as practice patterns in locations with a lower patient volume.
检查腭裂婴儿喂养的当前趋势和实践，包括有无唇裂，并描述该领域的提供者培训情况。
前瞻性调查。
美国和加拿大的 ACPA 认可的腭裂团队和医疗保健提供者。
经常为腭裂婴儿提供喂养服务的跨学科提供者。
通过 ACPA 设计和分发的 50 项调查。
提供者人口统计学和实践模式信息。
76 名应答者包括在北美目前或以前在腭裂团队中服务的提供者。大多数应答者来自言语-语言病理学（49%）或护理（38%）学科，在门诊环境中工作（70%），并且在他们的学术培训中没有获得关于腭裂喂养的任何信息（68%）。虽然特定的实践模式在应答者群体中相对一致，但提供者特征与 Haberman 挤压（ =.013）和与其他提供者合作的可能性（ =.039）显著相关。
尽管提供者特征存在差异，但在各学科中观察到类似的实践模式。未来的研究需要探索与喂养知识相关的培训以及在患者数量较少的地方的实践模式。
