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腭裂婴儿喂养的医疗保健提供者培训机制

Training Mechanisms for Healthcare Providers in Feeding Infants With Cleft Palate.

作者信息

Kotlarek Katelyn J, Bush Erin J, Loomis-Goltl Evy, Chee-Williams Jessica L

机构信息

Division of Communication Disorders, University of Wyoming, Laramie, WY, USA.

School of Communication Science and Disorders, Florida State University, Tallahassee, FL, USA.

出版信息

Cleft Palate Craniofac J. 2025 Apr 10:10556656251326748. doi: 10.1177/10556656251326748.

Abstract

ObjectiveThere is a lack of formal training documented for service providers across disciplines regarding patients with cleft palate, resulting in a variety of informal training mechanisms. The purpose of this study was to characterize the training interdisciplinary providers have received related to feeding infants with cleft palate and generate ideas for future training mechanisms.DesignProspective, mixed methods surveySettingFeeding providers from ACPA approved cleft palate teams in North AmericaParticipantsProviders of varying disciplines that regularly engaged in feeding services for infants with cleft palate and completed the first training-related question within the surveyMain Outcome MeasuresInformation on provider demographics and trainingResultsMost respondents' (56.6%) academic program did not include information regarding feeding infants with cleft palate, which was significantly higher ( < .001) for disciplines outside of speech-language pathology. Of all respondents, 81.6% received on-the-job training while 69.7% attended continuing education to acquire this information; significantly more speech-language pathologists ( < .001) reported attending continuing education than other disciplines. Conventions or conferences (44.7%) and materials (47.4%) from the ACPA were considered very helpful by those who pursued continuing education. Inductive content analysis revealed themes related to collaborating with other professionals, available research to guide practice, and graduate and postgraduate/professional training.ConclusionsInconsistencies in academic training within and across disciplines exist related to feeding infants with cleft palate. There are several opportunities to expand continuing education.

摘要

目的

目前缺乏针对跨学科服务提供者有关腭裂患者的正规培训记录,导致出现了各种非正式培训机制。本研究的目的是描述跨学科服务提供者接受的与腭裂婴儿喂养相关的培训情况,并为未来的培训机制提出想法。

设计

前瞻性混合方法调查

背景

来自北美ACPA认可的腭裂治疗团队的喂养服务提供者

参与者

定期为腭裂婴儿提供喂养服务并完成调查问卷中第一个与培训相关问题的不同学科的服务提供者

主要观察指标

提供者人口统计学信息和培训情况

结果

大多数受访者(56.6%)的学术课程中没有关于腭裂婴儿喂养的信息,对于言语语言病理学以外的学科,这一比例显著更高(<0.001)。在所有受访者中,81.6%接受了在职培训,69.7%参加了继续教育以获取这些信息;报告参加继续教育的言语语言病理学家比其他学科显著更多(<0.001)。参加继续教育的人认为ACPA的会议或研讨会(44.7%)和资料(47.4%)非常有帮助。归纳性内容分析揭示了与其他专业人员合作、可用于指导实践的研究以及研究生和研究生后/专业培训相关的主题。

结论

在腭裂婴儿喂养方面,学科内部和跨学科的学术培训存在不一致。有几个扩大继续教育的机会。

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本文引用的文献

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J Pediatr Health Care. 2025 Jan-Feb;39(1):101-106. doi: 10.1016/j.pedhc.2024.07.004. Epub 2024 Jul 22.
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A Dedicated Multidisciplinary Growth and Feeding Clinic for Infants with Cleft Lip and/or Palate Demonstrates Need for Intervention.
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Feeding Management and Palate Repair Timing in Infants with Cleft Palate with and without Pierre Robin Sequence: A Multisite Study.
Cleft Palate Craniofac J. 2024 Mar 15:10556656241239766. doi: 10.1177/10556656241239766.
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Current Postoperative Feeding Practices Following Surgical Repairs for Infants With Cleft Palate.
J Craniofac Surg. 2023 Oct 1;34(7):2142-2145. doi: 10.1097/SCS.0000000000009586. Epub 2023 Aug 10.
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Current Practice Patterns and Training Pathways for Feeding Infants with Cleft Palate.
Cleft Palate Craniofac J. 2024 Jun;61(6):1018-1026. doi: 10.1177/10556656231152358. Epub 2023 Jan 23.
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A Systematic Review of Feeding Interventions for Infants with Cleft Palate.
Cleft Palate Craniofac J. 2022 Dec;59(12):1527-1536. doi: 10.1177/10556656211051216. Epub 2021 Oct 29.
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Breast Milk Feeding Practices and Barriers and Supports Experienced by Mother-Infant Dyads With Cleft Lip and/or Palate.
Cleft Palate Craniofac J. 2020 Apr;57(4):477-486. doi: 10.1177/1055665619878972. Epub 2019 Oct 9.
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Parent Perceptions of Initial Feeding Experiences of Children Born With Cleft Palate in a Rural Locale.
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