Harding 2014b.
Methods | Parallel‐group randomised controlled trial | |
Participants |
Participants: 59 preterm infants (intervention groups I and II and control) Mean birth weight: 1651 grams Mean gestational age: 31.60 weeks Mean postnatal age: postnatal age not reported, but infants were included in the study when they started to show oral readiness Setting: neonatal unit, UK Inclusion criteria: preterm Exclusion criteria: congenital disorders, intraventricular haemorrhages grade III or IV, severe respiratory problems or necrotizing enterocolitis |
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Interventions |
Experimental group 2: NNS during gavage feeding (n = 20). Parents were encouraged to use a pacifier to elicit 3 sequential sucks and to encourage sequential sucking for a minimum of 5 minutes. Infants received the intervention after they started showing signs of oral readiness. The intervention was provided for a minimum of 3 days until they were taking all of their feeds orally. Description of the pacifier used for the study not provided Control: no NNS (n = 10) |
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Outcomes | Time taken to achieve full oral feeding Number of days in hospital Type of sucking pattern using the Neonatal Oral Motor Schedule (NOMAS) Average age of gestation for oral feeding |
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Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Computer‐generated randomisation |
Allocation concealment (selection bias) | Low risk | "A computer generated randomisation assigned infants to one of three groups" |
Blinding (performance bias and detection bias) All outcomes | High risk | "[R]andomized non‐blinded controlled study" Blinding of intervention ‐ no Blinding of outcome assessors ‐ no |
Incomplete outcome data (attrition bias) All outcomes | Low risk | A final total of 60 infants were recruited, and 59 infants completed the offered intervention. At 6 months follow‐up, data were gathered on 56 infants. |
Selective reporting (reporting bias) | Unclear risk | Study protocol not obtained |