Developing system requirements for pediatric feeding assessments via telepractice

Abstract

Purpose: While studies have detailed the system architecture for performing clinical swallow assessments with adults via telepractice, there are key differences in the requirements of adult swallow versus pediatric feeding assessments. The aim of the study was to develop the system architecture required for conducting pediatric feeding assessments via telepractice. Method(s): A multi-phase iterative process was used to develop system architecture/safety requirements for the telepractice model. Desired session components were first mapped by an expert panel (2 telepractice, 2 feeding specialists). Next, multiple simulations using mannequins were run to test technology/camera positions. Live trials with 10 typically developing children (5 infant, 5 child) were then completed using purpose-built forms. All parents provided consumer feedback. Result(s): Different technology (phone/computer/tablet) provided optimal vision/audio depending on the nature of assessment (breast/bottle vs. solids). Multiple camera positions were needed to deliver required vision/audio. For breastfeeding, a second person was needed to position the camera for optimal viewing of attachment/feeding. Sending asynchronous store-and-forward images of usual feeding positions, oral cavity/palate and lingual frenulum prior to the session was useful. Conclusions (Including Clinical Relevance): The 4-phase iterative study design aided development of a telepractice model that clinicians and parents found viable for collection required information for conducting feeding assessments via telepractice. Validity testing of the system is underway.L6315706862020-04-30 <br />