{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T02:30:16Z","timestamp":1760236216302,"version":"build-2065373602"},"reference-count":50,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The Children's Hospital Foundation","award":["50235"],"award-info":[{"award-number":["50235"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>There is currently limited evidence supporting the use of telepractice to conduct bottle-feeding assessments. This study aimed to investigate the inter-rater reliability of bottle-feeding assessments conducted via synchronous telepractice (real-time videoconferencing). Secondary aims were to investigate parent and clinician satisfaction. Bottle-feeding skills of 30 children (aged 1 month\u20132 years) were simultaneously assessed by a telepractice SP (T-SP) at a remote location and an in-person SP (IP-SP) at the family home. A purpose-designed assessment form was used to evaluate: (1) developmental level (screen only), (2) state, color, and respiration, (3) oral motor skills, (4), infant oral reflexes, (5) tongue tie (screen only), (6) non-nutritive suck, (7) bottle-feeding, (8) overall feeding skills and (9) recommendations. Results of the T-SP and IP-SP assessments were compared using agreement statistics. Parents reported perceptions of telepractice pre and post session, and also rated post-session satisfaction. The telepractice SP completed a satisfaction questionnaire post-appointment. The majority of assessment components (45\/53, 85%) met the agreement criteria (\u226580% exact agreement). Difficulties were noted for the assessment of palate integrity, gagging during non-nutritive suck assessment, and 6 components of the tongue tie screen. Parent and clinician satisfaction was high; SPs reported that they would offer telepractice services to 93% of families again in the future. Overall, the results demonstrated that most components of a bottle-feeding assessment could be reliably completed via synchronous telepractice in family homes. However, further research is required to improve the reliability of some intra-oral assessment components.<\/jats:p>","DOI":"10.3390\/children8110989","type":"journal-article","created":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T22:21:08Z","timestamp":1635805268000},"page":"989","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluating the Use of Telepractice for Bottle-Feeding Assessments"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8085-9741","authenticated-orcid":false,"given":"Madeline","family":"Raatz","sequence":"first","affiliation":[{"name":"Speech Pathology Department, Queensland Children\u2019s Hospital, Brisbane, QLD 4101, Australia"},{"name":"School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2680-8978","authenticated-orcid":false,"given":"Elizabeth C.","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia"},{"name":"Centre for Functioning and Health Research (CFAHR), Metro South Hospital and Health Service, Brisbane, QLD 4102, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne","family":"Marshall","sequence":"additional","affiliation":[{"name":"Speech Pathology Department, Queensland Children\u2019s Hospital, Brisbane, QLD 4101, Australia"},{"name":"School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clare L.","family":"Burns","sequence":"additional","affiliation":[{"name":"School of Health & Rehabilitation Sciences, The University of Queensland, Brisbane, QLD 4072, Australia"},{"name":"Speech Pathology and Audiology Department, Royal Brisbane and Women\u2019s Hospital, Brisbane, QLD 4029, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1002\/ddrr.17","article-title":"Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches","volume":"14","author":"Arvedson","year":"2008","journal-title":"Dev. 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