ArticleFrontiers in pediatrics2026
Translation, cross-cultural adaptation and preliminary application of the premature infant oral motor intervention in Chinese neonatal nursing practice: a pilot randomized controlled trial.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Oral motor intervention plays a critical role in facilitating nutritional intake and supporting neurodevelopmental outcomes in preterm infants. The Premature Infant Oral Motor Intervention (PIOMI) is a standardized, five-minute, eight-step manual protocol designed to enhance oral-motor skills and sucking performance in very preterm infants. Aim: To translate, culturally adapt, and preliminarily validate the PIOMI for neonatal nurses in mainland China, and to pilot-test its clinical feasibility and preliminary efficacy on oral sucking performance in very-preterm infants. Design: This study employed a two-phase translation and testing approach. Phase 1 comprised Brislin's six-step translation, a two-round electronic Delphi (e-Delphi) process, and assessment of content validity and implementation consistency. Phase 2 involved a parallel-group pilot randomized controlled trial. Methods: This study cross-culturally adapted the Premature Infant Oral Motor Intervention (PIOMI) into Chinese using Brislin's framework, finalized the mainland Chinese version (CMV-PIOMI) via a two-round e-Delphi expert consensus ( Results: The Delphi response rate was 85.71% ( Conclusions: The Chinese PIOMI shows satisfactory content validity and acceptable implementation consistency and is feasible for delivery by bedside nurses. Preliminary evidence suggests improved oral sucking performance in very preterm infants, but larger, fully powered multicenter trials are needed to confirm these initial findings.
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