Randomized clinical trial investigating the effect of consistent, developmentally-appropriate, and evidence-based multisensory exposures in the NICU.

Szczegóły
Abstrakt

Tytuł:: Randomized clinical trial investigating the effect of consistent, developmentally-appropriate, and evidence-based multisensory exposures in the NICU.
Autorzy:: Pineda R; Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA. .; Department of Pediatrics, Keck School of Medicine, Los Angeles, CA, USA. .; Gehr Family Center for Health Systems Science and Innovation, University of Southern California, Los Angeles, CA, USA. .; Program in Occupational Therapy, Washington University, St. Louis, MO, USA. .
Smith J; Department of Quality, Safety, and Practice Excellence, St. Louis Children's Hospital, St. Louis, MO, USA.
Roussin J; Department of Radiation Oncology, Washington University, St. Louis, MO, USA.
Wallendorf M; Department of Biostatistics, Washington University, St. Louis, MO, USA.
Kellner P; Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Colditz G; Department of Surgery, Washington University, St. Louis, MO, USA.
Źródło:: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2021 Oct; Vol. 41 (10), pp. 2449-2462. Date of Electronic Publication: 2021 May 19.
Typ publikacji:: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
Język:: English
Imprint Name(s):: Publication: 2001- : New York, NY : Nature Publishing Group
Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
MeSH Terms:: Child Development*
Infant, Premature*
Intensive Care Units, Neonatal*
Gestational Age ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Intensive Care, Neonatal/methods ; Parents ; Physical Stimulation
References:: Clin Neurophysiol. 2009 Oct;120(10):1812-8. (PMID: 19766056)
Clin Perinatol. 1990 Mar;17(1):1-9. (PMID: 2180616)
J Pediatr. 2017 Apr;183:56-66.e3. (PMID: 28189301)
Pediatr Res. 2018 Jun;83(6):1104-1109. (PMID: 29938699)
J Pediatr. 2013 Mar;162(3):470-476.e1. (PMID: 23036482)
Am J Perinatol. 2019 Oct;36(12):1229-1236. (PMID: 30577058)
J Perinatol. 2019 Jun;39(6):800-807. (PMID: 30962584)
Early Hum Dev. 2018 Feb;117:32-38. (PMID: 29275070)
Trends Neurosci. 2011 Apr;34(4):177-87. (PMID: 21397343)
J Pediatr Health Care. 2019 Mar - Apr;33(2):131-137. (PMID: 30146361)
J Perinatol. 2012 Jul;32(7):545-51. (PMID: 22031044)
J Pediatr. 1992 May;120(5):780-5. (PMID: 1578316)
J Perinatol. 1992 Jun;12(2):164-72. (PMID: 1522437)
Infant Behav Dev. 2013 Dec;36(4):694-706. (PMID: 23962543)
J Dev Behav Pediatr. 2000 Dec;21(6):437-47. (PMID: 11132796)
J Child Adolesc Psychiatr Nurs. 2013 Aug;26(3):193-203. (PMID: 23909942)
Clin Perinatol. 2011 Dec;38(4):591-603. (PMID: 22107892)
BMC Pediatr. 2021 Mar 22;21(1):137. (PMID: 33752619)
J Pediatr. 2014 Jan;164(1):52-60.e2. (PMID: 24139564)
Cereb Cortex. 2016 Aug;26(8):3370-3378. (PMID: 26209848)
Dev Psychol. 2018 Nov;54(11):2016-2031. (PMID: 30284883)
Dev Med Child Neurol. 2012 Feb;54(2):129-39. (PMID: 22142216)
Lancet Child Adolesc Health. 2018 Apr;2(4):245-254. (PMID: 30169298)
J Perinatol. 1996 Jul-Aug;16(4):276-80. (PMID: 8866297)
J Obstet Gynecol Neonatal Nurs. 2012 Nov-Dec;41(6):786-97. (PMID: 22789154)
Child Dev. 1979 Sep;50(3):794-803. (PMID: 498854)
J Public Health Dent. 2011 Winter;71(s1):S52-S63. (PMID: 21499543)
Br J Psychiatry. 1987 Jun;150:782-6. (PMID: 3651732)
J Perinatol. 2017 Apr;37(4):323-332. (PMID: 27763631)
Nurs Res. 1993 May-Jun;42(3):148-52. (PMID: 8506163)
Clin Perinatol. 2018 Sep;45(3):485-500. (PMID: 30144851)
Early Hum Dev. 2019 Jun;133:29-35. (PMID: 31054467)
Pediatrics. 2009 Feb;123(2):555-61. (PMID: 19171622)
Early Hum Dev. 2020 May;144:105000. (PMID: 32151905)
Pediatr Res. 2020 Jan;87(2):249-264. (PMID: 31266053)
Grant Information:: P30 HD062171 United States HD NICHD NIH HHS; UL1 TR002345 United States TR NCATS NIH HHS; R01 HD 057098 U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS); R01 HD057098 United States HD NICHD NIH HHS; UL1TR002345 U.S. Department of Health & Human Services | NIH | National Center for Advancing Translational Sciences (NCATS)
Entry Date(s):: Date Created: 20210520 Date Completed: 20211021 Latest Revision: 20240403
Update Code:: 20240403
PubMed Central ID:: PMC8516670
DOI:: 10.1038/s41372-021-01078-7
PMID:: 34012055
: Czasopismo naukowe

Objective: Evaluate the effect of a manualized multisensory program, applied across NICU hospitalization, on infant and parent outcomes.
Study Design: Seventy parent-infant dyads (born ≤32 weeks gestation) in a Level IV NICU were randomized at birth to the multisensory program or standard-of-care. Parents in the multisensory group administered prespecified amounts of age-appropriate, evidence-based sensory interventions to their infants each day during NICU hospitalization according to the Supporting and Enhancing NICU Sensory Experiences (SENSE) program.
Results: Infants who received the SENSE program had more lethargy on the NICU Network Neurobehavioral Scale (NNNS) (p = 0.05), even after controlling for medical and social risk (p = 0.043), and had higher Communication scores on the Ages and Stages Questionnaire (p = 0.04) at 1-year corrected age, but this relationship failed to reach significance after controlling for medical and social risk (p = 0.12).
Conclusion: The SENSE program shows promise for improving outcomes, but more research with larger sample sizes is needed.
(© 2021. The Author(s), under exclusive licence to Springer Nature America, Inc.)

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