Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study
Abstract Objective Recent literature suggests that goal‐oriented and family‐based interventions in enriched environment have a beneficial effect on neuromotor and cognitive development. We aimed to examine the short‐term effects of SAFE (Sensory strategies, Activity‐based motor training, Family coll...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
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| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.3199 |
| _version_ | 1797660787556220928 |
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| author | Umut Apaydın Ramazan Yıldız Ayşe Yıldız Şebnem Soysal Acar Kıvılcım Gücüyener Bülent Elbasan |
| author_facet | Umut Apaydın Ramazan Yıldız Ayşe Yıldız Şebnem Soysal Acar Kıvılcım Gücüyener Bülent Elbasan |
| author_sort | Umut Apaydın |
| collection | DOAJ |
| description | Abstract Objective Recent literature suggests that goal‐oriented and family‐based interventions in enriched environment have a beneficial effect on neuromotor and cognitive development. We aimed to examine the short‐term effects of SAFE (Sensory strategies, Activity‐based motor training, Family collaboration, and Environmental Enrichment) early intervention approach on motor, cognitive, speech and language, and sensory development in preterm infants. Methods The study's sample population consisted of 24 preterm infants with corrected ages between 9 and 10 months. Infants in the control group participated in the family training program in accordance with the neurodevelopmental therapy principles (NDT). Infants in the treatment group were included in the family training program according to the principles of the SAFE Early Intervention Approach. Affordances in the Home Environment for Motor Development‐Infant Scale (AHEMD‐IS), Test of Sensory Functions in Infants (TSFI), Canadian Occupational Performance Measure (COPM), and Bayley Scales of Infant and Toddler Development III (Bayley III) were used to evaluate infants in both groups before and after 10 weeks of treatment (AHEMD‐IS). The Depression, Anxiety, Stress Scale Short Form was used to assess the parents’ mental health (DASS‐SF). Results The interaction effects (time × group) revealed significant differences for Bayley‐III cognitive and language scores, TSFI total score, and AHEMD‐IS total score in favor of the SAFE group (p < .05). However, there were no differences in Bayley‐III motor composite score, COPM Performance score, and COPM Satisfaction score between the interaction effects (time × group) of the groups (p > .05). Conclusions SAFE early intervention approach improved cognitive, speech and language, sensory outcomes and provide enriched home environment in all domains when compared to NDT‐based home program. SAFE is a promising novel early intervention approach for preterm infants. |
| first_indexed | 2024-03-11T18:34:59Z |
| format | Article |
| id | doaj.art-752159a8d1054fd7afa561be6da69ba3 |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-03-11T18:34:59Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-752159a8d1054fd7afa561be6da69ba32023-10-13T04:20:53ZengWileyBrain and Behavior2162-32792023-10-011310n/an/a10.1002/brb3.3199Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded studyUmut Apaydın0Ramazan Yıldız1Ayşe Yıldız2Şebnem Soysal Acar3Kıvılcım Gücüyener4Bülent Elbasan5Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation Karadeniz Technical University TrabzonTurkeyFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation Gazi University AnkaraTurkeyFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation Gazi University AnkaraTurkeyFaculty of Medicine, Department of Pediatrics, Section of Pediatric Neurology Gazi University AnkaraTurkeyFaculty of Medicine, Department of Pediatrics, Section of Pediatric Neurology Gazi University AnkaraTurkeyFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation Gazi University AnkaraTurkeyAbstract Objective Recent literature suggests that goal‐oriented and family‐based interventions in enriched environment have a beneficial effect on neuromotor and cognitive development. We aimed to examine the short‐term effects of SAFE (Sensory strategies, Activity‐based motor training, Family collaboration, and Environmental Enrichment) early intervention approach on motor, cognitive, speech and language, and sensory development in preterm infants. Methods The study's sample population consisted of 24 preterm infants with corrected ages between 9 and 10 months. Infants in the control group participated in the family training program in accordance with the neurodevelopmental therapy principles (NDT). Infants in the treatment group were included in the family training program according to the principles of the SAFE Early Intervention Approach. Affordances in the Home Environment for Motor Development‐Infant Scale (AHEMD‐IS), Test of Sensory Functions in Infants (TSFI), Canadian Occupational Performance Measure (COPM), and Bayley Scales of Infant and Toddler Development III (Bayley III) were used to evaluate infants in both groups before and after 10 weeks of treatment (AHEMD‐IS). The Depression, Anxiety, Stress Scale Short Form was used to assess the parents’ mental health (DASS‐SF). Results The interaction effects (time × group) revealed significant differences for Bayley‐III cognitive and language scores, TSFI total score, and AHEMD‐IS total score in favor of the SAFE group (p < .05). However, there were no differences in Bayley‐III motor composite score, COPM Performance score, and COPM Satisfaction score between the interaction effects (time × group) of the groups (p > .05). Conclusions SAFE early intervention approach improved cognitive, speech and language, sensory outcomes and provide enriched home environment in all domains when compared to NDT‐based home program. SAFE is a promising novel early intervention approach for preterm infants.https://doi.org/10.1002/brb3.3199early interventionenvironmental enrichmentinfantpremature |
| spellingShingle | Umut Apaydın Ramazan Yıldız Ayşe Yıldız Şebnem Soysal Acar Kıvılcım Gücüyener Bülent Elbasan Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study Brain and Behavior early intervention environmental enrichment infant premature |
| title | Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study |
| title_full | Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study |
| title_fullStr | Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study |
| title_full_unstemmed | Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study |
| title_short | Short‐term effects of SAFE early intervention approach in infants born preterm: A randomized controlled single‐blinded study |
| title_sort | short term effects of safe early intervention approach in infants born preterm a randomized controlled single blinded study |
| topic | early intervention environmental enrichment infant premature |
| url | https://doi.org/10.1002/brb3.3199 |
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