Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial

Preterm infants are prone to growth and developmental delay, especially social-emotional development. Sensory stimulation may benefit developmental outcomes for these vulnerable infants. This study aims to determine whether 5-integrated sensory stimulation (5-ISS) improves preterm infant social-emot...

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Main Authors: Wenjing Zheng, Rassamee Chotipanvithayakul, Thammasin Ingviya, Xiaoling Xia, Lu Xie, Jin Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2022.867529/full
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author Wenjing Zheng
Rassamee Chotipanvithayakul
Rassamee Chotipanvithayakul
Thammasin Ingviya
Thammasin Ingviya
Xiaoling Xia
Lu Xie
Jin Gao
author_facet Wenjing Zheng
Rassamee Chotipanvithayakul
Rassamee Chotipanvithayakul
Thammasin Ingviya
Thammasin Ingviya
Xiaoling Xia
Lu Xie
Jin Gao
author_sort Wenjing Zheng
collection DOAJ
description Preterm infants are prone to growth and developmental delay, especially social-emotional development. Sensory stimulation may benefit developmental outcomes for these vulnerable infants. This study aims to determine whether 5-integrated sensory stimulation (5-ISS) improves preterm infant social-emotional development. A randomized, parallel trial was conducted from November 2018 to January 2020 at three tertiary hospitals in Kunming, China. Preterm infants were eligible if gestational ages were from 28 to 36 weeks based on ultrasound results when discharged from neonatal wards. Two hundred preterm infants (male n = 110, female n = 90) were randomly allocated to the 5-ISS intervention group (n = 98) and the standard care group (n = 102). Social-emotional development was assessed with the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Temperament was assessed with the Infant Behavior Questionnaire-Revised. Anthropometry, which included weight, length, and head circumference, was measured at corrected ages of 1, 3, and 6 months. Demographic and clinical characteristics were similar between the intervention and the standard care groups. At 1- and 3-month corrected age, no significant differences between the two groups were observed in terms of infant development and temperament. At 6 months, significant disparities were found in the social-emotional development scale (mean difference −0.29, 95% CI: −0.58, < -0.001, p = 0.01), infant length (mean difference 0.70, 95% CI: < 0.001, 1.4, p = 0.03), distress to limitation (p = 0.04), and sadness (p = 0.03). A mixed model revealed that the 5-ISS intervention positively affected social-emotional development, length, distress to limitation, and sadness for preterm infants. Integrated sensory stimulation has benefits on social-emotional development, temperament, and length for preterm infants. This program provides a feasible method to promote social-emotional development for preterm infants.
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spelling doaj.art-d77bb757d44b42ec83a613211d0d4d1e2022-12-22T03:44:08ZengFrontiers Media S.A.Frontiers in Psychology1664-10782022-08-011310.3389/fpsyg.2022.867529867529Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trialWenjing Zheng0Rassamee Chotipanvithayakul1Rassamee Chotipanvithayakul2Thammasin Ingviya3Thammasin Ingviya4Xiaoling Xia5Lu Xie6Jin Gao7Department of Pediatrics, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Epidemiology, Faculty of Medicine, Prince of Songkla University, Hat Yai, ThailandResearch Center for Kids and Youth Development, Prince of Songkla University, Hat Yai, ThailandDepartment of Family Medicine and Preventive Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, ThailandResearch Center for Applied Medical Data Analytics, Prince of Songkla University, Hat Yai, ThailandDepartment of Pediatrics, The Second Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Neonatology, Kunming University Affiliated Maternal and Child Health Hospital, Kunming, ChinaDepartment of Neonatology, Kunming Children Hospital, Kunming, ChinaPreterm infants are prone to growth and developmental delay, especially social-emotional development. Sensory stimulation may benefit developmental outcomes for these vulnerable infants. This study aims to determine whether 5-integrated sensory stimulation (5-ISS) improves preterm infant social-emotional development. A randomized, parallel trial was conducted from November 2018 to January 2020 at three tertiary hospitals in Kunming, China. Preterm infants were eligible if gestational ages were from 28 to 36 weeks based on ultrasound results when discharged from neonatal wards. Two hundred preterm infants (male n = 110, female n = 90) were randomly allocated to the 5-ISS intervention group (n = 98) and the standard care group (n = 102). Social-emotional development was assessed with the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE). Temperament was assessed with the Infant Behavior Questionnaire-Revised. Anthropometry, which included weight, length, and head circumference, was measured at corrected ages of 1, 3, and 6 months. Demographic and clinical characteristics were similar between the intervention and the standard care groups. At 1- and 3-month corrected age, no significant differences between the two groups were observed in terms of infant development and temperament. At 6 months, significant disparities were found in the social-emotional development scale (mean difference −0.29, 95% CI: −0.58, < -0.001, p = 0.01), infant length (mean difference 0.70, 95% CI: < 0.001, 1.4, p = 0.03), distress to limitation (p = 0.04), and sadness (p = 0.03). A mixed model revealed that the 5-ISS intervention positively affected social-emotional development, length, distress to limitation, and sadness for preterm infants. Integrated sensory stimulation has benefits on social-emotional development, temperament, and length for preterm infants. This program provides a feasible method to promote social-emotional development for preterm infants.https://www.frontiersin.org/articles/10.3389/fpsyg.2022.867529/fullintegrated sensory stimulationsocial-emotional developmenttemperamentgrowthneurodevelopmentpreterm infant
spellingShingle Wenjing Zheng
Rassamee Chotipanvithayakul
Rassamee Chotipanvithayakul
Thammasin Ingviya
Thammasin Ingviya
Xiaoling Xia
Lu Xie
Jin Gao
Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
Frontiers in Psychology
integrated sensory stimulation
social-emotional development
temperament
growth
neurodevelopment
preterm infant
title Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
title_full Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
title_fullStr Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
title_full_unstemmed Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
title_short Sensory stimulation program improves developments of preterm infants in Southwest China: A randomized controlled trial
title_sort sensory stimulation program improves developments of preterm infants in southwest china a randomized controlled trial
topic integrated sensory stimulation
social-emotional development
temperament
growth
neurodevelopment
preterm infant
url https://www.frontiersin.org/articles/10.3389/fpsyg.2022.867529/full
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