A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.

CareToy system is an innovative tele-rehabilitative tool, useful in providing intensive, individualized, home-based, family-centred Early Intervention (EI) in infants. Our aim was to evaluate, through a Randomized Clinical Trial (RCT) study, the effects of CareToy intervention on early motor and vis...

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Main Authors: Giuseppina Sgandurra, Jakob Lorentzen, Emanuela Inguaggiato, Laura Bartalena, Elena Beani, Francesca Cecchi, Paolo Dario, Matteo Giampietri, Gorm Greisen, Anna Herskind, Jens Bo Nielsen, Giuseppe Rossi, Giovanni Cioni, CareToy Consortium
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5362053?pdf=render
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author Giuseppina Sgandurra
Jakob Lorentzen
Emanuela Inguaggiato
Laura Bartalena
Elena Beani
Francesca Cecchi
Paolo Dario
Matteo Giampietri
Gorm Greisen
Anna Herskind
Jens Bo Nielsen
Giuseppe Rossi
Giovanni Cioni
CareToy Consortium
author_facet Giuseppina Sgandurra
Jakob Lorentzen
Emanuela Inguaggiato
Laura Bartalena
Elena Beani
Francesca Cecchi
Paolo Dario
Matteo Giampietri
Gorm Greisen
Anna Herskind
Jens Bo Nielsen
Giuseppe Rossi
Giovanni Cioni
CareToy Consortium
author_sort Giuseppina Sgandurra
collection DOAJ
description CareToy system is an innovative tele-rehabilitative tool, useful in providing intensive, individualized, home-based, family-centred Early Intervention (EI) in infants. Our aim was to evaluate, through a Randomized Clinical Trial (RCT) study, the effects of CareToy intervention on early motor and visual development in preterm infants. 41 preterm infants (range age: 3.0-5.9 months of corrected age) were enrolled and randomized into two groups, CareToy and Standard Care. 19 infants randomized in CareToy group performed a 4-week CareToy program, while 22 allocated to control group completed 4 weeks of Standard Care. Infant Motor Profile (IMP) was primary outcome measure, Alberta Infant Motor Scale (AIMS) and Teller Acuity Cards were secondary ones. Assessments were carried out at baseline (T0) and at the end of CareToy training or Standard Care period (T1). T1 was the primary endpoint. After RCT phase, 17 infants from control group carried out a 4-week CareToy program, while 18 infants from the CareToy group continued with Standard Care. At the end of this phase, infants were re-assessed at T2. In RCT phase, delta IMP total score and variation and performance sub-domains were significantly higher (P<0.050) in CareToy group if compared to Standard Care group. Similar results were found for Teller Acuity Cards, while no differences between groups were found for AIMS. No differences were found in any outcome measure results (T2-T0), between infants who started CareToy training before or after one month of standard care. This RCT study confirms the results of a previous pilot study, indicating that CareToy system can provide effective home-based EI. TRIAL REGISTRATION:This trial has been registered at www.clinicaltrials.gov (Identifier NCT01990183).
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spelling doaj.art-f355339a75514bf08db8f703fffc2bd32022-12-22T02:05:09ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01123e017352110.1371/journal.pone.0173521A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.Giuseppina SgandurraJakob LorentzenEmanuela InguaggiatoLaura BartalenaElena BeaniFrancesca CecchiPaolo DarioMatteo GiampietriGorm GreisenAnna HerskindJens Bo NielsenGiuseppe RossiGiovanni CioniCareToy ConsortiumCareToy system is an innovative tele-rehabilitative tool, useful in providing intensive, individualized, home-based, family-centred Early Intervention (EI) in infants. Our aim was to evaluate, through a Randomized Clinical Trial (RCT) study, the effects of CareToy intervention on early motor and visual development in preterm infants. 41 preterm infants (range age: 3.0-5.9 months of corrected age) were enrolled and randomized into two groups, CareToy and Standard Care. 19 infants randomized in CareToy group performed a 4-week CareToy program, while 22 allocated to control group completed 4 weeks of Standard Care. Infant Motor Profile (IMP) was primary outcome measure, Alberta Infant Motor Scale (AIMS) and Teller Acuity Cards were secondary ones. Assessments were carried out at baseline (T0) and at the end of CareToy training or Standard Care period (T1). T1 was the primary endpoint. After RCT phase, 17 infants from control group carried out a 4-week CareToy program, while 18 infants from the CareToy group continued with Standard Care. At the end of this phase, infants were re-assessed at T2. In RCT phase, delta IMP total score and variation and performance sub-domains were significantly higher (P<0.050) in CareToy group if compared to Standard Care group. Similar results were found for Teller Acuity Cards, while no differences between groups were found for AIMS. No differences were found in any outcome measure results (T2-T0), between infants who started CareToy training before or after one month of standard care. This RCT study confirms the results of a previous pilot study, indicating that CareToy system can provide effective home-based EI. TRIAL REGISTRATION:This trial has been registered at www.clinicaltrials.gov (Identifier NCT01990183).http://europepmc.org/articles/PMC5362053?pdf=render
spellingShingle Giuseppina Sgandurra
Jakob Lorentzen
Emanuela Inguaggiato
Laura Bartalena
Elena Beani
Francesca Cecchi
Paolo Dario
Matteo Giampietri
Gorm Greisen
Anna Herskind
Jens Bo Nielsen
Giuseppe Rossi
Giovanni Cioni
CareToy Consortium
A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
PLoS ONE
title A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
title_full A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
title_fullStr A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
title_full_unstemmed A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
title_short A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the 'CareToy System'.
title_sort randomized clinical trial in preterm infants on the effects of a home based early intervention with the caretoy system
url http://europepmc.org/articles/PMC5362053?pdf=render
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