scholarly journals DEVELOPMENT AND EFFICACY OF SEMI STRUCTURED SENSORY ENRICHMENT INTERVENTION IN PREMATURE INDIAN INFANTS

Author(s):  
Dr. Soni kumari ◽  
Dr. Munish Kumar Kakkar ◽  
Dr. Surendra Kumar Meena ◽  
Dr. Neha Jain

This study aimed to find out the efficacy of developed semi structured sensory enrichment intervention over premature Indian infants an early first year of life for their sensory development . A pre-/post-test design was used on fifty premature infants from a low socioeconomic setting in specialized NICU setup into one group after being matched by corrected age and inclusion criteria by convenient sampling . Before and after the intervention, the preterm infants sensory processing functions were evaluated using the Infant/ Toddler Sensory Profile (ITSP). The preterm infants underwent an eight weeks of sensory enrichment intervention. Semi- structure sensory enrichment intervention had a positive effect on the sensory processing and development of premature Indian infants, especially in terms of Sensory development. The feasibility of the identification of sensory process¬ing issues in the early years of life should be highlighted, as it favors early referral for intervention. The purpose of this early sensory enrichment intervention may help NICU graduate infants later in their life in terms of physical & mental development age appropriately . Awareness about their family members & health care professionals how early stimulation important for infants. Semi- structure sensory enrichment intervention at an early age enhances the over all developmental progress of premature infants. KEYWORDS:Sensory Enrichment intervention, Preterm infants, Sensory processing


2021 ◽  
Author(s):  
Morgan Livingstone

The aim of this study was to access the coping of premature infants during ROP eye exams both before and after receiving 3 child life support sessions. This assessment used the adapted COMFORT behavior scale as a reliable and validated standardized assessment tool. An experienced ROP clinic nurse and a clinic fellow made paired observations during 2 routine ROP eye exams to record infant coping. 9 infants were consented into the study and 2 infants were found to be at risk for ROP and therefore continued in the study. The other 7 infants were found to be not at risk. The results of the pre and post test coping results demonstrated a drop in distress and an increase in each infants coping during the ROP eye exam. The results suggest that Child Life support sessions do increase and enhance premature infant coping during ROP eye exams.



Praxis medica ◽  
2021 ◽  
Vol 50 (1-2) ◽  
pp. 19-23
Author(s):  
Jelena Todorović ◽  
Mirjana Petrović-Lazić

Introduction. Children born prematurely have an increased risk of immediate medical complications, as well as socioemotional, cognitive, linguistic and sensory processing disorders later in life. Studies have examined the effects of prematurity on developmental outcomes, such as cognition, however, there is a need for a more detailed examination of sensory processing disorders in preterm infants. Not only is prenatal neurosensory development interrupted in utero, but these children may also experience intense stimulation in the neonatal unit, which can further alter the development and function of the sensory system. Objective. The paper presents an overview of research on sensory processing disorders in premature infants, with special emphasis on the impact of the environment of the neonatal unit. Method. Insight into the relevant literature was performed by specialized search engines on the Internet and insight into the electronic database. Results. Sensory processing disorders affect 39% to 52% of newborns born prematurely, with some evidence to suggest that children born before 32 weeks are most at risk. The literature to date has consistently reported difficulties in sensory modulation of preterm infants, within the tactile, vestibular, auditory, oral, and visual domains. Conclusion. Sensory processing disorders in preterm infants appear to occur as a result of their immature neurological and biological system and being in the environment of a neonatal intensive care unit, which is unable to meet the sensory needs of preterm infants. Altered sensory experiences, during periods of neurodevelopmental vulnerability and fragility, can result in sensory processing disorders, which may include enhanced responses or less response to stimuli (hyper or hyposensitivity).



2011 ◽  
Vol 6 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Lindsey E. Eberman ◽  
Brady L. Tripp

Context: For practicing health care professionals, waiting for a teachable moment to identify a gap in knowledge could prove critical. Other methods are needed to help health care professionals identify their knowledge gaps. Objective: To assess the effect of performance feedback on Athletic Trainers' (AT) perceived knowledge (PK) and likelihood to pursue continuing education (CE). Design and Setting: Pre-test, post-test control-group design to measure PK and likelihood to pursue CE before and after assessing actual knowledge (AK) in an on-line classroom (Campus Edition 6; Blackboard Inc.). Participants: We randomly sampled potential participants (n = 2000) from the National Athletic Trainers' Association membership directory and then randomly assigned (n = 103/2000, 5.1%) them to control (n = 58) or experimental groups (n = 45). Interventions: Performance feedback following the AK assessment in the experimental group. Main Outcome Measures: We assessed PK and likelihood to pursue CE before and after the AK assessment. We calculated differences between pre-test and post-test scores and knowledge gap. Two independent samples t-tests examined the effects of feedback on the dependent measures. Multiple linear regression was used to predict post-test likelihood to pursue CE using three variables: PK, pre-test likelihood to pursue CE knowledge gap. Results: We found a significant difference (68.2%) between groups for likelihood to pursue CE (P = 0.01, ES = 0.45). The experimental group demonstrated a 13.8% (pre-test = 4.12 ± 1.32, post-test = 4.78 ±1.13) increase in likelihood to pursue CE, while the control group increased 4.4% (pre-test = 4.60 ± 1.07, post-test = 4.81 ± 1.08). Pre-test likelihood to pursue CE was a significant predictor of post-test likelihood to pursue CE (r = 0.74, R2= 0.55, P = 0.05). We observed a moderate relationship between pre-test knowledge gap and post-test likelihood to pursue CE (r = 0.31, R2= 0.10, P < 0.01). Pre-test knowledge gap was a significant predictor of post-test knowledge gap(r = 0.88, R2=0.77, P < 0.01). Conclusions: Knowledge assessment alone increases the likelihood to pursue CE, yet when feedback is provided ATs are more likely to pursue CE.



Author(s):  
Yu-Chin Chen ◽  
Wen-Hui Tsai ◽  
Chung-Han Ho ◽  
Hsuan-Wen Wang ◽  
Lan-Wan Wang ◽  
...  

This study aimed to compare the prevalence rate of atypical sensory processing in late preterm (LP) and term children at two years of age and to further investigate the co-occurrence of atypical sensory processing and behavioral problems (internalizing/externalizing) in both groups of children. A total of 104 children (52 LP and 52 sex- and birth order-matched term children) were included. The primary caregivers were asked to complete the Infant/Toddler Sensory Profile—Chinese version and the Child Behavior Checklist 1.5-5Y—Chinese version (CBCL-C/1.5-5). We found that the LP group had a similar prevalence rate of atypical sensory processing to the term group. However, neonatal intensive care unit experience (r = −0.356, p = 0.013, with visual processing) and days of ventilation and supplementary oxygen (r = −0.392, p = 0.004, with low registration) after birth were significantly correlated with the atypical sensory processing of LP children. Both LP and term children with behavioral problems seemed to have a higher prevalence rate of atypical sensory processing than their peers without behavioral problems. However, when Bonferroni correction was used to control for the statistical errors of multiple comparisons, only in the LP group did the co-occurrence of atypical sensory processing (auditory and oral sensory processing and sensation avoiding) and behavioral problems reach significance. In conclusion, the influence of late preterm birth on sensory processing may become subtle at age two, with the exception of those LP children experiencing complicated medical management after birth. A high level of co-occurrence of atypical sensory processing and behavioral problems suggests that the administration of a sensory processing assessment may be helpful to clarify the cause of problematic behavior and to recommend an appropriate intervention for LP children with behavioral problems.



2021 ◽  
Vol 7 (4) ◽  
Author(s):  
Faruk Salih Şeker ◽  
Hüseyin Çamlıyer

<p>Our study tried to assess the effect of the Special Movement Education Program on the balance skills of children with intellectual disabilities. We used the experimental design of 23 children with intellectual disabilities between the ages of seven and ten in a special education and rehabilitation center in Burdur, Turkey formed the study group. We applied the Basic Movement Training Program designed to develop balance skills to the experimental group. We practiced 22 courses of 45 minutes two days a week for 11 weeks before and after the application. The study continued for 13 weeks. We used Sensory Profile Test, Pediatric Balance Scale, Flamingo Balance Test, Balance Test on Walking Device, Standing Test on Balance Device, and Balance Measurement Device data collection tools. Mann Whitney U Test and Wilcoxon Test, which are non-parametric tests, were used in this study. We found a significant difference between the pre-test and post-test scores of the experimental group. The finding results revealed that children with intellectual disabilities improved their balance skills with movement training.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0753/a.php" alt="Hit counter" /></p>



2019 ◽  
Vol 6 ◽  
pp. 2333794X1982918
Author(s):  
Rebecca Vongsa ◽  
Karien Rodriguez ◽  
David Koenig ◽  
Corey Cunningham

The skin of premature infants is underdeveloped rendering it more prone to break down and irritation. Therefore, special care is needed to protect premature skin and ensure it is not adversely affected. Many health care professionals advise using just water and cloth to clean diapered skin after a bowel movement despite evidence that shows improved infant skin health with the use of modern appropriately formulated baby wipes. This article describes the unique physiology of premature infant skin, reviews clinical evidence comparing use of baby wipes to water and cloth, and describes attributes of appropriately formulated baby wipes.



2021 ◽  
Author(s):  
Morgan Livingstone

The aim of this study was to access the coping of premature infants during ROP eye exams both before and after receiving 3 child life support sessions. This assessment used the adapted COMFORT behavior scale as a reliable and validated standardized assessment tool. An experienced ROP clinic nurse and a clinic fellow made paired observations during 2 routine ROP eye exams to record infant coping. 9 infants were consented into the study and 2 infants were found to be at risk for ROP and therefore continued in the study. The other 7 infants were found to be not at risk. The results of the pre and post test coping results demonstrated a drop in distress and an increase in each infants coping during the ROP eye exam. The results suggest that Child Life support sessions do increase and enhance premature infant coping during ROP eye exams.



Author(s):  
Vitória Hoerbe BELTRAM ◽  
Julia Bulegon HERMES ◽  
Regina Helena Vitale Torkomian JOAQUIM

RESUMO: Este trabalho teve como objetivo identificar os instrumentos padronizados que avaliam aspectos sensoriais do nascimento aos seis meses. Trata-se de uma Revisão Integrativa de estudos publicados entre 2010 e 2020, nas bases de dados Bireme, SciElo, Scopus, Lilacs e Pubmed/Medline, além da Biblioteca Digital Brasileira de Teses e Dissertações e nos periódicos Cadernos Brasileiros de Terapia Ocupacional da Universidade Federal de São Carlos, Revista de Terapia Ocupacional da Universidade de São Paulo e na Revista Interinstitucional Brasileira de Terapia Ocupacional (REVISBRATO). Adotaram-se fixamente os descritores "infant" e "sensation disorders", o termo livre "scale" e o operador boleano "AND" e, no formato alternado, os termos livres "Sensory Profile", "Sensory Functions" e "Sensory Processing". Incluíram-se estudos em português, inglês e espanhol. Estudos de revisão, pesquisas com profissionais e que não correspondiam à temática foram excluídos dessa revisão. Foram selecionados seis estudos. Entre os oito instrumentos identificados, apenas o Infant/Toddler Sensory Profile e o Test of Sensory Functions Infants avaliam especificamente aspectos sensoriais. Identificou-se o uso de dois instrumentos de avaliação do contexto em que a criança está inserida para avaliar aspectos sensoriais como o HOME e o AHEMED e outros instrumentos de análise geral do desenvolvimento como a Escala Bayley III. Há necessidade de ampliação do uso de instrumentos específicos de análise do processamento sensorial para aumentar as oportunidades de familiares, professores e profissionais a apoiar o desenvolvimento do bebê, além de identificar sinais de risco que, quando tratados, diminuem os efeitos iatrogênicos no desenvolvimento.



Methodology ◽  
2019 ◽  
Vol 15 (3) ◽  
pp. 97-105
Author(s):  
Rodrigo Ferrer ◽  
Antonio Pardo

Abstract. In a recent paper, Ferrer and Pardo (2014) tested several distribution-based methods designed to assess when test scores obtained before and after an intervention reflect a statistically reliable change. However, we still do not know how these methods perform from the point of view of false negatives. For this purpose, we have simulated change scenarios (different effect sizes in a pre-post-test design) with distributions of different shapes and with different sample sizes. For each simulated scenario, we generated 1,000 samples. In each sample, we recorded the false-negative rate of the five distribution-based methods with the best performance from the point of view of the false positives. Our results have revealed unacceptable rates of false negatives even with effects of very large size, starting from 31.8% in an optimistic scenario (effect size of 2.0 and a normal distribution) to 99.9% in the worst scenario (effect size of 0.2 and a highly skewed distribution). Therefore, our results suggest that the widely used distribution-based methods must be applied with caution in a clinical context, because they need huge effect sizes to detect a true change. However, we made some considerations regarding the effect size and the cut-off points commonly used which allow us to be more precise in our estimates.



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