Early developmental support for preterm infants based on exploratory behaviors: A parallel randomized controlled study

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dc.authoridAltunalan, Turgay/0000-0002-6970-0959
dc.authoridEldes, Nilufer/0000-0001-8828-8587
dc.authorwosidAltunalan, Turgay/AAH-1447-2021
dc.authorwosidEldes, Nilufer/ABN-9554-2022
dc.contributor.authorAltunalan, Turgay
dc.contributor.authorSari, Zubeyir
dc.contributor.authorDogan, Tuba Derya
dc.contributor.authorHacifazlioglu, Niluefer Eldes
dc.contributor.authorAkman, Ipek
dc.contributor.authorAltintas, Tugba
dc.contributor.authorUzer, Sevil
dc.date.accessioned2024-05-19T14:41:05Z
dc.date.available2024-05-19T14:41:05Z
dc.date.issued2023
dc.departmentİstinye Üniversitesien_US
dc.description.abstractIntroductionPreterm infants are at high risk for developmental disabilities, and their parents are at increased risk for high stress. Early intervention programs are applied to reduce these adverse outcomes. The primary aim is to compare the efficacy of the novel Explorer Baby early intervention program for the holistic development of preterm infants. The second objective was to compare the stress levels of their mothers.MethodsRandomized clinical trial with 38 weeks-6 months corrected age preterm infants at low risk for cerebral palsy, randomly assigned to experimental (Explorer Baby) or active control neurodevelopmental therapy (NDT) groups. Fifty-seven infants were enrolled in the study, and 51 (26 Explorer Baby, 25 NDT) completed it. Bayley III was used as a primary outcome before, during, and after the intervention.ResultsWhen we compared the changes between the groups before and after therapy, no significant differences were found in any of the primary or secondary outcomes (between-group comparisons). When comparing the changes in both groups before and after therapy (in-group comparison), the Explorer Baby group demonstrated significant improvements in cognitive (Hedges' g = .83) and explorative language skills (Hedges' g = .65), whereas the NDT group showed improved parent-child dysfunctional interaction (Hedges' g = 2.66) between T0-T1 and T0-T2.ConclusionsThe Explorer Baby early intervention program may be a preferred option to support premature infants without brain injury, as it shows greater skill acquisition than NDT, although not statistically significant. Both methods are safe as they support premature babies without negatively affecting mothers' overall stress levels. The developmental trajectories of Explorer Baby and NDT follow a nearly parallel curve in language and motor skills. However, in cognitive skills, the developmental curve is significantly vertical in the Explorer Baby group. imageen_US
dc.description.sponsorshipSpastic Children's Foundation of Turkey-Cerebral Palsy Turkey [TSCV.200.017.723]en_US
dc.description.sponsorshipSpastic Children's Foundation of Turkey-Cerebral Palsy Turkey, Grant/AwardNumber:TSCV.200.017.723en_US
dc.identifier.doi10.1002/brb3.3266
dc.identifier.issn2162-3279
dc.identifier.issue11en_US
dc.identifier.pmid37798860en_US
dc.identifier.scopus2-s2.0-85173434504en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org10.1002/brb3.3266
dc.identifier.urihttps://hdl.handle.net/20.500.12713/5060
dc.identifier.volume13en_US
dc.identifier.wosWOS:001093153400001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofBrain and Behavioren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240519_kaen_US
dc.subjectEarly Interventionen_US
dc.subjectExplorative Behaviorsen_US
dc.subjectNeurodevelopmenten_US
dc.subjectParentingen_US
dc.subjectPreterm Infantsen_US
dc.titleEarly developmental support for preterm infants based on exploratory behaviors: A parallel randomized controlled studyen_US
dc.typeArticleen_US

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