The impact of severity of motor delay, timing of task mastery, and START-play intervention on the development of means-end problem solving in young children.

Autor: Cunha AB; Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE, USA., Babik I; Department of Psychological Science, Boise State University, Boise, ID, USA., Choi D; Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA., Koziol N; Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA., Harbourne RT; Department of Physical Therapy, Duquesne University, Pittsburgh, PA, USA., Dusing SC; Department of Physical Therapy, Virginia Commonwealth University, Richmond, VA, USA., McCoy SW; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA., Willett SL; Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, NE, USA., Bovaird JA; Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, Lincoln, NE, USA., Lobo MA; Department of Physical Therapy, Biomechanics & Movement Science Program, University of Delaware, Newark, DE, USA. Electronic address: malobo@udel.edu.
Jazyk: angličtina
Zdroj: Brazilian journal of physical therapy [Braz J Phys Ther] 2024 Jan-Feb; Vol. 28 (1), pp. 100590. Date of Electronic Publication: 2024 Feb 09.
DOI: 10.1016/j.bjpt.2024.100590
Abstrakt: Background: Children with motor delays are at increased risk for delayed means-end problem-solving (MEPS) performance.
Objectives: To evaluate children with motor delays: 1) the impact of motor delay severity and MEPS mastery timing on developmental trajectories of MEPS; and 2) the effectiveness of Sitting Together And Reaching To Play (START-Play) intervention for improving MEPS.
Methods: This represents a secondary analysis from a multi-site randomized controlled trial, with blinded assessors and prospective registration. Children with mild or significant motor delays (n = 112, mean age=10.80, SD=2.59 months at baseline) were randomly assigned to START-Play or usual care early intervention (UC-EI) and assessed at five visits across one year using the Means-End Problem-Solving Assessment Tool that included three 30-second MEPS trials per visit. Task mastery occurred at the first visit the child achieved the highest level of performance in at least two of the three trials. Multilevel analyses evaluated trajectories of MEPS outcomes dependent upon the timing of MEPS mastery, motor delay severity, and intervention group.
Results: At baseline, children with mild motor delays demonstrated better MEPS than children with significant delays, but this difference was only observed for children who achieved mastery late. Children with significant delays demonstrated greater improvements in MEPS in the post-intervention phase compared to children with mild delays. No MEPS differences were found between START-Play and UC-EI.
Conclusion: Motor delay severity and timing of task mastery impacted MEPS trajectories, whereas START-Play intervention did not impact MEPS for children with motor delays.
Clinical Trials Registry Identifier: NCT02593825 (https://clinicaltrials.gov/ct2/show/NCT02593825).
Competing Interests: Conflicts of interest The authors declare no conflicts of interest.
(Copyright © 2024 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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