Effects of Early Intervention on Visual Function in Preterm Infants: A Randomized Controlled Trial
| Autor: | Camilla Fontana, Agnese De Carli, Daniela Ricci, Francesca Dessimone, Sofia Passera, Nicola Pesenti, Matteo Bonzini, Laura Bassi, Letizia Squarcina, Claudia Cinnante, Fabio Mosca, Monica Fumagalli |
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| Přispěvatelé: | Fontana, C, De Carli, A, Ricci, D, Dessimone, F, Passera, S, Pesenti, N, Bonzini, M, Bassi, L, Squarcina, L, Cinnante, C, Mosca, F, Fumagalli, M |
| Rok vydání: | 2019 |
| Předmět: |
Pediatrics
medicine.medical_specialty parental involvement 030204 cardiovascular system & hematology law.invention early multisensory intervention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics Intervention (counseling) visual function Medicine Visual attention Infant massage Intervention program business.industry Term equivalent age lcsh:RJ1-570 Gestational age lcsh:Pediatrics Visual function Pediatrics Perinatology and Child Health visual maturation business preterm |
| Zdroj: | Frontiers in Pediatrics, Vol 8 (2020) |
| ISSN: | 2296-2360 |
| Popis: | Objectives: To determine the effectiveness of an early intervention program in enhancing visual function in very preterm infants. Methods: We conducted a RCT. We included preterm infants born between 25+0 and 29+6 weeks of gestational age (GA), without severe morbidities, and their families. Infants were randomized to either receive Standard Care (SC) or Early Intervention (EI). SC, according to NICU protocols, included Kangaroo Mother Care and minimal handling. EI included, in addition to routine care, parental training according to the PremieStart program, and multisensory stimulation (infant massage and visual interaction) performed by parents. Visual function was assessed at term equivalent age (TEA) using a prevalidated battery evaluating ocular spontaneous motility, ability to fix and follow a target, reaction to color, stripes discrimination and visual attention at distance. Results: Seventy preterm (EI n = 34, SC n = 36) infants were enrolled. Thirteen were excluded according to protocol. Fifty-seven infants (EI = 27, SC = 30) were assessed at TEA. The two groups were comparable for parental and infant characteristics. In total, 59% of infants in the EI group achieved the highest score in all the nine assessed items compared to 17% in the SC group (p = 0.001): all infants in both groups showed complete maturation in four items, but EI infants showed more mature findings in the other five items (ocular motility both spontaneous and with target, tracking arc, stripes discrimination and attention at distance). Conclusions: Our results suggest that EI has a positive effect on visual function maturation in preterm infants at TEA. Trial Registration: clinicalTrial.gov (NCT02983513). |
| Databáze: | OpenAIRE |
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