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Effects of enhance affordances in the home environment on motor development of infants at risk for developmental delays: randomized controlled trial


Introduction: There is evidence that to provide opportunities for action/mevement (affordances) in the home environment can positively influence the infants' motor development. However, there is a gap of how to expand these opportunities in infants with social and environmental risks (SER). Objective: To verify the effect of expanding action opportunities for the psychomotor development at the home environment of infants with SER. Methods: It will participated of this randomized controlled trial, 26 infants with SER, between 6-8 months of age, divided into 2 groups: 1) control group, 2) intervention group. Infants will be evaluated in 4 moments: A) Baseline (LB), Post-intervention (PI) - 1 (1 month after LB); PI-2 (1 month after PI-1), PI-3 (6 months after PI-2). Infants will be evaluated through the instruments: Affordances in the Home Environment for Infant Motor Development - Infant Scale, Alberta Infant Motor Scale e, Bayley Scales of Infant and Toddler Development-III. Furthermore, the exploration behavior of 3 different objects will be filmed by one digital camera (3 minutes) and the images analyzed by the Datavyu software. In the intervention phase, parents / caregivers should perform daily activities in prone, sitting, standing and spontaneous movement with 03 objects for 4 weeks in their own homes. It could be applied parametric and non-parametric tests depending on the sample homogeneity and normal conditions, considering the significance level ± = 5%. Expected results: It is expected to provide insights into the pediatrics physical therapy professionals on how to intervene / prevent limitations and to guide parents/caregivers to favor the psychomotor development in infants with SER. (AU)

Scientific publications
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
CUNHA, ANDREA BARALDI; MIQUELOTE, AUDREI FORTUNATO; CABRERA SANTOS, DENISE CASTILHO. Motor affordance at home for infants living in poverty: A feasibility study. INFANT BEHAVIOR & DEVELOPMENT, v. 51, p. 52-59, MAY 2018. Web of Science Citations: 1.

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