EFFECT OF TASK-ORIENTED THERAPY, MOTOR ENRICHMENT, AND FAMILY-CENTERED CARE (TIME-BABY) ON MOTOR DEVELOPMENT OF INFANTS AT BIOLOGICAL RISK FOR NEURODEVELOPMENTAL DELAY: A RANDOMIZED CONTROLLED CLINICAL TRIAL

• Grant number: 24/02790-3
• Support Opportunities: Scholarships abroad - Research Internship - Master's degree
• Start date: July 01, 2024
• End date: December 31, 2024
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Eloisa Tudella
• Grantee: Vitoria Regina Rocha Urruchia
• Supervisor: Andrea Baraldi Cunha
• Host Institution: Centro de Ciências Biológicas e da Saúde (CCBS). Universidade Federal de São Carlos (UFSCAR). São Carlos , SP, Brazil
• Institution abroad: University of Nebraska Omaha (UNO), United States
• Associated to the scholarship: 23/11111-0 - EFFECT OF TASK-ORIENTED THERAPY ASSOCIATED WITH ENVIRONMENTAL ENRICHMENT ON THE MOTOR DEVELOPMENT OF INFANTS WITH BIOLOGICAL RISK FOR CHANGES IN NEURODEVELOPMENT: A RANDOMIZED CONTROLLED CLINICAL TRIAL, BP.MS

Abstract

INTRODUCTION: Human development is a process that starts from intrauterine life and is influenced by both biological and socio-environmental factors. Infants with biological risk factors are predisposed to experience unfavorable developmental outcomes, and they may experience delays in motor development or certain health conditions, such as cerebral palsy. Early, effective intervention strategies based on scientific evidence are therefore necessary. OBJECTIVE: To evaluate the effect of task-oriented therapy, motor enrichment, and family-centered care (TIME-baby) on motor development of infants at biological risk for neurodevelopmental delay. METHODS: This is a randomized controlled clinical trial in which 32 infants aged between 3 and 6 months will participate, having one of the following criteria: prematurity, low birth weight, or asphyxia. The assessments will take place at the infant's home using the Infant Motor Profile (IMP), Alberta Infant Motor Scale (AIMS), Hammersmith Infant Neurological Examination (HINE) and the Affordances in the Home Environment for Motor Development - Baby Scale questionnaire. After the initial assessment, the infants will be randomized and the family will set treatment goals using the Canadian Occupational Performance Measure (COPM) with the researcher. All the infants, regardless of their group (experimental or control), will undergo three assessments: Assessment 1 (pre-training), Assessment 2 at the end of the intervention, and Assessment 3, seven days after the end of the training (retention). The intervention will take place in the infants' homes, involving task-oriented therapy, environmental enrichment, and family-centered care principles, for a total of 2 weeks, 7 days a week, carried out 3 days by the researcher and 4 days by the parents and/or guardians, lasting 1 hour a day. EXPECTED RESULTS: It is expected that the group that received task-oriented therapy associated with environmental enrichment and family-centered care (TIME-Baby) will improve motor development compared to the control group.