Academic Professional: Enhancing Early Intervention for Preterm and Low Birthweight Infants
The study "Early prediction of typical outcome and mild developmental delay for prioritisation of service delivery for very preterm and very low birthweight infants: a study protocol" offers valuable insights for practitioners focused on early intervention. This research highlights the importance of early detection and differentiation between typical development (TD) and mild developmental delay (MDD) in very preterm (<32 weeks) and very low birthweight (<1500 g) infants. Here’s how you can implement these findings to enhance your practice and improve outcomes for children.
Key Findings and Their Implications
The study identifies early clinical biomarkers that can predict and differentiate between TD and MDD at 24 months corrected age. This differentiation is crucial as infants with MDD often miss early intervention opportunities, which are critical during the early stages of development.
Clinical Biomarkers
The research focuses on five key assessments:
- General Movements Assessment (GMs)
- Premie-Neuro Examination (P-NE)
- Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS)
- Alberta Infant Motor Scale (AIMS)
- Infant Sensory Profile 2 (Infant SP2)
These assessments, when used longitudinally from 34 weeks gestational age to 16 weeks post-term, can effectively predict developmental outcomes at 24 months corrected age.
Implementation in Practice
To leverage these findings in your practice, consider the following steps:
- Early and Regular Assessments: Implement the five key assessments at recommended intervals to monitor infants' development accurately.
- Parental Involvement: Engage parents in the assessment process, particularly with the Infant SP2, to gather comprehensive data on the child’s sensory processing abilities.
- Multidisciplinary Approach: Collaborate with a multidisciplinary team, including pediatricians, occupational therapists, and social workers, to ensure a holistic approach to early intervention.
- Data-Driven Decisions: Use the data from these assessments to make informed decisions about early intervention services, prioritizing infants at higher risk for developmental delays.
Encouraging Further Research
While the study provides a robust framework for early prediction and intervention, ongoing research is essential to refine these biomarkers and improve their predictive accuracy. Practitioners are encouraged to:
- Participate in longitudinal studies to contribute to the growing body of evidence.
- Stay updated with the latest research to incorporate new findings into practice.
- Collaborate with research institutions to explore innovative assessment tools and intervention strategies.
Conclusion
By implementing the outcomes of this research, practitioners can significantly improve early intervention services for very preterm and very low birthweight infants. This proactive approach not only enhances developmental outcomes but also ensures that resources are efficiently allocated to those most in need.To read the original research paper, please follow this link:
Early prediction of typical outcome and mild developmental delay for prioritisation of service delivery for very preterm and very low birthweight infants: a study protocol.
Citation: Caesar, R., Boyd, R. N., Colditz, P., Cioni, G., Ware, R. S., Salthouse, K., Doherty, J., Jackson, M., Matthews, L., Hurley, T., Morosini, A., Thomas, C., Camadoo, L., Baer, E., & The PREMTiME Study Group. (2016). Early prediction of typical outcome and mild developmental delay for prioritisation of service delivery for very preterm and very low birthweight infants: a study protocol. BMJ Open, 6(7), e010726. https://doi.org/10.1136/bmjopen-2015-010726