PreEMPT (Preterm Infant Early Intervention for Movement and Participation Trial): The Feasibility of a Novel, Participation-Focused Early Physiotherapy Intervention Supported by Telehealth in Regional Australia—A Protocol  

作　　者：Chelsea A. Mobbs Alicia J. Spittle Leanne M. Johnston Chelsea A. Mobbs;Alicia J. Spittle;Leanne M. Johnston(School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia;Toowoomba Hospital, Darling Downs Hospital and Health Service, Queensland Health, Qld, Australia;School of Physiotherapy, University of Melbourne, Melbourne, Vic, Australia)

机构地区：[1]School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia [2]Toowoomba Hospital, Darling Downs Hospital and Health Service, Queensland Health, Qld, Australia [3]School of Physiotherapy, University of Melbourne, Melbourne, Vic, Australia

出　　处：《Open Journal of Pediatrics》2020年第4期707-731,共25页儿科学期刊（英文）

摘　　要：<span style="font-family:Verdana;"><strong>Background:</strong></span><span "=""><span style="font-family:Verdana;"> Ea</span><span><span style="font-family:Verdana;">rly intervention is beneficial for improving preterm infant motor and cognitive outcomes in early childhood;however, little is known about whether early intervention can influence a preterm infant’s participation. Additionally, many studies investigating the impact of early intervention for preterm infants have been conducted in large metropolitan centres, leaving preterm infants who reside i</span><span style="font-family:Verdana;">n regional areas underrepresented in the literature to date. Consequentia</span></span><span style="font-family:Verdana;">lly, it is not yet known whether there are service delivery models, such as using telehealth as an adjunct to face-to-face intervention, that might cater to the needs of preterm infants residing outside metropolitan centres. PreEMPT (Preterm infant Early intervention for Movement and Participation Trial) is a novel early physiotherapy intervention that has been designed to use a participation goal-directed intervention approach via a mixture of face-to-face clinic sessions and telehealth sessions to improve the motor and participation outcomes of preterm born infants. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This study aims to evaluate the feasibility of PreEMPT using an assessor-blinded, randomised controlled trial to compare PreEMPT to Usual Physiotherapy Care (UPC) for preterm infants residing in a regional Australian hospital catchment area. Twenty-six preterm infants (≤34 + 6 weeks gestational age) will be recruited prior to term corrected age from the special care nursery of a regional hospital. Following informed consent and baseline assessments, infants will be randomly allocated to receive either PreEMPT, a novel participation-focused early physiotherapy intervention delivered weekly for 14 forty-five-minute sessions alternating f<span style="font-family:Verdana;"><strong>Background:</strong></span><span "=""><span style="font-family:Verdana;"> Ea</span><span><span style="font-family:Verdana;">rly intervention is beneficial for improving preterm infant motor and cognitive outcomes in early childhood;however, little is known about whether early intervention can influence a preterm infant’s participation. Additionally, many studies investigating the impact of early intervention for preterm infants have been conducted in large metropolitan centres, leaving preterm infants who reside i</span><span style="font-family:Verdana;">n regional areas underrepresented in the literature to date. Consequentia</span></span><span style="font-family:Verdana;">lly, it is not yet known whether there are service delivery models, such as using telehealth as an adjunct to face-to-face intervention, that might cater to the needs of preterm infants residing outside metropolitan centres. PreEMPT (Preterm infant Early intervention for Movement and Participation Trial) is a novel early physiotherapy intervention that has been designed to use a participation goal-directed intervention approach via a mixture of face-to-face clinic sessions and telehealth sessions to improve the motor and participation outcomes of preterm born infants. </span><b><span style="font-family:Verdana;">Methods:</span></b><span style="font-family:Verdana;"> This study aims to evaluate the feasibility of PreEMPT using an assessor-blinded, randomised controlled trial to compare PreEMPT to Usual Physiotherapy Care (UPC) for preterm infants residing in a regional Australian hospital catchment area. Twenty-six preterm infants (≤34 + 6 weeks gestational age) will be recruited prior to term corrected age from the special care nursery of a regional hospital. Following informed consent and baseline assessments, infants will be randomly allocated to receive either PreEMPT, a novel participation-focused early physiotherapy intervention delivered weekly for 14 forty-five-minute sessions alternating f

关 键 词：Early Intervention Preterm Infants PARTICIPATION PHYSIOTHERAPY 

分 类 号：R72[医药卫生—儿科]