Document Type : Original Article
Authors
1 Student Research Committee, Department of Occupational Therapy, Faculty of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Physiotherapy Research Center, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Occupational Therapy, School of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4 Mentor of Country Bayley Test, Homayoon Center of Child Development, Shahid Beheshti Medical University, Tehran, Iran
Abstract
Introduction: Premature infants are at risk for neurodevelopmental delays, and parents do not have enough knowledge and information about that. The coronavirus pandemic and the limited presence of parents in the NICU (Neonatal Intensive Care Unit), as well as the risk of rehospitalization after discharge to follow up on the child’s condition, increased the need to investigate compensatory solutions to provide services to high-risk children and their parents.
Methods: This randomized clinical trial study was conducted in Tehran from July 2021 to March 2022. A total of 32 preterm infants were randomly assigned to the intervention group (n = 16) and the control group (n = 16). Tele-education was provided through a 12-week intervention by written content, video, audio, and photos for the treatment group. Infants were matched and randomly assigned to two comparable groups using permuted block randomization before the intervention. The results of the infant’s development after the intervention were measured using the ASQ via an online form and the Bayley III scale by the country’s Bayley test mentor at 3 months corrected age. This clinical trial was registered in the Iranian Registry of Clinical Trials (IRCT) (Registration No. IRCT20220725055554N1).
Results: The results indicated that tele-education could not produce a statistically significant distinction between participants in the intervention and control groups (P > 0.05).
Conclusion: Although this study showed that tele-education has no significant positive impact on the development of premature babies at 3 corrected ages, further studies with larger sample sizes are necessary to improve our knowledge about the effects of tele-education at older ages.
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- Silveira RC, Mendes EW, Fuentefria RN, Valentini NC, Procianoy RS. Early intervention program for very low birth weight preterm infants and their parents: a study protocol. BMC Pediatr 2018;18(1):268. doi:https://doi.org/10.1186/ s12887-018-1240-6
- Cappelletti M, Della Bella S, Ferrazzi E, Mavilio D, Divanovic S. Inflammation and preterm birth. J Leukoc Biol 2016;99(1):67-78. doi:https://doi.org/10.1189/jlb.3MR0615- 272RR
- Spittle A, Treyvaud K. The role of early developmental intervention to influence neurobehavioral outcomes of children born preterm. Semin Perinatol 2016;40(8):542-8. doi:https://doi.org/10.1053/j.semperi.2016.09.006
- Novak I, Morgan C. High-risk follow-up: Early intervention and rehabilitation. Handb Clin Neurol 2019;162:483-510. doi:https://doi.org/10.1016/b978-0-444-64029-1.00023-0
- Balasundaram P, Avulakunta ID. Human growth and development. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2026.
- Morgan C, Fetters L, Adde L, Badawi N, Bancale A, Boyd RN, et al. Early intervention for children aged 0 to 2 years with or at high risk of cerebral palsy: international clinical practice guideline based on systematic reviews. JAMA Pediatr 2021;175(8):846-58. doi:https://doi.org/10.1001/ jamapediatrics.2021.0878
- Franck LS, Kriz RM, Bisgaard R, Cormier DM, Joe P, Miller PS, et al. Comparison of family centered care with family integrated care and mobile technology (mFICare) on preterm infant and family outcomes: a multi-site quasi-experimental clinical trial protocol. BMC Pediatr 2019;19(1):469. doi:https://doi.org/10.1186/s12887-019-1838-3
- Karimi-Zarchi M, Neamatzadeh H, Dastgheib SA, Abbasi H, Mirjalili SR, Behforouz A, et al. Vertical transmission of coronavirus disease 19 (COVID-19) from infected pregnant mothers to neonates: a review. Fetal Pediatr Pathol 2020;39(3):246-50. doi:https://doi.org/10.1080/15513815.20 20.1747120
- Franck LS, Waddington C, O’Brien K. Family integrated care for preterm infants. Crit Care Nurs Clin North Am 2020;32(2):149- 65. doi:https://doi.org/10.1016/j.cnc.2020.01.001
- Barnes J, Theule J. Maternal depression and infant attachment security: a meta-analysis. Infant Ment Health J 2019;40(6):817- 34. doi:https://doi.org/10.1002/imhj.21812
- Dağlı E, Topkara FN. The effect of tele-education delivered to mothers during the COVID-19 pandemic on breastfeeding success and perceived breastfeeding self-efficacy: randomized controlled longitudinal trial. Health Care Women Int 2023;44(3):345-60. doi:https://doi.org/10.1080/07399332.20 22.2132251
- Squires J, Bricker D. Ages and Stages Questionnaire (ASQ): A Parent Completed Child Monitoring System. Baltimore: Brooks Publishing Company; 2009.
- Hung Kn G, Fong KN. Effects of telerehabilitation in occupational therapy practice: a systematic review. Hong Kong J Occup Ther 2019;32(1):3-21. doi:https://doi. org/10.1177/1569186119849119
- Chuo J, Makkar A, Machut K, Zenge J, Jagarapu J, Azzuqa A, et al. Telemedicine across the continuum of neonatal-perinatal care. Semin Fetal Neonatal Med 2022;27(5):101398. doi:https://doi.org/10.1016/j.siny.2022.101398
- DeMauro SB, Duncan AF, Hurt H. Telemedicine use in neonatal follow-up programs – what can we do and what we can’t – lessons learned from COVID-19. Semin Perinatol 2021;45(5):151430. doi:https://doi.org/10.1016/j. semperi.2021.151430
- Ghazi M, Zare M, Ramezani M, Heidarzadeh M, Behnam Vashani H. The effect of home visit program based on the continued kangaroo mother care on maternal resiliency and development of premature infant: a randomized clinical trial. Int J Community Based Nurs Midwifery 2021;9(1):64-75. doi:https://doi.org/10.30476/ijcbnm.2020.86141.1321
- Melnyk BM, Alpert-Gillis L, Feinstein NF, Fairbanks E, Schultz- Czarniak J, Hust D, et al. Improving cognitive development of low-birth-weight premature infants with the COPE program: a pilot study of the benefit of early NICU intervention with mothers. Res Nurs Health 2001;24(5):373-89. doi:https://doi. org/10.1002/nur.1038
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