The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants
Aim We compared the impact of standard infant physiotherapy and the family‐centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions. Methods This randomised controlled trial was carried out in patients' h...
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| Veröffentlicht in: | Acta Paediatrica 2021-04, Vol.110 (4), p.1189-1200 |
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| creator | Akhbari Ziegler, Schirin Rhein, Michael Meichtry, André Wirz, Markus Hielkema, Tjitske Hadders‐Algra, Mijna |
| description | Aim
We compared the impact of standard infant physiotherapy and the family‐centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions.
Methods
This randomised controlled trial was carried out in patients' homes and outpatient settings in Switzerland between January 2016 and October 2019. We used data from the national SwissNeoNet register and an assessment battery that included infant and family outcomes and video analyses of therapy sessions. The Infant Motor Profile was the primary outcome instrument.
Results
The COPCA group comprised six boys and two girls with a median gestational age of 27 weeks (range 25‐30), and the standard care group comprised seven boys and one girl with a median gestational age of 29.5 weeks (range 26‐31). COPCA participants improved significantly more between baseline and 18 months in the IMP variation (9.0 percentage points, 95% confidence interval: 0.3‐17.5) and performance (12.0 percentage points, 95% confidence interval: 4.1‐20.6) domains than standard care participants. COPCA coaching was positively associated with IMP scores at 18 months, but some standard care actions were negatively associated.
Conclusion
COPCA was associated with better motor outcome in infants born before 32 weeks than standard infant physiotherapy. |
| doi_str_mv | 10.1111/apa.15619 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7984220</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2450650711</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4439-e4a385a3c7f6b2f1510294e385575fb46c2e653db9a06565996154f03d081f5d3</originalsourceid><addsrcrecordid>eNp1kd9qFDEUxoModq1e-AIS8MZeTJv_s7kRlsVqoahgvQ7ZmTPdlJlkTGZ36Rv42J52alHB3CQn53e-fOEj5DVnpxzXmR_9KdeG2ydkwY3mlRCifkoWbMlkpYWWR-RFKTeMCWmVeU6OpGSqlkIvyM-rLdB1GkO8pocwbamPLV37fFd3KdOL2Pk4lbn3bYQm-J5-BmgLDXGCvIc4hRTpwRfqS0nYn6Cd8TCMOe2xGtKEUi3soU_jgBM4S8cMOD_g8f6Fl-RZ5_sCrx72Y_L9_MPV-lN1-eXjxXp1WTVKSVuB8nKpvWzqzmxExzVnwirAO13rbqNMI8Bo2W6sZ0Ybba3hWnVMtmzJO93KY_J-1h13mwHaBt1k37sxh8HnW5d8cH93Yti667R3tV0qIRgKvHsQyOnHDsrkhlAa6HsfIe2KE0rjy6zmHNG3_6A3aZcjfg8pawVD9xqpk5lqciolQ_dohjN3l6_DfN19vsi--dP9I_k7UATOZuAQerj9v5JbfV3Nkr8AoImw6w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2499205105</pqid></control><display><type>article</type><title>The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><creator>Akhbari Ziegler, Schirin ; Rhein, Michael ; Meichtry, André ; Wirz, Markus ; Hielkema, Tjitske ; Hadders‐Algra, Mijna</creator><creatorcontrib>Akhbari Ziegler, Schirin ; Rhein, Michael ; Meichtry, André ; Wirz, Markus ; Hielkema, Tjitske ; Hadders‐Algra, Mijna ; Swiss Neonatal Network & Follow-Up Group ; the Swiss Neonatal Network & Follow‐Up Group</creatorcontrib><description>Aim
We compared the impact of standard infant physiotherapy and the family‐centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions.
Methods
This randomised controlled trial was carried out in patients' homes and outpatient settings in Switzerland between January 2016 and October 2019. We used data from the national SwissNeoNet register and an assessment battery that included infant and family outcomes and video analyses of therapy sessions. The Infant Motor Profile was the primary outcome instrument.
Results
The COPCA group comprised six boys and two girls with a median gestational age of 27 weeks (range 25‐30), and the standard care group comprised seven boys and one girl with a median gestational age of 29.5 weeks (range 26‐31). COPCA participants improved significantly more between baseline and 18 months in the IMP variation (9.0 percentage points, 95% confidence interval: 0.3‐17.5) and performance (12.0 percentage points, 95% confidence interval: 4.1‐20.6) domains than standard care participants. COPCA coaching was positively associated with IMP scores at 18 months, but some standard care actions were negatively associated.
Conclusion
COPCA was associated with better motor outcome in infants born before 32 weeks than standard infant physiotherapy.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.15619</identifier><identifier>PMID: 33047325</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Adaptation, Psychological ; Babies ; Confidence intervals ; Early Intervention, Educational ; early physiotherapy ; family outcomes ; family‐centred practice ; Female ; Gestational age ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; Male ; motor outcome ; Physical Therapy Modalities ; Premature babies ; preterm infants ; Regular ; Regular & Brief Reports ; Switzerland</subject><ispartof>Acta Paediatrica, 2021-04, Vol.110 (4), p.1189-1200</ispartof><rights>2020 The Authors. published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica</rights><rights>2020 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4439-e4a385a3c7f6b2f1510294e385575fb46c2e653db9a06565996154f03d081f5d3</citedby><cites>FETCH-LOGICAL-c4439-e4a385a3c7f6b2f1510294e385575fb46c2e653db9a06565996154f03d081f5d3</cites><orcidid>0000-0001-6845-5114 ; 0000-0001-8640-0774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.15619$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.15619$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45552,45553</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33047325$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akhbari Ziegler, Schirin</creatorcontrib><creatorcontrib>Rhein, Michael</creatorcontrib><creatorcontrib>Meichtry, André</creatorcontrib><creatorcontrib>Wirz, Markus</creatorcontrib><creatorcontrib>Hielkema, Tjitske</creatorcontrib><creatorcontrib>Hadders‐Algra, Mijna</creatorcontrib><creatorcontrib>Swiss Neonatal Network & Follow-Up Group</creatorcontrib><creatorcontrib>the Swiss Neonatal Network & Follow‐Up Group</creatorcontrib><title>The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
We compared the impact of standard infant physiotherapy and the family‐centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions.
Methods
This randomised controlled trial was carried out in patients' homes and outpatient settings in Switzerland between January 2016 and October 2019. We used data from the national SwissNeoNet register and an assessment battery that included infant and family outcomes and video analyses of therapy sessions. The Infant Motor Profile was the primary outcome instrument.
Results
The COPCA group comprised six boys and two girls with a median gestational age of 27 weeks (range 25‐30), and the standard care group comprised seven boys and one girl with a median gestational age of 29.5 weeks (range 26‐31). COPCA participants improved significantly more between baseline and 18 months in the IMP variation (9.0 percentage points, 95% confidence interval: 0.3‐17.5) and performance (12.0 percentage points, 95% confidence interval: 4.1‐20.6) domains than standard care participants. COPCA coaching was positively associated with IMP scores at 18 months, but some standard care actions were negatively associated.
Conclusion
COPCA was associated with better motor outcome in infants born before 32 weeks than standard infant physiotherapy.</description><subject>Adaptation, Psychological</subject><subject>Babies</subject><subject>Confidence intervals</subject><subject>Early Intervention, Educational</subject><subject>early physiotherapy</subject><subject>family outcomes</subject><subject>family‐centred practice</subject><subject>Female</subject><subject>Gestational age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Male</subject><subject>motor outcome</subject><subject>Physical Therapy Modalities</subject><subject>Premature babies</subject><subject>preterm infants</subject><subject>Regular</subject><subject>Regular & Brief Reports</subject><subject>Switzerland</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><recordid>eNp1kd9qFDEUxoModq1e-AIS8MZeTJv_s7kRlsVqoahgvQ7ZmTPdlJlkTGZ36Rv42J52alHB3CQn53e-fOEj5DVnpxzXmR_9KdeG2ydkwY3mlRCifkoWbMlkpYWWR-RFKTeMCWmVeU6OpGSqlkIvyM-rLdB1GkO8pocwbamPLV37fFd3KdOL2Pk4lbn3bYQm-J5-BmgLDXGCvIc4hRTpwRfqS0nYn6Cd8TCMOe2xGtKEUi3soU_jgBM4S8cMOD_g8f6Fl-RZ5_sCrx72Y_L9_MPV-lN1-eXjxXp1WTVKSVuB8nKpvWzqzmxExzVnwirAO13rbqNMI8Bo2W6sZ0Ybba3hWnVMtmzJO93KY_J-1h13mwHaBt1k37sxh8HnW5d8cH93Yti667R3tV0qIRgKvHsQyOnHDsrkhlAa6HsfIe2KE0rjy6zmHNG3_6A3aZcjfg8pawVD9xqpk5lqciolQ_dohjN3l6_DfN19vsi--dP9I_k7UATOZuAQerj9v5JbfV3Nkr8AoImw6w</recordid><startdate>202104</startdate><enddate>202104</enddate><creator>Akhbari Ziegler, Schirin</creator><creator>Rhein, Michael</creator><creator>Meichtry, André</creator><creator>Wirz, Markus</creator><creator>Hielkema, Tjitske</creator><creator>Hadders‐Algra, Mijna</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6845-5114</orcidid><orcidid>https://orcid.org/0000-0001-8640-0774</orcidid></search><sort><creationdate>202104</creationdate><title>The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants</title><author>Akhbari Ziegler, Schirin ; Rhein, Michael ; Meichtry, André ; Wirz, Markus ; Hielkema, Tjitske ; Hadders‐Algra, Mijna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4439-e4a385a3c7f6b2f1510294e385575fb46c2e653db9a06565996154f03d081f5d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adaptation, Psychological</topic><topic>Babies</topic><topic>Confidence intervals</topic><topic>Early Intervention, Educational</topic><topic>early physiotherapy</topic><topic>family outcomes</topic><topic>family‐centred practice</topic><topic>Female</topic><topic>Gestational age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Male</topic><topic>motor outcome</topic><topic>Physical Therapy Modalities</topic><topic>Premature babies</topic><topic>preterm infants</topic><topic>Regular</topic><topic>Regular & Brief Reports</topic><topic>Switzerland</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akhbari Ziegler, Schirin</creatorcontrib><creatorcontrib>Rhein, Michael</creatorcontrib><creatorcontrib>Meichtry, André</creatorcontrib><creatorcontrib>Wirz, Markus</creatorcontrib><creatorcontrib>Hielkema, Tjitske</creatorcontrib><creatorcontrib>Hadders‐Algra, Mijna</creatorcontrib><creatorcontrib>Swiss Neonatal Network & Follow-Up Group</creatorcontrib><creatorcontrib>the Swiss Neonatal Network & Follow‐Up Group</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akhbari Ziegler, Schirin</au><au>Rhein, Michael</au><au>Meichtry, André</au><au>Wirz, Markus</au><au>Hielkema, Tjitske</au><au>Hadders‐Algra, Mijna</au><aucorp>Swiss Neonatal Network & Follow-Up Group</aucorp><aucorp>the Swiss Neonatal Network & Follow‐Up Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2021-04</date><risdate>2021</risdate><volume>110</volume><issue>4</issue><spage>1189</spage><epage>1200</epage><pages>1189-1200</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
We compared the impact of standard infant physiotherapy and the family‐centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions.
Methods
This randomised controlled trial was carried out in patients' homes and outpatient settings in Switzerland between January 2016 and October 2019. We used data from the national SwissNeoNet register and an assessment battery that included infant and family outcomes and video analyses of therapy sessions. The Infant Motor Profile was the primary outcome instrument.
Results
The COPCA group comprised six boys and two girls with a median gestational age of 27 weeks (range 25‐30), and the standard care group comprised seven boys and one girl with a median gestational age of 29.5 weeks (range 26‐31). COPCA participants improved significantly more between baseline and 18 months in the IMP variation (9.0 percentage points, 95% confidence interval: 0.3‐17.5) and performance (12.0 percentage points, 95% confidence interval: 4.1‐20.6) domains than standard care participants. COPCA coaching was positively associated with IMP scores at 18 months, but some standard care actions were negatively associated.
Conclusion
COPCA was associated with better motor outcome in infants born before 32 weeks than standard infant physiotherapy.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33047325</pmid><doi>10.1111/apa.15619</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-6845-5114</orcidid><orcidid>https://orcid.org/0000-0001-8640-0774</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0803-5253 |
| ispartof | Acta Paediatrica, 2021-04, Vol.110 (4), p.1189-1200 |
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| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Adaptation, Psychological Babies Confidence intervals Early Intervention, Educational early physiotherapy family outcomes family‐centred practice Female Gestational age Humans Infant Infant, Newborn Infant, Premature Infants Male motor outcome Physical Therapy Modalities Premature babies preterm infants Regular Regular & Brief Reports Switzerland |
| title | The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development in preterm infants |
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