The Effect of the Parent-Administered Sensorimotor Intervention (PASI) on the Developmental Outcomes in Infants Born Preterm at 18 Months of Age
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Authors
Shashikanth, Nithikaa
Date
2025-06-03
Type
thesis
Language
eng
Keyword
Preterm , Infants , Sensory motor , Sensorimotor , Parent administered , Parent delivered , Developmental delay , Rehabilitation Science
Alternative Title
Abstract
Background: Infants born preterm (before 37 weeks of gestation) are at a higher risk for sustaining developmental delays thus affecting their quality of life. Early intervention, especially parent-delivered interventions have shown benefits during hospitalization. However, there is limited evidence on their long-term effects post-discharge. This study evaluated the long-term effects of a parent-administered sensorimotor intervention program on development outcomes of infants at 18 to 24 months of age.
Methods: A longitudinal follow-up survey was conducted. 80 participants from the original Parent Administered Sensorimotor Intervention (PASI) program were contacted by phone and invited to participate. The PASI program involved a 15-minute daily parent-delivered session over 10 days, including tactile input to oral structures, limbs, trunk, and nonnutritive sucking. The outcomes assessed were: (a) occurrence of global developmental delay, (b) developmental skills in gross motor, fine motor, cognitive, language, and social domains, and (c) parent-perceived quality of life (QoL) of the child. The Infant Development Inventory and the Pediatric Quality of Life Index were used for assessment at 18 to 24 months corrected age.
Results: A total of 51 parents (63.7%) agreed to participate. On analysis of baseline characteristics, the experimental group had lower gestational age, APGAR scores, birth weight, greater medical severity, and more co-morbidities than the control group (p < 0.025). No significant differences were found in global developmental delay, specific developmental domains, or health-related QoL between the groups (p > 0.05). However, parents in the experimental group reported fewer concerns about their child’s development compared to the control group (p = 0.04).
Conclusion: The results of this study did not show a significant impact of the parent-administered sensorimotor intervention program on the developmental outcomes of preterm infants at 18-24 months of age. However, parents that were part of the experimental group had lesser concerns with regards to their child’s development in comparison to those in the control group. These results suggest potential long-term benefits of the PASI program on parent well-being, and in turn parent-infant interactions and infant development.
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Attribution-NonCommercial-NoDerivatives 4.0 International