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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

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

作者机构: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 

出 版 物:《Open Journal of Pediatrics》 (儿科学期刊(英文))

年 卷 期:2020年第10卷第4期

页      面:707-731页

学科分类:1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主  题:Early Intervention Preterm Infants Participation Physiotherapy 

摘      要:Background: Early 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 in regional areas underrepresented in the literature to date. Consequentially, 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. Methods: 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

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