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: Alicia J. Spittle Chelsea A. Mobbs Leanne M. Johnston
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Early Intervention Preterm Infants PARTICIPATION PHYSIOTHERAPY
• 年，卷（期）: 2020,（4）
• 页码范围: 707-731
• 页数: 25页
• 分类号: R72

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