This study aimed to establish a systematic developmental training guide protocol for parent-centered early intervention and verify the concept and feasibility of a video system for parent-centered in-home developmental therapy under the monitoring of a therapist. The target group is premature infants under 32 weeks of gestation or very low birth weight infants under 1500 g with brain damage. A single-arm intervention group of 10 people was recruited, and considering a dropout rate of 20%, the total number of participants was calculated to be 12. 1:1 monitoring to provide parent-centered early intervention at home after discharge from the neonatal intensive care unit is conducted twice a week for 30 minutes per session using a video platform (Zoom) until the corrected age of 6 months. Parents record the developmental training process using a smartphone and transmit it to the therapist, who analyzes the video data to provide new treatment goals and guidelines. Feasibility assessment included: 1) Exercise diary: Number of total and average sessions performed (N) and percentage (%), number of total and average sessions completed (N) and percentage (%) 2) Parent questionnaire 3) Video analysis: Periodic video education and developmental training video acquisition and analysis 4) Heart rate analysis: Analysis of average heart rate during and after rest and developmental training 5) Safety analysis: Number of times (N) and reasons for exercise interruption during developmental training 6) Developmental assessment: Implementation of developmental assessments such as GMOS, MOS-R, HINE, GMFM, and BSID. For safety assessment, if the following symptoms appear during development training, stop exercising and rest until stable. If oxygen saturation drops by more than 10% compared to resting, causing cyanosis and dyspnea, or if heart rate increases by more than 150 beats/min.
Age range
1 Month
Sex
ALL
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Number of total and average sessions performed (N)
Timeframe: up to corrected age 6 months
Percentage of total and average sessions performed (%)
Timeframe: up to corrected age 6 months
Number of total and average sessions completed (N)
Timeframe: up to corrected age 6 months
Percentage of total and average sessions completed (%)
Timeframe: up to corrected age 6 months
Parent questionnaire
Timeframe: at corrected age 6 months
General Movement Optimality Score
Timeframe: corrected age 0, 1.5months
Motor Optimality Score-Revised
Timeframe: corrected age 4months
Hammersmith Infant Neurological Examination
Timeframe: corrected age 4, 6, 9 months
Gross Motor Function Measure
Timeframe: corrected age 6, 9 months
Bayley Scales of Infant and Toddler Development
Timeframe: corrected age 9 months
Number of exercise interruption (N)
Timeframe: up to corrected age 6 months
Number of adverse event (N)
Timeframe: up to corrected age 6 months