Journal of Obstetric, Gynecologic & Neonatal Nursing
PRINCIPLES & PRACTICEInfant Stimulation: Modification of an Intervention Based on Physiologic and Behavioral Cues
Section snippets
Protocol Approach
One traditional approach, which has been used since the 1960s, examines the effects of supplemental stimulation protocols as a form of developmental intervention (Barnard … Bee, 1983; Field et al., 1986; Kramer, Chamorro, Green, … Knudtson, 1975; Kramer … Pierpont, 1976; Rausch, 1981; Rice, 1977; Scafidi et al, 1986). Researchers using this approach hypothesized that infants in the neonatal intensive-care unit (NICU) were deprived of sensory stimulation. Often, the underlying assumption of this
Individualized Approach
An alternative approach to infant stimulation opposes structured protocols in favor of an individualized approach. This approach requires a detailed assessment of the individual infant and prescribes a highly individualized method of care (Als, 1986; Als et al., 1986). In Als’s studies using this approach, experimental group infants have had significantly better short-term neurologic and developmental outcomes (Als et al., 1986). Although many of the same principles of stress reduction were
Combining Traditional Approaches
Both traditional approaches represent valid ways to develop interventions for premature infants and to study the effects of these interventions. However, each of these approaches has disadvantages. For example, when evaluating a stimulation approach based solely on the needs of each individual infant, it is difficult to discern whether characteristics of the infant or the protocol are responsible for the outcome (Korner, 1990) . On the other hand, rigid protocols may ignore the individual needs
Conclusion
The use of the decision tree in conjunction with the ATW intervention benefits research in a variety of ways. The decision tree allows for pauses, containment, and other necessary deviations from the ATW intervention to be standardized. By standardizing these decisions, experimental error is minimized, whereas the variance between experimental and control groups is maximized. This strengthens the internal validity of the research design.
Clearly, it is important to acknowledge the uniqueness of
Acknowledgments
Supported by the National Institutes of Health, National Institute of Nursing Research Grant #1R01 NR2328-01A2, Hewlett-Packard Company Grant #13580, The Harris Foundation, The Alcoa Foundation, The Gould Company, and The Campus Research, University of Illinois.
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Early Postpartum Maternal and Newborn Responses to Auditory, Tactile, Visual, Vestibular, and Olfactory Stimuli
2022, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal NursingCitation Excerpt :We excluded newborns if they were younger than 12 hours of age, had 5-minute Apgar scores of 5 or less, received oxygen 4 hours after birth, received intravenous therapy, had suspected infection, had complications from birth, or had congenital anomalies or suspected chromosomal disorders. The ATVV is a multisensory intervention that consists of 10 minutes of auditory (infant-directed maternal voice, known as “motherese”), tactile (moderate touch massage), and visual (eye-to-eye gaze) stimulation followed by 5 minutes of vestibular stimulation (horizontal rocking; Burns et al., 1994). The stimuli are presented in a gradual progression for the first 10 minutes: auditory only for 30 seconds, followed by auditory and tactile, with visual added as the newborn becomes alert.
Health Care Use Outcomes of an Integrated Hospital-to-Home Mother–Preterm Infant Intervention
2016, JOGNN - Journal of Obstetric, Gynecologic, and Neonatal NursingMaternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother-infant relationship
2014, Infant Behavior and DevelopmentCitation Excerpt :Some maternal variables also differed among the sites: mothers from the Illinois sites were more likely to be younger, unmarried, Black or Hispanic, not a first-time mother, less educated, and on public assistance than the North Carolina mothers. Three groups were studied: one administered White-Traut's ATVV intervention to their preterm infants (Burns et al., 1994; White-Traut et al., 1999), the second administered kangaroo care using the protocol of Ludington-Hoe et al. (1999), and the third was an attention control group. Mothers were asked to use the intervention in the NICU and continue it at home until the infant was 2 months corrected age.
Preterm infants' orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention
2014, Infant Behavior and DevelopmentCitation Excerpt :The overall goal of the ATVV and participatory guidance components was to enhance the infant's behavioral organization prior to feeding. The infant directed ATTV component of the integrated H-HOPE intervention provided 10 min of the following stimuli: auditory (infant directed mother's voice), tactile (moderate touch stroking or massage) and visual (eye-to-eye), followed by 5 min of vestibular (horizontal rocking) (Burns et al., 1994). The stimuli are presented in a gradual progression: auditory only for the first 30 s, followed by combined auditory and tactile stimuli, with visual added as the infant becomes alert.
Mother-infant interaction improves with a developmental intervention for mother-preterm infant dyads
2013, Infant Behavior and Development