Examination of the Relationship Between Home Affordances With Development
Condition: Preterm Birth
MeSH terms: Premature Birth
Study type: Observational

Summary: 
      Babies with a history of premature birth and low birth weight are at risk for developmental
      disorders. These infants may have motor, cognitive and behavioral problems compared to their
      term peers. Although advances in technology lead to an increase in survival rate, 50% of
      these infants may have developmental delays in motor, cognitive and behavioral areas.
      Premature birth does not accelerate any of the early sensory development processes, but
      exposure to intense, unusual stimuli of unusual character may delay or inhibit sensory
      development. Therefore, children born prematurely may be at risk in terms of sensory
      processing. The physical, sensory and social environment of the infant and young child is
      critical in supporting the healthy and appropriate development of the brain and nerve-sensory
      systems.
    

Detailed description: 
      A newborn baby reacts involuntarily or reflexively to its environment. During the first few
      years of life, through physical growth and learning experiences, the child learns to
      participate actively in the world. Motor skills and sensory experiences begin to develop
      after birth, and development continues as children grow. Having good motor control also helps
      children explore the world around them, which can help many other areas of development. There
      are many environmental and biological factors that affect motor development. Especially the
      home environment where the child spends most of his time is one of the key factors affecting
      motor development. The home environment is known to be a very important factor for motor
      development in infants. At the same time, the variety of equipment and environmental
      conditions help children provide different sensory experiences. Exploring the home
      environment can have important developmental implications, as it is common practice for
      physiotherapists to advise patients on home activities. Environmental factors can affect the
      motor development of preterm children as well as other developmental areas. The number of
      studies examining the effects of environmental factors on motor and sensory development in
      preterm infants is limited in the literature. This study was planned to examine whether there
      is a relationship between the environmental conditions and equipment variety and the motor
      and sensory development of the preterm child.
    

Intervention name(s): Affordances in the Home Environment for Motor Development-Infant Scale; Peabody Developmental Motor Scales-2; Test Of Sensory Functions In Infants (Tsfı)
Intervention type(s): Behavioral; Behavioral; Behavioral
Intervention description(s): Affordances in the Home Environment for Motor Development-Infant Scale is a parent-filled assessment to determine the nature and amount of factors affecting infant motor skill development in the home environment, including the availability of toys, materials, and the availability of spaces.; Peabody Developmental Motor Scales | Second Edition (PDMS-2) combines in-depth assessment with training or remediation of gross and fine motor skills of children from birth through 5 years.; This test helps you identify infants with sensory integrative dysfunction-including those at risk for developing learning disabilities as they grow older. The TSFI provides objective criteria that allow you to determine whether, and to what extent, an infant has deficits in sensory functioning. Designed for use with children from 4 months to 18 months old, the TSFI provides an overall measure of sensory processing and reactivity, as well as scores on the following subdomains: Reactivity to Tactile Deep Pressure Visual Tactile Integration Adaptive Motor Function Ocular Motor Control Reactivity to Vestibular Stimulation
Observational model: Cohort
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        It was planned to include infants who applied to Gazi University Faculty of Health Sciences
        Physiotherapy and Rehabilitation Department Pediatric Rehabilitation unit in the study.
        Fifty infants between 4-18 months with a history of premature birth and with the consent of
        their parents will be included in the study. Babies with chromosomal anomalies, serious
        congenital problems, and whose parents are not willing to work will not be included in the
        study. In the evaluations, the demographic characteristics of the babies (sex, gestational
        age, corrected age, birth weight, parental information, mother's pregnancy type, pregnancy
        history, Apgar score, treatments received, history of staying in the intensive care unit,
        risk factors) will be recorded in the file and by interviewing the family.
      
Biospecimen description: 
      motor and sensory development assesment
    
Keywords: Preterm; home affordances; Sensory development; motor development