Balikci Aymen, May-Benson Teresa A, Sirma Gamze Cagla, Kardas Ayten, Demirbas Duygu, Aracikul Balikci Ayse Firdevs, Ilbay Gul, Sozen Hatice Gulhan, Beaudry-Bellefeuille Isabelle
Sense On, Ltd., Istanbul 34810, Türkiye.
TMB Educational Enterprises, LLC., Norristown, PA 19401, USA.
J Clin Med. 2024 Sep 11;13(18):5374. doi: 10.3390/jcm13185374.
: The environmental enrichment (EE) framework has inspired several early intervention (EI) approaches. This study evaluated the feasibility, safety, caregiver acceptance, and satisfaction of implementing the HEP Approach intervention, a novel EI model based on the EE paradigm. Outcome measures for motor development, individual functional goals, sensory functions, caregiver-provided environmental affordances, and motivation for movement were examined. : A pre-post-study design examined 18 premature infants (<33 weeks six days gestation) with a corrected age of 4-10 months. A 21-item Likert scale survey assessed the feasibility, safety, acceptability, and satisfaction of implementing the HEP Approach intervention. The Peabody Developmental Motor Scales-2, Test of Sensory Functions in Infants, Affordances in the Home Environment for Motor Development, and Infant Movement Motivation Questionnaire were used for outcomes. The goal attainment scale measured progress toward parent goals. The HEP Approach consisted of 12 one-hour sessions implemented over three months. : Most participating parents found the HEP Approach intervention feasible, safe, acceptable, and satisfactory. GAS scores demonstrated significant gains with a mean t-score of 67.75 (SD = 2.00). Results found significant improvement ( ≤ 0.05) in all outcome measures. : Results suggest that the HEP Approach intervention is safe, feasible, and acceptable to implement. Outcome measures were meaningful and sensitive in identifying improved motor development, individualized parental goals, sensory functions, caregivers' use of environmental opportunities, and movement motivation in premature at-risk infants. Results suggest further studies on the HEP Approach are feasible, and highlight the potential of this intervention to inspire and guide future research in this field.
环境丰富化（EE）框架激发了多种早期干预（EI）方法。本研究评估了实施HEP方法干预的可行性、安全性、照料者接受度和满意度，HEP方法是一种基于EE范式的新型EI模型。研究了运动发育、个体功能目标、感觉功能、照料者提供的环境支持以及运动动机的结果指标。
一项前后对照研究设计对18名孕周小于33周6天、矫正年龄为4至10个月的早产儿进行了研究。一项包含21个条目的李克特量表调查评估了实施HEP方法干预的可行性、安全性、可接受性和满意度。使用皮博迪发育运动量表-2、婴儿感觉功能测试、家庭环境中运动发育的支持以及婴儿运动动机问卷来评估结果。目标达成量表衡量了朝着家长目标取得的进展。HEP方法包括在三个月内实施的12次每次一小时的课程。
大多数参与研究的家长认为HEP方法干预是可行、安全、可接受且令人满意的。目标达成量表得分显示出显著提高，平均t分数为67.75（标准差=2.00）。结果发现在所有结果指标上均有显著改善（P≤0.05）。
结果表明，HEP方法干预实施起来是安全、可行且可接受的。结果指标在识别高危早产儿运动发育改善、个体化家长目标、感觉功能、照料者对环境机会的利用以及运动动机方面具有意义且敏感。结果表明对HEP方法进行进一步研究是可行的，并突出了这种干预激发和指导该领域未来研究的潜力。
