TITLE:
The Feasibility of Implementing SENSE Program
for Preterm Infants In The Neonatal Intensive Care Unit (NICU) In Public
Hospital At Mumbai: A Pilot Study
RATIONALE:
Preterm
birth is associated with a range of neurodevelopmental challenges, including
cognitive, motor, and sensory impairments. The NICU environment, while
necessary for medical care, can be overwhelming and stressful for infants
potentially disrupting their development. To address these challenges, the
SENSE program was developed as a non-pharmacological intervention by providing
developmentally appropriate sensory experiences. But there are limited studies
showing the effect of SENSE program in neurodevelopmental and feeding outcomes
in preterm infants. Presently, it is not used in our tertiary care hospital. Before making it as Standard of Care, we
would like to know the feasibility of SENSE program in Public Hospital at
Mumbai.
AIM OF THE STUDY:
To evaluate the feasibility of implementing SENSE
Program to increase positive sensory exposure for infants born preterm, support
neonatal neurodevelopment, and increase maternal confidence.
OBJECTIVES:
1.Administration of SENSE program in tertiary care hospital from admission
of the eligible candidate in the NICU.
2. To evaluate preterm infants by using APIB before and after the
administration of SENSE.
3.To evaluate outcome
of preterm infants by using a standardized scale Hammersmith Neonatal
Neurological Examination(HNNE) at NICU in 37 – 40 weeks.
4. To evaluate parent-infant
attachment and parental stress levels by using Maternal Confidence
Questionnaire pre and post administration of SENSE .
5.To
analyze a qualitative feedback from nurses of NICU.
METHODOLOGY:
Study Design: Pilot study.
Study Duration: 18 months
Study Setting: Data
Sampling Technique: Purposive Sampling
Sample Size: As this is a Pilot Study, the
sample size would be 20.
INCLUSION CRITERIA:
- Preterm
infants admitted at NICU whose gestational age less than 37 weeks .
- Newly admitted infants
- Both male and female infants.
EXCLUSION CRITERIA:
- Infants born
with congenital anomalies ( Downs syndrome, spina bifida ,cleft palate ,
etc.)
- Parents having any other
psychiatry condition, neurological condition or any other disability
DATA COLLECTION:
Permissions: After IEC
approval,
1. Participants will be recruited based on inclusion
and exclusion criteria.
2. Consent
/assent will be taken from caregivers.
In this study
there will be a single group, pre-post experimental study design
Data Gathering: Data will be collected from patients
admitted in NICU.
Assessment
will be done using: 1.APIB(Assessment of preterm infant behaviour)
2.Maternal confidence questionnaire
SENSE program will be administered by
· Individualized approach
· Family centered approach
Ø Parents will be provided
weekly log books in which they will be asked questions such as amount of
sensory exposures, by whom sensory exposures was given.
Ø During the study,a
qualitative feedback will be taken from nurses.
Ø Just prior to discharge or on
term age, HNNE will be administered as an outcome measure. |