Supporting Play Exploration and Early Development Intervention From NICU to Home: A Feasibility Study

Abstract

Purpose: To determine the feasibility of completing a clinical trial of Supporting Play Exploration and Early Development Intervention (SPEEDI) that blends early and intense intervention with family support during the transition from the neonatal intensive care unit (NICU) to home and the community.

Methods: Ten infants born preterm were randomly assigned to intervention or usual care groups. Data on intervention frequency and parent feedback were used to determine the feasibility of SPEEDI. Effect sizes were calculated for motor and problem-solving outcome measures at the end of the intervention, 3 months adjusted age.

Results: Infants received on average 96.4% and 100.3% of anticipated NICU and home intervention. Only 28% of infants were receiving early intervention services during the SPEEDI period. Effect sizes were large and in the anticipated direction.

Conclusions: SPEEDI is a feasible intervention and appropriate for future clinical trials.

Video abstract: For more insights from the authors, see Supplemental Digital Content 1, available at http://links.lww.com/PPT/A83.