EARLY INTERVENTION FOR PREMATURES AND MOTHERS

对早产儿和母亲的早期干预

• 批准号: 3379801
• 负责人: EVELYN B. THOMAN
• 金额: $ 28.13万
• 依托单位: UNIVERSITY OF CONNECTICUT STORRS
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-05-01 至 1993-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3379801
• 关键词: behavioral medicine; child behavior; child mental disorders; child mental health service; child physical development; clinical biomedical equipment; disease /disorder prevention /control; disease /disorder proneness /risk; emotional adjustment; longitudinal human study; mathematical model; mental health epidemiology; monitoring device; mother /infant health care; mother child interaction; neuropsychological tests; premature infant human; psychophysiology; pulmonary respiration; questionnaires; self stimulation; sleep; social adjustment; social support network; videotape /videodisc

Rhythmic stimulation will be provided as an intervention for premature infants with the aim of preventing or reducing mental and emotional disability. The intervention is unique in two major ways: 1) stimulation is optional for the infant--the infant regulates the amount and temporal distribution of stimulation received; and 2) the rhythm is set for each infant, to match a biological rhythm of the infant, or of the mother. Two premises are basic for this intervention: 1) that premature infants are deprived of the organizing forces of the mother's biological rhythms provided in utero, and 2) that self-reflecting rhythms will be attractive to the infant. The source of stimulation is a specially constructed "breathing" bear placed in the crib with the infant. The Bear breathes by means of a pump placed outside the crib. The results of a study indicate that premature infants are capable of seeking contact with a Breathing Bear, breathing at the rate of the infant during Quiet Sleep. This experience led to increased Quiet Sleep, indicating effective entrainment and facilitation of CNS maturation in these infants. Using continuous time-lapse video recording, measures of contact with the bear, Quiet Sleep, and activity level were obtained. The subjects were stable prematures of 32 weeks G.A. The first study will replicate the one just described, to permit longitudinal assessment of effects of the pre-term intervention (12 subjects in each of 3 groups). The next study will explore the infants' preferred rate of breathing for the bear: the infant's own respiration rate in Quiet Sleep, or in Active Sleep, or the mother's respiration or heart rate (12 infants in each of the 4 groups). The third study will compare infants' preferences for the Breathing Bear and another source of rhythmic stimulation, an oscillating air mattress pad (12 subjects in each of the 2 groups). The bear, breathing to match the infant's own rate during Quiet Sleep, is expected to be the most preferred and most effective intervention. Effects will be assessed at 3 age periods: 1) during the intervention, using measures of Quiet Sleep and activity; weight gain; and the Korner Maturity Scales; 2) at 2-5 weeks post-term, using measures of state stability from home monitoring; and 3) home observations of mother-infant interaction at 1 year, and Bayley Mental and Motor Scales at 1 and 2 years. We expect the self-selected, self-reflecting stimulation to have lasting facilitative effects on the emotional and intellectual functioning of the premature infants.

有节奏的刺激将作为过早的干预 婴儿的目的是预防或减少心理和情感 残疾。 干预措施在两种主要方面是独一无二的：1）刺激 对于婴儿来说是可选的 - 婴儿调节数量和时间 收到刺激的分布； 2）每个节奏是为每个设定的 婴儿，与婴儿或母亲的生物节奏相匹配。 二 这种干预的前提是基本的：1）早产儿是 被剥夺了母亲生物节奏的组织力量 在子宫内提供，2）自我反射节奏将很有吸引力 给婴儿。 刺激的来源是专门构造的“呼吸”熊 与婴儿一起放在婴儿床中。 熊通过泵呼吸 放在婴儿床外。 一项研究的结果表明过早 婴儿能够寻求与呼吸熊接触，呼吸 安静睡眠期间婴儿的速度。 这种经历导致 增加安静的睡眠，表明有效夹带和促进 这些婴儿的中枢神经系统成熟。 使用连续的延时视频 记录，与熊的接触度量，安静的睡眠和活动 获得了水平。 受试者是32周G.A.的稳定前报。 第一个研究将复制刚才描述的研究，以允许 纵向评估期前干预的影响（12 在3组中的每一个中的主题）。 下一项研究将探索婴儿的 熊的首选呼吸速度：婴儿自己的呼吸 在安静的睡眠或活跃的睡眠或母亲的呼吸或 心率（四组中的每个婴儿中有12名）。 第三项研究将 比较婴儿对呼吸熊的喜好和另一个来源 有节奏的刺激，一个振荡的空气床垫（每个受试者有12个受试者 在这两个组中）。 熊，呼吸以使婴儿在安静睡眠期间的自身率相匹配，是 预计将是最喜欢和最有效的干预措施。 效果 将在3岁时评估：1）在干预期间，使用 安静的睡眠和活动的度量；体重增加；和Korner成熟 秤; 2）在学期后2-5周，使用状态稳定性的度量 家庭监控； 3）在1时观察母亲互动 一年，贝利（Bayley）的精神和运动尺度为1年和2年。 我们期望自我选择的自我反射刺激能够持久 促进对情感和智力功能的促进作用 早产婴儿。