SELF-SELECTED STIMULATION AS PREVENTION INTERVENTION FOR
Project Number5R01MH041244-03
Contact PI/Project LeaderTHOMAN, EVELYN B.
Awardee OrganizationUNIVERSITY OF CONNECTICUT STORRS
Description
Abstract Text
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.
No Sub Projects information available for 5R01MH041244-03
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