Publication type: Conference other
Type of review: Peer review (abstract)
Title: The coping with and caring for infants with special needs intervention is associated with improved motor development in preterm infants
Authors: Akhbari Ziegler, Schirin
et. al: No
Published in: Keine Verknüpfung
Conference details: 1 Research Day Swiss Academy of Childhood Disability (SACD), online, 20 January 2022
Issue Date: 20-Jan-2022
Publisher / Ed. Institution: Swiss Academy of Childhood Disability
Language: English
Subjects: Physoptherapeutische Frühintervention Säuglinge; COPCA; Coaching Eltern; Effektiv
Subject (DDC): 615.82: Physical therapy
618.92: Pediatrics
Abstract: Abstract Background: Early intervention in preterm infants is associated with improved outcome. Currently it is unclear whether family centred programs improve infant outcome more than child-oriented programs. Therefore, we compared the impact of child-oriented typical infant physiotherapy (TIP) and the family-centred programme “Coping with and caring for infants with special needs” (COPCA) in preterm infants without significant brain lesions. Materials & methods: In a RCT with process evaluation based on quantified videos of the interventions, sixteen infants born before 32 weeks were assigned either to TIP or COPCA intervention. The interventions were provided for six month. The Infant Motor Profile was the primary outcome instrument. Results: Infants in the COPCA group improved significantly more between baseline and 18 months in IMP variation (9.0 percentage points, 95% confidence interval 0.3-17.5) and performance (12.0 percentage points, 95% confidence interval 4.1-20.6) domains than infants in the TIP group. The process evaluation showed that COPCA coaching was positively associated with IMP scores at 18 months and that hands-on techniques and caregiver training were negatively associated with the IMP variation domain, an expression of the size of the infant’s motor repertoire. Conclusion: This study in preterm infants without significant brain lesions showed that the family-centred program COPCA was associated with better motor outcome at 18 months corrected age than child-oriented TIP. The process evaluation indicated that key elements contributing to improvement were caregiver coaching and absence of interference with the child’s motor activities with hands-on techniques.
Fulltext version: Published version
License (according to publishing contract): Not specified
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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