TY - JOUR
T1 - The Effect of START-Play Intervention on Reaching-Related Exploratory Behaviors in Children with Neuromotor Delays: A Secondary Analysis of a Randomized Controlled Trial
AU - Babik, Iryna
N1 - Babik, Iryna; Cunha, Andrea B.; Choi, Dongho; Koziol, Natalie A.; Harbourne, Regina T.; Dusing, Stacey C.; . . . and Lobo, Michele A. (2023). "The Effect of START-Play Intervention on Reaching-Related Exploratory Behaviors in Children with Neuromotor Delays: A Secondary Analysis of a Randomized Controlled Trial". Physical & Occupational Therapy in Pediatrics, 43(3), 321-337. https://doi.org/10.1080/01942638.2022.2131501
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Aims Children with neuromotor delays are at risk for reaching and object exploration impairments, which may negatively affect their cognitive development and daily activity performance. This study evaluated the effectiveness of the Sitting Together And Reaching To Play (START-Play) intervention on reaching-related exploratory behaviors in children with neuromotor delays. Methods In this randomized controlled clinical trial, 112 children ( Mean = 10.80, SD = 2.59 months old at baseline) with motor delays were randomly assigned to receive START-Play intervention or usual care-early intervention. Performance for ten reaching-related exploratory behaviors was assessed at baseline and 1.5, 3, 6, 12 months post-baseline. Piecewise linear mixed-effects modeling was used to evaluate short- and long-term effects of the intervention. Results Benefits of START-Play were observed for children with significant motor delays, but not for those with mild delays. START-Play was especially beneficial for children with significant motor delays who demonstrated early mastery in the reaching assessment (i.e., object contact ≥65% of the time within 3 months after baseline); these children showed greater improvements in manual, visual, and multimodal exploration, as well as intensity of exploration across time. Conclusions START-Play advanced the performance of reaching-related exploratory behaviors in children with significant motor delays.
AB - Aims Children with neuromotor delays are at risk for reaching and object exploration impairments, which may negatively affect their cognitive development and daily activity performance. This study evaluated the effectiveness of the Sitting Together And Reaching To Play (START-Play) intervention on reaching-related exploratory behaviors in children with neuromotor delays. Methods In this randomized controlled clinical trial, 112 children ( Mean = 10.80, SD = 2.59 months old at baseline) with motor delays were randomly assigned to receive START-Play intervention or usual care-early intervention. Performance for ten reaching-related exploratory behaviors was assessed at baseline and 1.5, 3, 6, 12 months post-baseline. Piecewise linear mixed-effects modeling was used to evaluate short- and long-term effects of the intervention. Results Benefits of START-Play were observed for children with significant motor delays, but not for those with mild delays. START-Play was especially beneficial for children with significant motor delays who demonstrated early mastery in the reaching assessment (i.e., object contact ≥65% of the time within 3 months after baseline); these children showed greater improvements in manual, visual, and multimodal exploration, as well as intensity of exploration across time. Conclusions START-Play advanced the performance of reaching-related exploratory behaviors in children with significant motor delays.
KW - START-Play intervention
KW - children
KW - early intervention
KW - motor delay
KW - reaching
UR - https://scholarworks.boisestate.edu/psych_facpubs/278
M3 - Article
JO - Physical & Occupational Therapy in Pediatrics
JF - Physical & Occupational Therapy in Pediatrics
ER -