Turkish Archives of Pediatrics
Original Article

The Impact of Parent-Based Support Programs on Neurodevelopmental Prognosis: Second-Year Results from a Newly Established Neurodevelopmental Follow-Up Unit in a Tertiary Hospital

1.

Department of Physiotherapy and Rehabilitation, İzmir Katip Çelebi University Faculty of Health Sciences, İzmir, Türkiye

2.

Physiotherapy and Rehabilitation Application and Research Center, İzmir Katip Çelebi University, İzmir, Türkiye

3.

Division of Neonatology, Department of Pediatrics, University of Health Sciences Faculty of Medicine, İzmir, Türkiye

4.

Department of Pediatric Neurology, İzmir Katip Çelebi University, İzmir, Türkiye

5.

Department of Child Development, Tepecik Training and Research Hospital, İzmir, Türkiye

6.

Department of Pediatric Neurology, İzmir Katip Çelebi University, Faculty of Medicine, İzmir, Turkey

Turk Arch Pediatr 2024; 59: 296-304
DOI: 10.5152/TurkArchPediatr.2024.24034
Read: 183 Downloads: 90 Published: 02 May 2024

Objective: This study aims to assess the neurodevelopmental progress of high-risk infants 2 years post implementation of the Neurodevelopmental Follow-Up Unit (NFU) program at our hospital and explore implementation challenges for insights.

Materials and Methods: Infants were assessed using the Hammersmith Infant Neurological Examination (HINE), The Alberta Infant Motor Scale (AIMS), and Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III). A multidisciplinary team provided comprehensive parent education covering neurologic cues, postural advice, and developmental instructions in accordance with the children’s assessment findings. In addition, a pediatric physical therapist provided motor development training emphasizing age-appropriate milestones and functional independence, while child development specialists addressed delays identified through BSID-III assessments.

Results: A total of 121 high-risk babies were enrolled during a 2-year period. Results revealed that 9 infants exhibited suboptimal HINE scores at 3-4 months, with only 2 maintaining suboptimal scores at 12-15 months. Similarly, 2 infants with suboptimal AIMS scores at 3-4 months reached normal values at 12-15 months. Comparable improvements were observed in BSID-III scores. While no correlation between HINE and AIMS scores was found at the 3-4-month mark, a significant correlation emerged between AIMS and HINE scores at 6-9 months (r = 0.643, P < .001) and 12-15 months (r = 0.820, P < .001).

Conclusion: Encouraging early family education alongside regular monitoring of high-risk newborns appears to have a positive impact on their motor and cognitive development. Consideration of clinical recommendations, such as tailored interventions and periodic assessments, may contribute to optimizing developmental outcomes.

Cite this article as: Kurt-Aydın M, Engür D, Gençpınar P, İnal Akkaya M, Özer Kaya D, Olgaç Dündar N. The impact of parent-based support programs on neurodevelopmental prognosis: Second-year results from a newly established neurodevelopmental follow-up unit in a tertiary hospital. Turk Arch Pediatr. 2024;59(3):296-304.

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EISSN 2757-6256