Effect of auditory, tactile, visual, and vestibular intervention on length of stay, alertness, and feeding progression in preterm infants

White‐Traut, Rosemary; Nelson, Michael N.; Silvestri, Jean M.; Vasan, Ushanalini; Littau, Susan; Meleedy‐Rey, Patricia; Gu, Gouguang; Patel, Minu

doi:10.1017/s0012162201001736

Cited by 119 publications

(109 citation statements)

References 12 publications

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“…The in-hospital interventions in this study have been rigorously tested (Ludington-Hoe, Nguyen, Swinth, & Satyshur, 2000; White-Traut et al, 2013; White-Traut, Nelson, Silvestri, Vasan, Littau, et al, 2002). These interventions can be administered by mothers, thus providing an opportunity for mothers to have a role in the neonatal intensive care unit (NICU).…”

Section: Introductionmentioning

confidence: 99%

“…ATVV tends to arouse infants (White-Traut et al, 1999; White-Traut, Nelson, Silvestri, Vasan, Littau, et al, 2002). It has resulted in positive infant outcomes including increased alertness before and after feedings, more rapid progression from gavage to complete oral feedings, better growth, increased responsiveness to mothers, and earlier hospital discharge than controls (Nelson et al, 2001; White-Traut et al, 1999; White-Traut, Schwertz, McFarlin, & Kogan, 2009; White-Traut & Tubeszewski, 1986).…”

Section: Introductionmentioning

confidence: 99%

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Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

Holditch‐Davis

White‐Traut

Levy

et al. 2014

Infant Behavior and Development

118

178

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Although studies have examined the effects of interventions focused on preterm infants, few studies have examined the effects on maternal distress (anxiety, depressive symptoms, post-traumatic stress symptoms, parenting stress) or parenting. This study examined the effects of the auditory-tactile-visual-vestibular (ATVV) intervention and kangaroo care (KC) on maternal distress and the mother-infant relationship compared to an attention control group. 240 mothers from four hospitals were randomly assigned to the three groups. Maternal characteristics in the three groups were similar: 64.1% of ATVV mothers, 64.2% of KC mothers, and 76.5% of control mothers were African American; maternal age averaged 26.3 years for ATVV mothers, 28.1 for KC mothers, and 26.6 for control mothers; and years of education averaged 13.6 for ATVV and KC mothers, and 13.1 for control mothers. Mothers only differed on parity: 68.4% of ATVV and 54.7% of KC mothers were first-time mothers as compared to 43.6% of control mothers. Their infants had a similar mean gestational ages (27.0 weeks for ATVV, 27.2 for KC, and 27.4 for control) and mean birthweights (993 grams for ATVV, 1022 for KC, and 1023 for control). Mothers completed questionnaires during hospitalization, and at 2, 6 and 12 months corrected age on demographic characteristics, depressive symptoms, state anxiety, post-traumatic stress symptoms, parenting stress, worry about child health, and child vulnerability (only at 12 months). At 2 and 6 months, 45-minute videotapes of mother-infant interactions were made, and the HOME Inventory was scored. Behaviors coded from the videotapes and a HOME subscale were combined into five interactive dimensions: maternal positive involvement and developmental stimulation and child social behaviors, developmental maturity, and irritability. Intervention effects were examined using general linear mixed models controlling for parity and recruitment site. The groups did not differ on any maternal distress variable. Kangaroo care mothers showed a more rapid decline in worry than the other mothers. The only interactive dimensions that differed between the groups were child social behaviors and developmental maturity, which were both higher for kangaroo care infants. Change over time in several individual infant behaviors was affected by the interventions. When mothers reported on the interventions they performed, regardless of group assignment, massage (any form including ATVV) was associated with a more rapid decline in depressive symptoms and higher HOME scores. Performing either intervention was associated with lower parenting stress. These findings suggest that as short-term interventions, KC and ATVV, have important effects on mothers and their preterm infants, especially in the first half of the first year.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

Holditch‐Davis

White‐Traut

Levy

et al. 2014

Infant Behavior and Development

118

178

View full text Add to dashboard Cite

show abstract

“…Currently, there are a number of interventions to facilitate oral feeding in preterm infants (10)(11)(12)(13). A systematic review explored the effect of oral motor interventions, focusing on nonnutritive sucking (NNS), oral/perioral stimulation (OS), and the combined intervention of NNS/OS (13).…”

mentioning

confidence: 99%

Effect of Nonnutritive Sucking and Oral Stimulation on Feeding Performance in Preterm Infants

Zhang¹,

Lyu²,

Hu³

et al. 2014

Pediatric Critical Care Medicine

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“…Infant behavioral organization is thought to influence the infant’ ability to feed orally, especially when infants demonstrate orally directed behaviors prior to feeding (White-Traut, Berbaum, Lessen, McFarlin, & Cardenas, 2005; White-Traut et al, 2002b) and alert behavioral states prior to and during feeding (Lau, 2012; Medoff-Cooper, Bilker, & Kaplan, 2010; Pickler, Best, Reyna, Gutcher, & Wetzel, 2006; White-Traut et al, 2005; White-Traut et al, 2002a; White-Traut et al, 2002b). However, little is known regarding the occurrence of orally directed behaviors in preterm infants prior to oral feeding (White-Traut et al, 2005; White-Traut et al, 2002b).…”

mentioning

confidence: 99%

“…However, little is known regarding the occurrence of orally directed behaviors in preterm infants prior to oral feeding (White-Traut et al, 2005; White-Traut et al, 2002b). Prefeeding interventions have been evaluated, particularly in regard to facilitating an alert behavioral state in preterm infants prior to feeding (White-Traut et al, 2005; White-Traut et al, 2002a; White-Traut et al, 2002b; White-Traut, Nelson, Silvestri, Patel, & Kilgallon, 1993), yet less is known regarding how prefeeding interventions might increase the frequency of orally directed behaviors prior to oral feeding. The purpose of this study was to determine whether the integrated H-HOPE (Hospital to Home: Optimizing the Infant’s Environment) intervention for preterm infants would increase the frequency of orally directed behaviors and the proportion of time spent in an alert behavioral state when offered prior to oral feeding.…”

mentioning

confidence: 99%

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

White‐Traut

Rankin

Pham

et al. 2014

Infant Behavior and Development

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Preterm infants are challenged by immature infant behavioral organization which may negatively influence their ability to oral feed. The purpose of this study was to determine whether the integrated H-HOPE (Hospital to Home: Optimizing the Infant’s Environment) intervention would improve infant behavioral organization by increasing the frequency of orally directed behaviors and the proportion of time spent in an alert behavioral state when offered prior to oral feeding. Mother–infant dyads (n = 198) were randomly assigned to the H-HOPE intervention or the Attention Control groups. Infants were born at 29 to 34 weeks gestation and were clinically stable. Mothers had at least two social environmental risk factors such as minority status or less than high school education. H-HOPE is an integrated intervention that included (1) twice-daily infant directed stimulation using the ATVV intervention (auditory, tactile, visual, and vestibular stimuli) and (2) maternal participatory guidance sessions by a nurse-community advocate team. Orally directed behaviors and behavioral states were assessed weekly prior to feeding during hospitalization when infants were able to feed orally. There were no differences between the groups at baseline (Day 0, prior to the initiation of the integrated H-HOPE intervention). We observed a pattern of increased frequency of orally directed behaviors in the H-HOPE intervention group when compared to the Attention Control group, however, the proportion of time spent in an alert behavioral state remained stable in both groups over the course of the study. On Day 7, the H-HOPE intervention group exhibited a significantly higher mean frequency of orally directed behaviors than the Attention Control group (12.6 vs. 7.1 pre-intervention, 51.8 vs. 33.2 during intervention, 4.3 vs. 3.2 immediately after intervention, and 8.9 vs. 5.3 immediately prior to feeding). On Day 7, the H-HOPE intervention group exhibited a significantly higher proportion of time spent in an alert behavioral state only during intervention (0.26 vs. 0.11) and immediately after intervention (0.28 vs. 0.06). These findings are suggestive that the integrated H-HOPE intervention facilitated infant behavioral organization for clinically stable infants born between 29 and 34 weeks gestation. The orally directed behaviors appear to be an important indicator of the infant’s preparation for feeding, and when used in conjunction with assessment of behavioral states, are especially valuable to the clinician. Use of this combined assessment approach in practice would strengthen clinician assessment for initiation of (beginning the first oral feeding) and daily preparation for oral feeding in preterm infants.

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Effect of auditory, tactile, visual, and vestibular intervention on length of stay, alertness, and feeding progression in preterm infants

Cited by 119 publications

References 12 publications

Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

Maternally administered interventions for preterm infants in the NICU: Effects on maternal psychological distress and mother–infant relationship

Effect of Nonnutritive Sucking and Oral Stimulation on Feeding Performance in Preterm Infants

Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention

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