The Homeostasis-Enrichment-Plasticity (HEP®) approach for premature infants with developmental risks: A pre-post feasibility study

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dc.authorid0000-0002-7552-8235
dc.authorid0000-0001-5926-5722
dc.authorid0009-0006-3697-401X
dc.authorid0000-0003-2287-8140
dc.authorid0000-0003-2976-9035
dc.authorid0000-0002-2807-3688
dc.authorid0000-0003-1516-2021
dc.contributor.authorBalıkçı, Aymen
dc.contributor.authorMay-Benson, Teresa A.
dc.contributor.authorSırma, Gamze Çağla
dc.contributor.authorKardaş, Ayten
dc.contributor.authorDemirbaş, Duygu
dc.contributor.authorArıcikul Balıkçı, Ayşe Firdevs
dc.contributor.authorİlbay, Gül
dc.contributor.authorSözen, Hatice Gülhan
dc.contributor.authorBeaudry-Bellefeuille, Isabelle
dc.date.accessioned2024-10-09T07:13:33Z
dc.date.available2024-10-09T07:13:33Z
dc.date.issued2024
dc.departmentFakülteler, Sağlık Bilimleri Fakültesi, Ergoterapi Bölümü
dc.description.abstractBackground: The environmental enrichment (EE) framework has inspired several early intervention (EI) approaches. This study evaluated the feasibility, safety, caregiver acceptance, and satisfaction of implementing the HEP Approach intervention, a novel EI model based on the EE paradigm. Outcome measures for motor development, individual functional goals, sensory functions, caregiver-provided environmental affordances, and motivation for movement were examined. Methods: A pre-post-study design examined 18 premature infants (<33 weeks six days gestation) with a corrected age of 4–10 months. A 21-item Likert scale survey assessed the feasibility, safety, acceptability, and satisfaction of implementing the HEP Approach intervention. The Peabody Developmental Motor Scales-2, Test of Sensory Functions in Infants, Affordances in the Home Environment for Motor Development, and Infant Movement Motivation Questionnaire were used for outcomes. The goal attainment scale measured progress toward parent goals. The HEP Approach consisted of 12 one-hour sessions implemented over three months. Results: Most participating parents found the HEP Approach intervention feasible, safe, acceptable, and satisfactory. GAS scores demonstrated significant gains with a mean t-score of 67.75 (SD = 2.00). Results found significant improvement (p ≤ 0.05) in all outcome measures. Conclusions: Results suggest that the HEP Approach intervention is safe, feasible, and acceptable to implement. Outcome measures were meaningful and sensitive in identifying improved motor development, individualized parental goals, sensory functions, caregivers’ use of environmental opportunities, and movement motivation in premature at-risk infants. Results suggest further studies on the HEP Approach are feasible, and highlight the potential of this intervention to inspire and guide future research in this field.
dc.identifier.citationBalıkçı, A., May-Benson, T. A., Sırma, G. Ç., Kardaş, A., Demirbaş, D., Arıcikul Balıkçı, A. F., İlbay, G., Sözen, H. G., & Beaudry-Bellefeuille, I. (2024). The Homeostasis-Enrichment-Plasticity (HEP®) approach for premature infants with developmental risks: A pre-post feasibility study. Journal of Clinical Medicine, 13(18), pp. 1-18. https://doi.org/10.3390/jcm13185374
dc.identifier.doi10.3390/jcm13185374
dc.identifier.endpage19
dc.identifier.issn2077-0383
dc.identifier.issue18
dc.identifier.pmidPMID: 39336861
dc.identifier.scopus2-s2.0-85205070976
dc.identifier.scopusqualityQ1
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.3390/jcm13185374
dc.identifier.urihttps://hdl.handle.net/20.500.13055/817
dc.identifier.volume13
dc.identifier.wosWOS:001326160700001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorDemirbaş, Duygu
dc.language.isoen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)
dc.relation.ispartofJournal of Clinical Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEarly Intervention
dc.subjectEnvironmental Enrichment
dc.subjectInfant Development
dc.subjectPremature Infant
dc.titleThe Homeostasis-Enrichment-Plasticity (HEP®) approach for premature infants with developmental risks: A pre-post feasibility study
dc.typeArticle
dspace.entity.typePublication

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