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Related Experiment Video

Updated: Jun 21, 2026

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
06:16

Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting

Published on: June 6, 2020

Developmental care in the UK: a developing initiative.

K E StC Hamilton1, M E Redshaw

  • 1National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK. karen.hamilton@npeu.ox.ac.uk

Acta Paediatrica (Oslo, Norway : 1992)
|August 5, 2009
PubMed
Summary
This summary is machine-generated.

Despite improvements in developmental care infrastructure and staff training in UK neonatal units, overall care scores remain unchanged. This suggests a persistent ambivalence towards developmental care practices in the UK.

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Area of Science:

  • Neonatal care
  • Developmental care practices
  • Healthcare quality improvement

Background:

  • Developmental care is crucial for infant well-being in neonatal intensive care units.
  • UK neonatal units have varying approaches to implementing developmental care.
  • Assessing changes in developmental care practices over time is important for quality improvement.

Purpose of the Study:

  • To review and assess the evolution of developmental care over time in United Kingdom neonatal units.
  • To identify trends in developmental care practices and infrastructure between 2005 and 2008.

Main Methods:

  • A longitudinal study involving two prospective observational studies in 2005 and 2008.
  • Data collected from all UK neonatal units on unit organization and developmental care activities.
  • Analysis of indices related to developmental care and aggregated scores based on year and level of care.

Main Results:

  • Over 90% of units had open visiting and modified lighting; 80% modified noise, with no change since 2005.
  • Incubator cover usage increased from 75% to 95%.
  • Parental tube feeding rates decreased (76% to 64%), while kangaroo care increased (50% to 80%).
  • Proportions of units with developmental care personnel and trained staff nearly doubled (to 64% and 57%).
  • Aggregated developmental care scores remained largely unchanged (mean 5.7 in 2005 vs. 6.2 in 2008).
  • Higher scores correlated with larger units and presence of developmental care personnel or trained staff.

Conclusions:

  • Significant increases in developmental care skills and infrastructure were observed.
  • Variable approaches to developmental care persist, with limited overall improvement.
  • Findings suggest a UK cultural ambivalence towards developmental care, hindering progress.
  • Results allow for international comparisons with countries more supportive of developmental care.