Feasibility of a caregiver-assisted exercise program for preterm infants

Area of Science:

• Neonatal care
• Developmental pediatrics
• Public health

Background:

• Low birth weight and prematurity are linked to significant adult health issues.
• Early physical activity may improve long-term health outcomes in preterm infants.
• Limited research exists on augmenting physical activity in premature infants.

Purpose of the Study:

• To assess the feasibility of caregivers implementing an assisted infant exercise program post-discharge.
• To determine if nurses and healthcare providers can effectively train caregivers in infant exercise techniques.

Main Methods:

• Ten caregivers of preterm infants were trained by healthcare professionals in assisted infant exercises.
• Caregivers performed exercises daily for ~3 weeks, with adherence tracked via daily logs.
• Proficiency was assessed through videotaped sessions and error analysis; qualitative interviews explored caregiver experiences.

Main Results:

• Caregivers demonstrated high adherence (92% daily logs, 93% exercise completion).
• Proficiency was high, with an average of 1.8 errors per assessment.
• Caregivers found exercises beneficial, enhancing bonding, and overcame initial fears with practice and support.

Conclusions:

• Caregivers are willing and able to perform assisted infant exercises correctly.
• The intervention positively impacts infants and caregiver-infant interactions.
• Nurses play a crucial role in educating and encouraging caregivers to implement these beneficial exercises.