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Effects of Antecedent Manipulations and Social Reinforcement to Increase Lateral Positioning in a Premature Infant

Harry Voulgarakis1, Solandy Forte2,3, Cheryl Giacomelli1

  • 1School of Psychology, Fielding Graduate University, 2020 De La Vina St, Santa Barbara, CA 93105 USA.

Behavior Analysis in Practice
|March 30, 2017
PubMed

Insights

Safe infant sleep positions can worsen apnea. A new intervention successfully increased side-sleeping for a premature infant with obstructive sleep apnea, improving sleep quality.

Area of Science:

  • Pediatric sleep medicine
  • Neonatal respiratory disorders

Background:

  • Supine infant sleep positioning prevents SIDS but can worsen obstructive sleep apnea (OSA)
  • OSA in infants leads to decreased sleep quality and potential health complications

Purpose of the Study:

  • To implement and evaluate a multi-component intervention to increase lateral sleep positioning in a premature infant with OSA
  • To improve sleep quality in an infant with obstructive sleep apnea

Main Methods:

  • A behavioral intervention package was designed, including antecedent strategies and parent-mediated social reinforcement
  • The intervention targeted increasing lateral positioning during sleep in a premature infant

Main Results:

  • Lateral positioning increased by over 80% in the final study phase
  • The intervention demonstrated efficacy in promoting the desired sleep position

Conclusions:

  • Multi-component behavioral interventions can effectively increase lateral sleep positioning in premature infants with OSA
  • Further research is needed to explore broader applications and long-term effects

Keywords:
Infant behaviorPremature infantsSide sleepingSleep apneaStimulating objectsSupine sleep

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