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Occupational Therapy Management Strategies for Infants With Neonatal Abstinence Syndrome: Scoping Review

Samantha A Oostlander1, Jillian A Falla1, Kimberly Dow2

  • 1a Department of Occupational Therapy, School of Rehabilitation Therapy , Queen's University , Kingston , ON , Canada.

Occupational Therapy in Health Care
|April 17, 2019
PubMed

Insights

Neonatal abstinence syndrome (NAS) affects infants due to rising opioid use. Occupational therapy interventions can improve infant well-being and daily activities for babies with NAS.

Area of Science:

  • Pediatrics
  • Occupational Therapy
  • Public Health

Background:

  • Opioid use in North America is increasing, leading to a rise in neonatal abstinence syndrome (NAS).
  • Infants with NAS exhibit withdrawal symptoms impacting their daily living activities and occupational performance.
  • Occupational therapy's role in managing NAS symptoms is increasingly recognized.

Purpose of the Study:

  • To identify non-pharmacologic interventions for neonatal abstinence syndrome (NAS) within the occupational therapy scope.
  • To review current literature on occupational therapy's role in treating infants with NAS.

Main Methods:

  • A scoping review was conducted by searching three databases.
  • Articles were independently reviewed by two authors against defined inclusion criteria.
  • Forty-five articles were included in the review.

Main Results:

  • Identified non-pharmacologic interventions for NAS infants align with occupational therapy practices.
  • Interventions were organized using the Person-Environment-Occupation Model.
  • The findings confirm that occupational therapists can provide valuable services for infants with NAS.

Conclusions:

  • Non-pharmacologic interventions for NAS are within the occupational therapy profession's scope.
  • Early occupational therapy in acute care settings can enhance infant occupational performance and engagement.
  • Integrating occupational therapy may improve outcomes for infants experiencing NAS.

Keywords:
Developmental outcomeearly interventionneonatal intensive care unitneonateswithdrawal

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