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Updated: Jan 7, 2026

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Development and Validation of a Nurse-Led Developmental Intervention Package to Improve the Neurodevelopmental

V A Raghu1, Manju Vatsa2, Neeraj Gupta3

  • 1College of Nursing AIIMS Jodhpur Rajasthan India.

Pediatric Discovery
|January 1, 2026
PubMed

Insights

A new nurse-led developmental intervention package (NLDIP) was developed to improve neurodevelopmental outcomes in preterm infants. This valid and feasible intervention includes supportive care and multisensory stimulation during and after hospitalization.

Area of Science:

  • Neonatal care
  • Developmental pediatrics
  • Nursing interventions

Background:

  • Preterm birth presents significant global health challenges, including high rates of morbidity, mortality, and long-term neurodevelopmental impairments.
  • Developmental supportive care (DSC) is vital for optimizing neurodevelopmental outcomes in vulnerable preterm neonates.
  • Existing interventions require structured, implementable packages for nurses.

Purpose of the Study:

  • To develop, validate, and assess the feasibility of a nurse-led developmental intervention package (NLDIP).
  • To create a structured intervention to enhance neurodevelopmental outcomes in preterm infants.
  • To provide nurses with a validated tool for integrated care delivery.

Main Methods:

  • Development and validation followed the Medical Research Council (MRC) framework.
  • The NLDIP was informed by a scoping review, expert consultations, and neonatal intensive care unit (NICU) feasibility assessments.
  • Validation utilized a single-round Delphi technique with a content validity index of 0.9 and a dry run for compliance.

Main Results:

  • The NLDIP was systematically developed and validated, achieving a content validity index of 0.9.
  • A dry run confirmed the intervention's compliance and feasibility for implementation.
  • The NLDIP integrates standard DSC, in-hospital multisensory stimulation (MSS), and at-home MSS.

Conclusions:

  • The nurse-led developmental intervention package (NLDIP) is a valid, feasible, and well-structured program.
  • Nurses can effectively implement the NLDIP in an integrated manner.
  • The NLDIP has the potential to significantly enhance the neurodevelopmental outcomes of preterm infants.

Keywords:
developmental supportive care (DSC)early interventionneurodevelopmentnurse‐ledpreterm

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