Frequency of Premature Infant Engagement and Disengagement Behaviors During Two Maternally Administered Interventions

Rosemary White-Traut,Teresa Wink,Tali Minehart,Diane Holditch-Davis

doi:10.1053/j.nainr.2012.06.005

Rosemary White-Traut, Teresa Wink + Show 2 more

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https://doi.org/10.1053/j.nainr.2012.06.005

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Abstract

Although sensitive maternal behaviors improve later quality of mother-infant interaction and subsequently infant development, little is known regarding how an intervention might promote early premature infant social interactive behavior. This study compared the frequency of premature infant engagement and disengagement behaviors during two maternally administered interventions, the multisensory auditory, tactile, visual, and vestibular intervention (ATVV) and kangaroo care for 26 infants between 31 and 46 weeks postmenstrual age. The ATVV intervention elicited more disengagement (M = 24 vs 12, P = .0003), trended toward more engagement (M = 21 vs 15.7, P = .06) and more potent engagement (M = 24 vs 12, P = .0003), subtle disengagement (M = 25 vs 11.9, P < .0001), and potent disengagement (M = 22.9 vs 14, P = .006) behaviors than did kangaroo care. The ATVV intervention may be an intervention to promote the infant's learning how to regulate engagement and disengagement behaviors.

Highlights

Sensitive maternal behaviors improve later quality of mother-infant interaction and subsequently infant development, little is known regarding how an intervention might promote early premature infant social interactive behavior
For infants assigned to the ATVV group, the frequency of subtle engagement cues ranged from 3–39, potent engagement cues ranged from 1–62, subtle disengagement cues ranged from 17–105, and potent disengagement cues ranged from 1–38
For infants assigned to the kangaroo care (KC) group, the frequency of subtle engagement cues ranged from 1–78, potent engagement cues ranged from 0–51, subtle disengagement cues ranged from 1–99, and potent disengagement cues ranged from 0–47

Summary

Introduction

Sensitive maternal behaviors improve later quality of mother-infant interaction and subsequently infant development, little is known regarding how an intervention might promote early premature infant social interactive behavior. This study compared the frequency of premature infant engagement and disengagement behaviors during two maternally administered interventions, the multi-sensory auditory, tactile, visual and vestibular intervention (ATVV) and kangaroo care (KC) for 26 infants between 31 and 46 weeks PMA. This study compared the frequency of infant engagement and disengagement behavioral cues during two maternally administered interventions, the ATVV intervention and KC, among very low birth weight (VLBW) premature infants. [10] the infant’s ability to control attention during social interaction supports the infant's use of smiles to initiate early communication with a partner. This engagement behavior may be an example of the emergence of early social behaviors that support dyadic responsivity and later patterns of social competence

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