Feasibility of Implementing a Modified SENSE Program to Increase Positive Sensory Experiences for Preterm Infants in the Neonatal Intensive Care Unit (NICU): A Pilot Study

• Published in: Physical & occupational therapy in pediatrics 2023-01, Vol.43 (1), p.109-128
• Main Authors: de Castro, Kate N., Benson, Jeryl D., Thomas, Hillary, Manuel, Vinit, Mitra, Sanjay
• Format: Article
• Language: English
• Subjects: Humans; Infant, Newborn; Infant, Premature; Intensive Care Units, Neonatal; neonatal intensive care unit (NICU); neurodevelopment; Parents; Pilot Projects; preterm birth; Preterm infant; sensory
• ISSN: 0194-2638; 1541-3144
• DOI: 10.1080/01942638.2022.2104150

To evaluate the feasibility of implementing the Supporting and Enhancing NICU Sensory Experiences (SENSE) program with adaptations to increase positive sensory exposure for infants born preterm, support neonatal neurodevelopment, and decrease parent stress. Eight infants born between 28 and 33 weeks were recruited within one week of birth. Parents, trained in the program, delivered the SENSE protocol. The first author provided up to 1 h of sensory input on weekdays when a parent could not be present. Recruitment and retention rates were 87.5% and 100%, respectively. Recruitment and initial parent education and training averaged 37.5 min. On average, parents were present in the NICU 85.1% of days; they participated in SENSE for an average of 515.5 min. SENSE dose recommendations were not consistently met. Weekly infant assessments and regular parent check ins averaged 22.5 and 13.8 min, respectively. Post-assessments revealed normal scores on a neurodevelopmental assessment, low parent stress, and high parent satisfaction. The recruitment and retention rates suggest high demand to participate. Outcomes for parent stress and neonatal neurodevelopment support continuation of SENSE. Time commitment for implementation, coupled with supporting families in meeting dose recommendations, suggest a need for a neonatal therapist to promote sustainability.