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Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health

Numerous conditions and circumstances place infants at risk for poor neuromotor health, yet many are unable to receive treatment until a definitive diagnosis is made, sometimes several years later. In this integrative perspective, we describe an extensive team science effort to develop a transdiagno...

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Autores principales: Peyton, Colleen, Sukal Moulton, Theresa, Carroll, Allison J., Anderson, Erica, Brozek, Alexandra, Davis, Matthew M., Horowitz, Jessica, Jayaraman, Arun, O'Brien, Megan, Patrick, Cheryl, Pouppirt, Nicole, Villamar, Juan, Xu, Shuai, Lieber, Richard L., Wakschlag, Lauren S., Krogh-Jespersen, Sheila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820372/
https://www.ncbi.nlm.nih.gov/pubmed/35141178
http://dx.doi.org/10.3389/fped.2021.787196
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author Peyton, Colleen
Sukal Moulton, Theresa
Carroll, Allison J.
Anderson, Erica
Brozek, Alexandra
Davis, Matthew M.
Horowitz, Jessica
Jayaraman, Arun
O'Brien, Megan
Patrick, Cheryl
Pouppirt, Nicole
Villamar, Juan
Xu, Shuai
Lieber, Richard L.
Wakschlag, Lauren S.
Krogh-Jespersen, Sheila
author_facet Peyton, Colleen
Sukal Moulton, Theresa
Carroll, Allison J.
Anderson, Erica
Brozek, Alexandra
Davis, Matthew M.
Horowitz, Jessica
Jayaraman, Arun
O'Brien, Megan
Patrick, Cheryl
Pouppirt, Nicole
Villamar, Juan
Xu, Shuai
Lieber, Richard L.
Wakschlag, Lauren S.
Krogh-Jespersen, Sheila
author_sort Peyton, Colleen
collection PubMed
description Numerous conditions and circumstances place infants at risk for poor neuromotor health, yet many are unable to receive treatment until a definitive diagnosis is made, sometimes several years later. In this integrative perspective, we describe an extensive team science effort to develop a transdiagnostic approach to neuromotor health interventions designed to leverage the heightened neuroplasticity of the first year of life. We undertook the following processes: (1) conducted a review of the literature to extract common principles and strategies underlying effective neuromotor health interventions; (2) hosted a series of expert scientific exchange panels to discuss common principles, as well as practical considerations and/or lessons learned from application in the field; and (3) gathered feedback and input from diverse stakeholders including infant caregivers and healthcare providers. The resultant framework was a pragmatic, evidence-based, transdiagnostic approach to optimize neuromotor health for high-risk infants based on four principles: (a) active learning, (b) environmental enrichment, (c) caregiver engagement, and (d) strength-based approaches. In this perspective paper, we delineate these principles and their potential applications. Innovations include: engagement of multiple caregivers as critical drivers of the intervention; promoting neuromotor health in the vulnerability phase, rather than waiting to treat neuromotor disease; integrating best practices from adjacent fields; and employing a strengths-based approach. This framework holds promise for implementation as it is scalable, pragmatic, and holistically addresses both the needs of the infant and their family.
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spelling pubmed-88203722022-02-08 Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health Peyton, Colleen Sukal Moulton, Theresa Carroll, Allison J. Anderson, Erica Brozek, Alexandra Davis, Matthew M. Horowitz, Jessica Jayaraman, Arun O'Brien, Megan Patrick, Cheryl Pouppirt, Nicole Villamar, Juan Xu, Shuai Lieber, Richard L. Wakschlag, Lauren S. Krogh-Jespersen, Sheila Front Pediatr Pediatrics Numerous conditions and circumstances place infants at risk for poor neuromotor health, yet many are unable to receive treatment until a definitive diagnosis is made, sometimes several years later. In this integrative perspective, we describe an extensive team science effort to develop a transdiagnostic approach to neuromotor health interventions designed to leverage the heightened neuroplasticity of the first year of life. We undertook the following processes: (1) conducted a review of the literature to extract common principles and strategies underlying effective neuromotor health interventions; (2) hosted a series of expert scientific exchange panels to discuss common principles, as well as practical considerations and/or lessons learned from application in the field; and (3) gathered feedback and input from diverse stakeholders including infant caregivers and healthcare providers. The resultant framework was a pragmatic, evidence-based, transdiagnostic approach to optimize neuromotor health for high-risk infants based on four principles: (a) active learning, (b) environmental enrichment, (c) caregiver engagement, and (d) strength-based approaches. In this perspective paper, we delineate these principles and their potential applications. Innovations include: engagement of multiple caregivers as critical drivers of the intervention; promoting neuromotor health in the vulnerability phase, rather than waiting to treat neuromotor disease; integrating best practices from adjacent fields; and employing a strengths-based approach. This framework holds promise for implementation as it is scalable, pragmatic, and holistically addresses both the needs of the infant and their family. Frontiers Media S.A. 2022-01-24 /pmc/articles/PMC8820372/ /pubmed/35141178 http://dx.doi.org/10.3389/fped.2021.787196 Text en Copyright © 2022 Peyton, Sukal Moulton, Carroll, Anderson, Brozek, Davis, Horowitz, Jayaraman, O'Brien, Patrick, Pouppirt, Villamar, Xu, Lieber, Wakschlag and Krogh-Jespersen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Peyton, Colleen
Sukal Moulton, Theresa
Carroll, Allison J.
Anderson, Erica
Brozek, Alexandra
Davis, Matthew M.
Horowitz, Jessica
Jayaraman, Arun
O'Brien, Megan
Patrick, Cheryl
Pouppirt, Nicole
Villamar, Juan
Xu, Shuai
Lieber, Richard L.
Wakschlag, Lauren S.
Krogh-Jespersen, Sheila
Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title_full Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title_fullStr Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title_full_unstemmed Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title_short Starting at Birth: An Integrative, State-of-the-Science Framework for Optimizing Infant Neuromotor Health
title_sort starting at birth: an integrative, state-of-the-science framework for optimizing infant neuromotor health
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8820372/
https://www.ncbi.nlm.nih.gov/pubmed/35141178
http://dx.doi.org/10.3389/fped.2021.787196
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