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Validation of the synactive theory o...

Holsti, Liisa.

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Validation of the synactive theory of development. Are body movements in preterm infants signs of stress?

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Validation of the synactive theory of development. Are body movements in preterm infants signs of stress?/
Author:	Holsti, Liisa.
Description:	193 p.
Notes:	Adviser: R. E. Grunau.
Contained By:	Dissertation Abstracts International65-03B.
Subject:	Health Sciences, Human Development. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ90197
ISBN:	9780612901971

Validation of the synactive theory of development. Are body movements in preterm infants signs of stress?
Holsti, Liisa.

Validation of the synactive theory of development. Are body movements in preterm infants signs of stress? - 193 p.

Adviser: R. E. Grunau.

Thesis (Ph.D.)--The University of British Columbia (Canada), 2004.

The synactive theory of development, a widely used theory which has revolutionalized the assessment and treatment of preterm infants in the NICU, consists of five principles which are applied through a model of care. This model, the Newborn Individualized Developmental Care and Assessment ProgramRTM (NIDCAP) directs developmental specialists to interpret preterm infant movements either as stress or stability cues. However, limited empirical validation of this dualistic classification system has been reported.

ISBN: 9780612901971Subjects--Topical Terms:

1019218
Health Sciences, Human Development.

Validation of the synactive theory of development. Are body movements in preterm infants signs of stress?
LDR:03349nam 2200301 a 45 001 946992
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020 $a 9780612901971
035 $a (UMI)AAINQ90197
035 $a AAINQ90197
040 $a UMI $c UMI
100 1 $a Holsti, Liisa. $3 1270409
245 1 0 $a Validation of the synactive theory of development. Are body movements in preterm infants signs of stress?
300 $a 193 p.
500 $a Adviser: R. E. Grunau.
500 $a Source: Dissertation Abstracts International, Volume: 65-03, Section: B, page: 1228.
502 $a Thesis (Ph.D.)--The University of British Columbia (Canada), 2004.
520 $a The synactive theory of development, a widely used theory which has revolutionalized the assessment and treatment of preterm infants in the NICU, consists of five principles which are applied through a model of care. This model, the Newborn Individualized Developmental Care and Assessment ProgramRTM (NIDCAP) directs developmental specialists to interpret preterm infant movements either as stress or stability cues. However, limited empirical validation of this dualistic classification system has been reported.
520 $a The primary aim of this dissertation is to examine the validity of the NIDCAPRTM by studying the motor reactions of preterm infants in response to a continuum of stressor intensities which range from no stimulus to a painful stimulus. First, along with other valid biobehavioural measures of pain and in infants at 32 weeks corrected gestational age (GA), I examine the frequency of NIDCAPRTM movements during blood collection. Then, in a within subjects cross-over study (random order), I compare preterm infant biobehavioural pain reactions to responses during a tactile procedure. The secondary aim is to increase the accuracy and specificity of preterm infant pain assessment by determining whether NIDCAPRTM behaviours are reliable pain indicators and whether these indicators distinguish between pain and stress responses.
520 $a Of the 26 NIDCAPRTM stress cues, 14 movements (flex arms and legs, extend arms and legs, hand on face, finger splay, fisting, salute, yawn, sit on air, frown, tongue extension, air plane, eye floating) are associated with intrusive and painful procedures. Finger splay, fisting and hand on face are particularly salient stress cues in infants born at earlier GA (<30 weeks). Contrary to the NIDCAPRTM, twitches decrease during the stressor phases in both studies. In addition, in response to painful and tactile procedures, preterm infant body movements are often exaggerated, whereas facial responses are dampened.
520 $a In conclusion, the dualistic classification of the NIDCAPRTM needs revision; it also should incorporate alternative explanations of preterm infant movements. The use of body movements as stress response indicators is promising; however, facial reactivity is the most specific behavioural pain indicator in preterm infants. Future research is needed to refine further the measurement of stress responses in this vulnerable population.
590 $a School code: 2500.
650 4 $a Health Sciences, Human Development. $3 1019218
690 $a 0758
710 2 $a The University of British Columbia (Canada). $3 626643
773 0 $t Dissertation Abstracts International $g 65-03B.
790 $a 2500
790 1 0 $a Grunau, R. E., $e advisor
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ90197