Intervenção centrada na família em bebês com atraso do desenvolvimento motor

Abstract

BACKGROUND: Family-centered early intervention is characterized by promoting family participation activities, considering this as the starting point for the care of child development delay. This review aims to assess the effectiveness of family-centered intervention for improving the motor development of preschool children up to five years old who have motor development delay. METHODS: The following databases were used: PubMed, Medline, Scopus, EMBASE, CINAHL and Pedro. Search terms were defined by the authors. The review included Randomized Clinical Trials (RCTs). Studies with children with congenital malformations and premature were excluded. To analyze the risk of bias of the included studies the Revised Cochrane Risk of Bias Tool (RoB 2.0), the TIDier checklist (Template for Intervention Description and Replication) was used to verify the description and replicability of the interventions. This process was also carried out by two independent reviewers, with a tiebreaker by a third reviewer. The quality of the evidence in the analyzed sample was verified through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). RESULTS: Three RTCs were identified. Results showed an improvement of motor development outcome after intervention and a reduction in the prevalence of developmental delay for the intervention group. The included studies had a high risk of general bias but they described their interventions well. The three studies were considered with very low quality. CONCLUSION: These results indicate which activities are most promising (within the family- centered approach) for improving motor development and shows the theoretical approaches that had more advantages for the improvement of motor development.