Banca de QUALIFICAÇÃO: ELOISA ESTER VEIGA DE MENEZES

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ELOISA ESTER VEIGA DE MENEZES
DATE: 24/03/2026
TIME: 09:00
LOCAL: hibrido
TITLE:

SUPPORT FOR EXPLORATION AND EARLY INTERVENTION IN THE
DEVELOPMENT OF PREMATURE INFANTS: A FEASIBILITY TRIAL IN
THE BRAZILIAN CONTEXT- SPEEDI BRAZIL

 

KEY WORDS:

Premature, Early Intervention, Neurodevelopment, Feasibility Studies

PAGES: 42
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Prematurity remains a significant public health issue, parti
cularly in middle-income
countries, and is associated with an increased risk of neurodevelopment
al impairments. Despite recommendations for follow-
up and early intervention after hospital discharge, the hospital-to-
home transition is still marked by discontinuities in care and limited avai
lability of structured family-centered programs.
The Supporting Play, Exploration and Early Development Intervention (S
PEEDI) program has demonstrated feasibility and promising outcomes i
n high-income countries; however,
its applicability in contexts such as Brazil remains underexplored. Objec
tive: To evaluate the feasibility of implementing the SPEEDI protocol in t
he Brazilian context, considering recruitment, retention, adherence, acc
eptability, and intervention fidelity. Methods: This was a feasibility study
of a non-randomized clinical trial conducted in two public maternity
hospitals recognized as referral centers for the Kangaroo Method in
Northeast Brazil. Preterm infants born at less than 37 weeks of
gestational age were enrolled. The intervention group received the
SPEEDI-Brazil protocol, structured in two phases (hospital and home),
in addition to usual care, while the control group received usual care only. Assessments were conducted between 34 and 37 weeks
postmenstrual age and at 3 and 4 months corrected age, using the GMA,
TIMP, HINE, and Bayley-III. The analysis was descriptive. Results: Thirty-
six infants were recruited, with high acceptability and a low attrition rate.
Good retention was observed for follow-up assessments, and high
fidelity to SPEEDI principles was maintained during the visits
conducted. Adherence to the post-discharge phase was moderate,
reflecting contextual barriers. Conclusion: The implementation of
SPEEDI in the Brazilian context was feasible and acceptable. These
findings support the conduct of larger future trials, with adaptations
aimed at increasing post-discharge adherence and enhancing the
sustainability of the intervention within the public healthcare system.

 

 

COMMITTEE MEMBERS:
Interna - 2179208 - ANA RAQUEL RODRIGUES LINDQUIST
Externo à Instituição - ROBERTA LINS GONÇALVES
Presidente - 1803907 - SILVANA ALVES PEREIRA