Evidence map›Paper›PMID 40435392›Full record

Trial reportChild: care, health and development2025

Effects of SAFE Early Intervention Approach in the First Months of Life in Infants at Risk: A Randomized Controlled Study.

Ayse Yildiz, Ramazan Yildiz, Umut Apaydin, Pelin Atalan Efkere, Kivilcim Gücüyener, Ibrahim Murat Hirfanoglu, Bulent Elbasan

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Child: care, health and development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06361134 (Efficacy of Supporting SAFE Early Intervention in the First Months of Life in Infants at Risk), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06361134 nacompletednot on this map

Efficacy of Supporting SAFE Early Intervention in the First Months of Life in Infants at Risk: A Randomized Controlled Trial

TypeinterventionalSponsorGazi UniversityRan2021 to 2022Enrolled26ConditionsInfant Development, Physiotherapy, Early InterventionArmsSAFE Early İntervention, NDT based therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ayse YildizDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.ORCID https://orcid.org/0000-0002-1101-1069
Ramazan YildizDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.
Umut ApaydinDepartment of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey.
Pelin Atalan EfkereDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Kivilcim GücüyenerDepartment of Pediatric Neurology, Gazi University Faculty of Medicine, Ankara, Turkey.
Ibrahim Murat HirfanogluDepartment of Neonatology, Gazi University Faculty of Medicine, Ankara, Turkey.
Bulent ElbasanDepartment of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to examine the effects of the SAFE early intervention approach (Sensory strategies, Activity-based motor training, Family collaboration, and Environmental Enrichment), developed for at-risk infants, on motor, cognitive, language development, and sensory processing skills in the first 3 months of life.

methodsTwenty-six infants with a corrected age of 42 weeks were included in the study, and the infants were randomly distributed to the treatment and control groups. The SAFE early intervention approach was applied to 14 infants in the treatment group, and the Neurodevelopmental Treatment-based home programme was applied to 12 infants in the control group. All infants included in the study were evaluated at the corrected 42nd week before the intervention and at the corrected 12th week after the intervention by an evaluator blinded to the treatment. Bayley Scales of Infant and Toddler Development III (Bayley-III) to evaluate cognitive and motor development; Test of Infant Motor Performance (TIMP) to evaluate neuromotor development; Infant/Toddler Sensory Profile 2 (ITSP 2) to assess sensory processing t was used. The Infant/Toddler HOME Inventory was used to evaluate the home environment.

resultsThe interaction effects (time × group) revealed significant advantages for the SAFE early intervention group, evidenced by higher scores in the Bayley-III motor composite, TIMP elicited and HOME total assessments (p < 0.05). However, the interaction effects (time × group) showed no differences between the groups in the Bayley-III cognitive and language composite scores, as well as the TIMP observed and TIMP total scores (p > 0.05). The main effect for time was significant in all parameters (p < 0.05). Similarly, the main impact for groups was substantial in all evaluation parameters except the Bayley-III language composite score and TIMP observed score (p < 0.05). The interaction effects (time × group) demonstrated significant differences in favour of the SAFE early intervention group for the general processing score, auditory processing score, tactile processing score and total score of the ITSP 2 (p < 0.05).

conclusionsThe SAFE early intervention approach enhanced motor and sensory outcomes and provided a more enriched home environment than the NDT-based home programme. It was concluded that neurodevelopmental improvement will be achieved with the SAFE early intervention approach in the early period in at-risk infants.

trial registrationNCT06361134.

Indexed as

Child DevelopmentDevelopmental DisabilitiesEarly Intervention, EducationalCognitionFemaleHumansInfantInfant, NewbornLanguage DevelopmentMaleMotor SkillsTreatment Outcomeearly interventionenriched environmentinfants at riskphysiotherapy

Identifiers

PMID40435392
PMCPMC12119034

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.