Document Type

Presentation

Publication Date

4-10-2026

Faculty Mentor

Kelly McGloon

Abstract

Background and Significance 

Infants and children who spent time in the Neonatal Intensive Care Unit (NICU) experienced intense sensory stimuli early on, during a critical period of brain development. These early experiences have been associated with later challenges in sensory processing and regulation, impacting developmental outcomes (Pineda et al., 2023). Following discharge, NICU Developmental Follow-Up Clinics play a key role in monitoring developmental progress and identifying delays. Given the influence of sensory processing on regulation, motor development, and participation in occupations, early identification is critical. This capstone project was conducted at a NICU Developmental Clinic to address the need for improved identification and management of sensory processing and regulation challenges in high-risk infants for early detection and targeted intervention in this area of child development.

Purpose and Aims 

The purpose of this project was to enhance clinic practices by developing sustainable resources and tools to support caregivers and providers in recognizing and addressing sensory-related concerns. Guided by Ayres Sensory Integration Theory and the Person-Environment-Occupation-Performance (PEOP) model, the project aimed to improve caregiver education, provider confidence, and overall clinic workflow.

Capstone Experience and Data Collection 

Key interventions included the development of educational handouts, a guided framework for providers, and the integration of sensory regulation-based questions into clinic visits. Data was collected via mixed methods. A REDCap survey was distributed to caregivers during visits regarding their child to highlight sensory-related concerns as and qualitative insights were obtained through verbal feedback from providers and caregivers. Provider use of guided framework, questions in documentation, and resource handouts was also monitored to assess consistency of implementation. Data collected was used to analyze deliverable effectiveness and common themes were identified.

Outcomes

Outcomes indicated increased caregiver awareness of sensory regulation and improved provider consistency in addressing these concerns. The guided framework supported clinical decision-making and facilitated more structured discussions around sensory regulation. The handouts provided caregivers with basic knowledge of sensory regulation concepts and practical strategies to implement at home.

Conclusion 

In conclusion, this project demonstrates the importance of addressing sensory processing challenges in infants and young children post-NICU. The implemented tools offer sustainable solutions to enhance care within a NICU Developmental Clinic. By promoting early detection and equipping both caregivers and providers with practical strategies, this project supports improved developmental outcomes during a critical period of growth and contributes to the expanding role of occupational therapy in neonatal and early childhood settings.

References

Pineda, R., Kellner, P., Guth, R., Gronemeyer, A., & Smith, J. (2023). NICU sensory experiences associated with positive outcomes: An integrative review of evidence from 2015–2020. Journal of Perinatology, 43(7), 837–848. https://doi.org/10.1038/s41372-023-01655-y

Additional Files
Capstone Abstract- Faith Crumley.docx (20 kB)
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