Understanding Early Development: A Biopsychosocial Perspective on Infant and Toddler Functioning
概览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- Bartosz M. Radtke
- 入组人数
- 1,200
- 试验地点
- 1
- 主要终点
- Cognitive development
概览
简要总结
The goal of this observational study is to analyze early development in infants and young children from a biopsychosocial perspective, with a particular focus on cognitive, language, motor, social-emotional, and adaptive functioning during the first years of life.
The study will include infants and young children from 16 days of age up to 42 months of age, assessed during a single diagnostic session conducted by qualified specialists. The developmental assessment will include standardized diagnostic tasks and direct observation of behavior in the form of play and natural interaction, carried out in the presence of a parent or legal guardian.
In addition, information regarding the child's everyday functioning will be collected from parents or caregivers using standardized questionnaires, including data on social-emotional competencies, communication, and adaptive skills.
The main research questions addressed by this study are:
What is the developmental profile of infants and young children in the first years of life?
What relationships exist between different domains of early development within a biopsychosocial model of child functioning?
Can specific developmental patterns be identified that indicate an increased risk of developmental difficulties in early childhood?
How does age differentiate the structure and variability of developmental functioning across assessed domains?
The study is non-invasive and observational in nature. Data will be analyzed exclusively in aggregated form and will contribute to a better understanding of early child development as well as to the development of norms and tools supporting early diagnosis and developmental intervention.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 16 Days 至 42 Months(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Infants and young children aged from 16 days to 42 months at the time of assessment.
- •Participation of a parent or legal guardian able to provide informed consent.
- •Child's ability to participate in a standardized developmental assessment appropriate for age and developmental level.
- •Availability of basic medical and perinatal information provided by parents or caregivers.
- •Assignment to one of the predefined study cohorts based on medical history and developmental status:
- •children from the general population (control group), children with developmental delay, children with confirmed genetic conditions, children born preterm between 33 and 37 weeks of gestation, children born before 33 weeks of gestation, children with a diagnosis of cerebral palsy.
排除标准
- •Severe acute medical condition at the time of assessment preventing participation in the psychological evaluation.
- •Uncorrected severe sensory impairments (e.g., profound visual or hearing impairment) that preclude valid administration or interpretation of the developmental assessment.
- •Medical instability or conditions requiring immediate intensive medical care.
- •Lack of informed consent from a parent or legal guardian.
- •Inability of the parent or caregiver to provide reliable information required for questionnaire-based assessment.
研究组 & 干预措施
Extremely Preterm
Children born before 33 weeks of gestational age. This group includes infants and toddlers with a history of extreme prematurity, associated with increased risk for developmental difficulties across multiple domains.
干预措施: Psychological developmental assessment (Diagnostic Test)
Control Group
Children without identified developmental delays, genetic conditions, or major perinatal complications, assessed as part of the general population.
干预措施: Psychological developmental assessment (Diagnostic Test)
Developmental Delay
Children with identified developmental delay based on prior clinical assessment or referral information, without a confirmed specific genetic diagnosis.
干预措施: Psychological developmental assessment (Diagnostic Test)
Genetic Conditions
Children with confirmed genetic conditions associated with developmental risk, based on medical documentation provided by parents or caregivers.
干预措施: Psychological developmental assessment (Diagnostic Test)
Moderate to Late Preterm
Children born preterm between 33 and 37 weeks of gestational age. This group includes infants and toddlers with a history of moderate to late prematurity, without severe neonatal complications requiring classification as extremely preterm.
干预措施: Psychological developmental assessment (Diagnostic Test)
Cerebral Palsy
Children with a diagnosis of cerebral palsy documented in medical records. This group includes children with motor impairment of neurological origin, potentially accompanied by cognitive, language, or adaptive difficulties.
干预措施: Psychological developmental assessment (Diagnostic Test)
结局指标
主要结局
Cognitive development
时间窗: Baseline
Cognitive functioning assessed using the Cognitive Scale of the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4). The scale evaluates early cognitive abilities, including sensory-motor processing, exploration and manipulation, object relations, memory, problem solving, and early executive functioning. Data will be reported as a Composite Score ranging from 40 to 160, where higher scores indicate better cognitive development.
Language Development
时间窗: Baseline
Language functioning assessed using the Language Scale of the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4), including receptive and expressive communication abilities appropriate to the child's developmental level. Data will be reported as a Composite Score ranging from 40 to 160, where higher scores indicate better language development.
Motor Development
时间窗: Baseline
Motor functioning assessed using the Motor Scale of the Bayley Scales of Infant and Toddler Development, Fourth Edition (Bayley-4), including fine and gross motor skills related to coordination, posture, locomotion, and motor planning. Data will be reported as a Composite Score ranging from 40 to 160, where higher scores indicate better motor development.
次要结局
- Social-emotional functioning(Baseline)
- Adaptive behavior functioning(Baseline)
研究者
Bartosz M. Radtke
PhD
Laboratory of Psychological and Educational Tests