Key Findings

Randomized Clinical Trial Results (2015-2019)

What we found

  • For children with significant motor delay, positive effects of START-Play were observed at 3 months for Bayley cognitive, Bayley fine motor, and APSP, and at 12 months for Bayley fine motor and reaching outcomes.
  • For children with mild motor delay, positive effects of START-Play for Bayley receptive communication outcome and for usual early intervention for APSP outcome were observed at 3 months.

What this means

  • START-Play may advance reaching, problem-solving, cognitive and fine motor skills for young children with significant motor delay over usual early intervention (BAU) alone.
  • START-Play in addition to usual early intervention (BAU) may not improve motor/cognitive outcomes for children with mild motor delay.
START-PLAY VS BAU

Implications for practice

  • Concepts of embodied cognition can be applied to early intervention
  • START-Play may advance cognition/motor skills in young children with significant motor delay
  • Usual early intervention (BAU) may advance problem-solving in children with mild motor delay
  • START-Play may advance receptive communication skills in children with mild motor delay