Initial Efficacy Study of Supporting Play, Exploration, & Early Development Intervention

The primary aims of this randomized controlled trial are to evaluate efficacy potential of
SPEEDI at enhancing reaching and play based problem solving compared to infants receiving
usual care. The secondary aim is to assess the efficacy potential of SPEEDI to impact motor
and cognitive development as assessed using commonly used clinical outcome measures. The
exploratory aims are to assess the impact of SPEEDI on parent child interactions and feeding
skills. The findings will provide crucial initial efficacy estimates to be used in a larger
definitive clinical trial of SPEEDI.

Inclusion Criteria:

- born extremely preterm (˂29 weeks of gestation) OR 10 born preterm and diagnosed with
a neonatal brain injury including intraventricular hemorrhage grade 3 or 4,
periventricular white matter injury, or hydrocephalus requiring a shunt.

- Medically stable by 40 weeks of gestation, including being off ventilator support

- Live within 50 minutes of the hospital.

- English Speaking mother

- Mother willing and able to participate in the study with the infant subject

Exclusion Criteria:

- Genetic syndromes or musculoskeletal deformities