Evolução temporal da abordagem da funcionalidade na intervenção precoce sob a perspectiva da classificação internacional de funcionalidade, incapacidade e saúde: uma revisão sistemática
DOI:
https://doi.org/10.1590/Palavras-chave:
Desenvolvimento infantil, Funcionamento psicossocial, Intervenção precoce.Resumo
Estratégias eficazes de intervenção precoce
devem garantir o desenvolvimento infantil em ambientes
naturais e melhorar a funcionalidade das crianças. Este
estudo teve como objetivo analisar a evolução temporal
da abordagem do funcionamento dos programas de
intervenção precoce tendo como referência a CIF. Foram
incluídos ensaios clínicos randomizados que estudaram
programas de intervenção precoce em crianças de 0 a 6
anos. Os conceitos significativos contidos nos resultados
das intervenções foram vinculados à CIF. Este artigo
incluiu 56 artigos e avaliou 74 resultados de intervenções.
Foram gerados 82 códigos diferentes da CIF, os quais
contemplaram os domínios funções corporais, atividades e
participação da CIF e fatores ambientais. A funcionalidade
foi abordada parcialmente ao longo dos anos pelos
programas de intervenção precoce incluídos
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Referências
1. Araujo LB, Mélo TR, Israel VL. Kids intervention therapy – Aquatic
environment (KITE) for babies 4 to 18 months old, by following
the international classification of functioning (ICF): clinical
trial protocol. Motriz: Rev Educ Fis. 2020;26(1):e10200223.
doi: 10.1590/S1980-6574202000010223
2. Smythe T, Zuurmond M, Tann CJ, Gladstone M, Kuper H. Early
intervention for children with developmental disabilities in low
and middle-income countries – the case for action. Int Health.
2021;13(3):222-31. doi: 10.1093/inthealth/ihaa044
3. Zhang L, Ssewanyana D, Martin MC, Lye S, Moran G, Abubakar A,
et al. Supporting child development through parenting
interventions in low- to middle-income countries: an updated
systematic review. Front Public Health. 2021;9:1-24. doi: 10.3389/
fpubh.2021.671988
4. Kumar SV, Narayan S, Malo PK, Bhaskarapillai B, Thippeswamy H,
Desai G, et al. A systematic review and meta-analysis of early
childhood intervention programs for developmental difficulties
in low-and-middle-income countries. Asian J Psychiatr.
2022;70:103026. doi: 10.1016/j.ajp.2022.103026
5. Spittle AJ, Anderson PJ, Lee KJ, Ferretti C, Eeles A, Orton J, et al.
Preventive care at home for very preterm infants improves infant
and caregiver outcomes at 2 years. Pediatrics. 2010;126(1):e171-
8. doi: 10.1542/peds.2009-3137
6. Calder S, Ward R, Jones M, Johnston J, Claessen M. The uses
of outcome measures within multidisciplinary early childhood
intervention services: a systematic review. Disabil Rehabil.
2018;40(22):2599-622. doi: 10.1080/09638288.2017.1353144
7. Marini BPR, Lourenço MC, Barba PCSD. Systematic
literature review on models and practices of early childhood
intervention in Brazil. Rev Paul Pediatr. 2017;35(4):456-63.
doi: 10.1590/1984-0462/;2017;35;4;00015
8. Verger S, Riquelme I, Bagur S, Paz-Lourido B. Satisfaction
and quality of life of families participating in two different
early intervention models in the same context: a mixed
methods study. Front Psychol. 2021;12:650736. doi: 10.3389/
fpsyg.2021.650736
9. Castaneda, L. International Classification of Functioning,
Disability and Health (ICF) – way to Health Promotion.
Rev Bras Cineantropom Hum. 2018;20(2):229-33.
doi: 10.5007/1980-0037.2018v20n2p229
10. Fonseca Filho GG, Lopes AC, Bezerra RB, Candido ADEM, Arrais
N, et al. Assessment of child development in premature babies
based on the ICF biopsychosocial model. Eur J Phys Rehabil
Med. 2021;57(4):585-92. doi: 10.23736/S1973-9087.20.06543-0
11. Bernardelli RS, Santos BC, Scharan KO, Corrêa KP, Silveira
MIB, Moser ADL. Application of the refinements of ICF
linking rules to the Visual Analogue Scale, Roland Morris
questionnaire and SF-36. CienC Saude Colet. 2021;26(3):1137-52.
doi: 10.1590/1413-81232021263.03502019
12. Stamm T, Geyh S, Cieza A, Machold K, Kollerits B, et al.
Measuring functioning in patients with hand osteoarthritis
- Content comparison of questionnaires based on the
international classification of functioning, disability and
health (ICF). Rheumatology. 2006;45(12):1534-41. doi: 10.1093/
rheumatology/kel133
13. Vipulaguna D, Jahan I, Girish M, Chinnappa GD, Gopalaswamy
S, et al. Early Interventions for Infants at Risk for Developmental
Impairment: The South Asian Perspective. Indian J Pediatr.
2022;89(3):254-61. doi: 10.1007/s12098-021-03871-w
14. Mélo TR, Araujo LB, Yamaguchi B, Ferreira MP, Israel VL.
Early intervention program by ICF model for babies of 4-18
months frequenting daycare center: protocol for clinical
trial. Motriz: Rev Educ Fis. 2019;25(3):e101945. doi: 10.1590/
s1980-6574201900030019
15. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC,
et al. The PRISMA 2020 statement: An updated guideline for
reporting systematic reviews. BMJ. 2021;372:n71. doi: 10.1136/
bmj.n71
16. Cieza A, Fayed N, Bickenbach J, Prodinger B. Refinements
of the ICF Linking Rules to strengthen their potential for
establishing comparability of health information. Disabil
Rehabil. 2019;41(5):574-83. doi: 10.3109/09638288.2016.1145258
17. De Raadt A, Warrens MJ, Bosker RJ, Kiers HAL. Kappa coefficients
for missing data. Educ Psychol Meas. 2019;79(3):558-76.
doi: 10.1177/0013164418823249
18. Rose SA, Schmidt K, Riese ML, Bridger WH. Effects of
prematurity and early intervention on responsivity to tactual
stimuli: a comparison of preterm and full term infants. Child
Dev. 1980 [cited 2026 Mar 03];51(2):416-25. Available from:
https://www.cochranelibrary.com/central/doi/10.1002/central/
CN-00210628/full
19. Cappleman MW, Thompson RJJ, DeRemer-Sullivan PA, King
AA, Sturm JM. Effectiveness of a home based early intervention
program with infants of adolescent mothers. Child Psychiatry
Hum Dev. 1982;13(1):55-65. doi: 10.1007/BF00709982
20. Ramey CT, Bryant DM, Sparling JJ, Wasik BH. Project CARE:
A comparison of two early intervention strategies to prevent
retarded development. Topics Early Child Spec Educ.
1985;5(2):12-25. doi: 10.1177/027112148500500203
21. Palmer FB, Shapiro BK, Wachtel RC, Allen MC, Hiller JE, et al.
The effects of physical therapy on cerebral palsy. A controlled trial
in infants with spastic diplegia. N Engl J Med. 1988;318(13):803-8.
doi: 10.1056/NEJM198803313181302
22. Rauh VA, Achenbach TM, Nurcombe B, Howell CT, Teti DM.
Minimizing adverse effects of low birthweight: four-year results
of an early intervention program. Child Dev. 1988;59(3):544-53.
23. Živković V. Enhancing the outcomes of low-birth-weight,
premature infants. A multisite, randomized trial. JAMA.
1990;263(22):3035-42. doi: 10.1001/jama.1990.03440220059030
24. Eiserman W, McCoun M, Escobar CM. Program models for serving
speech-disordered preschoolers. J Early Interv. 1990;14(4):297-317.
25. Black MM, Dubowitz H, Hutcheson J, Berenson-Howard J,
Starr RH. A randomized clinical trial of home intervention for
children with failure to thrive. Pediatrics. 1995;95(6):807-14.
26. Bao X, Sun S, Yu R, Sun J. Early intervention improves intellectual
development in asphyxiated newborn infants. Intervention of
Asphyxiated Newborn Infants Cooperative Research Group.
Chin Med J (Engl). 1997 Nov;110(11):875-8.
27. Avon Premature Infant Project. Randomised trial of parental
support for families with very preterm children. Arch Dis Child
Fetal Neonatal Ed. 1998;79(1):F4-11. doi: 10.1136/fn.79.1.f4
28. Bao X, Sun S, Wei S. Early intervention promotes intellectual
development of premature infants: a preliminary report. Early
Intervention of Premature Infants Cooperative Research Group.
Chin Med J (Engl). 1999 Jun;112(6):520-3.
29. Smith T, Groen AD, Wynn JW. Randomized trial of intensive
early intervention for children with pervasive developmental
disorder. Am J Ment Retard. 2000;105(4):269-85.
doi: 10.1352/0895-8017(2000)105<0269:RTOIEI>2.0.CO
30. Thomaidis L, Kaderoglou E, Stefou M, Damianou S,
Bakoula C. Does early intervention work? A controlled
trial. Infants Young Children. 2000;12(3):17-22.
doi: 10.1097/00001163-200012030-00005
31. Zeanah CH, Nelson CA, Fox NA, Smyke AT, Marshall P, et al.
Designing research to study the effects of institutionalization
on brain and behavioral development: The Bucharest Early
Intervention Project. Dev Psychopathol. 2003;15(4):885-907.
doi: 10.1017/S0954579403000452
32. Als H, Duffy FH, McAnulty GB, Rivkin MJ, Vajapeyam S, et al.
Early experience alters brain function and structure. Pediatrics.
2004;113(4):846-57. doi: 10.1542/peds.113.4.846
33. Ohgi S, Fukuda M, Akiyama T, Gima H. Effect of an early
intervention programme on low birthweight infants with
cerebral injuries. J Paediatr Child Health. 2004;40(12):689-95.
doi: 10.1111/j.1440-1754.2004.00512.x
34. Olafsen KS, Rønning JA, Kaaresen PI, Ulvund SE, Handegård BH,
et al. Joint attention in term and preterm infants at 12 months
corrected age: the significance of gender and intervention based on a randomized controlled trial. Infant Behav Dev.
2006;29(4):554-63. doi: 10.1016/j.infbeh.2006.07.004
35. Giudice E, Titomanlio L, Brogna G, Bonaccorso A, Romano
A, et al. Early intervention for children with Down syndrome
in Southern Italy. Infants Young Children. 2006;19(1):50-8.
doi: 10.1097/00001163-200601000-00006
36. Kaaresen PI, Rønning JA, Ulvund SE, Dahl LB. A randomized,
controlled trial of the effectiveness of an early-intervention
program in reducing parenting stress after preterm birth.
Pediatrics. 2006;118(1):e9-19. doi: 10.1542/peds.2005-1491
37. Rickards AL, Walstab JE, Wright-Rossi RA, Simpson J,
Reddihough DS. A randomized, controlled trial of a homebased
intervention program for children with autism and
developmental delay. J Dev Behav Pediatr. 2007;28(4):308-
16. doi: 10.1097/DBP.0b013e318032792e
38. Bierman KL, Welsh JA, Heinrichs BS, Nix RL, Mathis ET. Helping
head start parents promote their children’s kindergarten
adjustment: the research-based developmentally informed
parent program. Child Dev. 2015;86(6):1877-91. doi: 10.1111/
cdev.12448
39. Koldewijn K, Wolf MJ, Wassenaer A, van Sonderen DML, van
Baar A, et al. The Infant Behavioral Assessment and Intervention
Program for very low birth weight infants at 6 months
corrected age. J Pediatr. 2009;154(1):33-8.e2. doi: 10.1016/j.
jpeds.2008.07.039
40. Shin JY, Nhan NV, Lee SB, Crittenden KS, Flory M, et al. The
effects of a home-based intervention for young children with
intellectual disabilities in Vietnam. J Intellect Disabil Res.
2009;53(4):339-52. doi: 10.1111/j.1365-2788.2008.01151.x
41. Heathcock JC, Galloway JCC. Exploring objects with feet
advances movement in infants born preterm: a randomized
controlled trial. Phys Ther. 2009;89(10):1027-38. doi: 10.2522/
ptj.20080278
42. Nair MK, Philip E, Jeyaseelan L, George B, Mathews S, et al.
Effect of Child Development Centre model early stimulation
among at risk babies--a randomized controlled trial. Indian
Pediatr. 2009 Jan;46 Suppl:s20-6.
43. Latha MM, Beena C. Application of instructional systems design
to develop and implement an early intervention model. Asia
Pacific Disabil Rehabil J [Internet]. 2009 [cited 2026 Mar
3];20(2):92-104. Available from: https://www.cochranelibrary.
com/central/doi/10.1002/central/CN-02105440/full
44. Dawson G, Rogers S, Munson J, Smith M, Winter J, et al.
Randomized, controlled trial of an intervention for toddlers with
autism: the Early Start Denver Model. Pediatrics. 2010;125(1):e17-
23. doi: 10.1542/peds.2009-0958
45. Spittle AJ, Treyvaud K, Lee KJ, Anderson PJ, Doyle LW. The
role of social risk in an early preventative care programme for
infants born very preterm: a randomized controlled trial. Dev
Med Child Neurol. 2018;60(1):54-62. doi: 10.1111/dmcn.13594
46. Blauw-Hospers CH, Dirks T, Hulshof LJ, Bos AF, Hadders-Algra
M. Pediatric physical therapy in infancy: from nightmare to
dream? A two-arm randomized trial. Phys Ther. 2011;91(9):1323-
38. doi: 10.2522/ptj.20100205
47. Mendelsohn AL, Huberman HS, Berkule SB, Brockmeyer
CA, Morrow LM, et al. Primary care strategies for promoting
parent-child interactions and school readiness in at-risk
families: the Bellevue Project for Early Language, Literacy, and
Education Success. Arch Pediatr Adolesc Med. 2011;165(1):33-41.
doi: 10.1001/archpediatrics.2010.254
48. Ravn IH, Smith L, Lindemann R, Smeby NA, Kyno NM, et al. Effect
of early intervention on social interaction between mothers and
preterm infants at 12 months of age: a randomized controlled
trial. Infant Behav Dev. 2011;34(2):215-25. doi: 10.1016/j.
infbeh.2010.11.004
49. Carlo WA, Goudar SS, Pasha O, Chomba E, Wallander JL, et al.
Randomized trial of early developmental intervention on
outcomes in children after birth asphyxia in developing countries.
J Pediatr. 2013;162(4):705-12.e3. doi: 10.1016/j.jpeds.2012.09.052
50. Kaiser AP, Roberts MY. Parent-implemented enhanced milieu
teaching with preschool children who have intellectual
disabilities. J Speech Lang Hear Res. 2013;56(1):295-309.
doi: 10.1044/1092-4388(2012/11-0231)
51. Karaaslan O, Mahoney G. Effectiveness of responsive teaching
with children with Down syndrome. Intellect Dev Disabil.
2013;51(6):458-69. doi: 10.1352/1934-9556-51.6.458
52. Favazza PC, Siperstein GN, Zeisel SA, Odom SL, Sideris JH, et al.
Young Athletes program: impact on motor development. Adapt
Phys Activ Q. 2013;30(3):235-53. doi: 10.1123/apaq.30.3.235
53. Hwang AW, Chao MY, Liu SW. A randomized controlled trial of
routines-based early intervention for children with or at risk
for developmental delay. Res Dev Disabil. 2013;34(10):3112-23.
doi: 10.1016/j.ridd.2013.06.037
54. Milgrom J, Newnham C, Martin PR, Anderson PJ, Doyle LW, et al.
Early communication in preterm infants following intervention
in the NICU. Early Hum Dev. 2013;89(9):755-62. doi: 10.1016/j.
earlhumdev.2013.06.001
55. Kaminski JW, Perou R, Visser SN, Scott KG, Beckwith L,
et al. Behavioral and socioemotional outcomes through age
5 years of the Legacy for Children public health approach to
improving developmental outcomes among children born into
poverty. Am J Public Health. 2013;103(6):1058-66. doi: 10.2105/
AJPH.2012.300996
56. Chen LC, Wu YC, Hsieh WS, Hsu CH, Leng CH, et al. The effect of
in-hospital developmental care on neonatal morbidity, growth
and development of preterm Taiwanese infants: A randomized
controlled trial. Early Hum Dev. 2013;89(5):301-6. doi: 10.1016/j.
earlhumdev.2012.10.008
57. Kasari C, Lawton K, Shih W, Barker TV, Landa R, et al. Caregivermediated
intervention for low-resourced preschoolers with
autism: an RCT. Pediatrics. 2014;134(1):e72-9. doi: 10.1542/
peds.2013-3229
58. Wake M, Tobin S, Levickis P, Gold L, Ukoumunne OC, et al.
Randomized trial of a population-based, home-delivered
intervention for preschool language delay. Pediatrics.
2013;132(4):e895-904. doi: 10.1542/peds.2012-3878
59. Yousafzai AK, Rasheed MA, Rizvi A, Armstrong R, Bhutta
ZA. Effect of integrated responsive stimulation and nutrition
interventions in the Lady Health Worker programme in
Pakistan on child development, growth, and health outcomes:
a cluster-randomised factorial effectiveness trial. Lancet.
2014;384(9950):1282-93. doi: 10.1016/S0140-6736(14)60455-4
60. Ma L, Yang B, Meng L, Wang B, Zheng C, et al. Effect of early
intervention on premature infants’ general movements. Brain
Dev. 2015;37(4):387-93. doi: 10.1016/j.braindev.2014.07.002
61. Doyle O, Fitzpatrick N, Lovett J, Rawdon C. Early intervention
and child physical health: evidence from a Dublin-based
randomized controlled trial. Econ Hum Biol. 2015;19:224-45.
doi: 10.1016/j.ehb.2015.09.004
62. Castel S, Creveuil C, Beunard A, Blaizot X, Proia N, et al. Effects
of an intervention program on maternal and paternal parenting
stress after preterm birth: a randomized trial. Early Hum Dev.
2016;103:17-25. doi: 10.1016/j.earlhumdev.2016.05.007
63. Liu ZH, Li YR, Lu YL, Chen JK. Clinical research on intelligence
seven needle therapy treated infants with brain damage
syndrome. Chin J Integr Med. 2016;22(6):451-6. doi: 10.1007/
s11655-015-1977-9
64. Fonagy P, Sleed M, Baradon T. Randomized controlled trial of
parent-infant psychotherapy for parents with mental health
problems and young infants. Infant Ment Health J. 2016;37(2):97-
114. doi: 10.1002/imhj.21553
65. Sgandurra G, Lorentzen J, Inguaggiato E, Bartalena L, Beani E,
et al. A randomized clinical trial in preterm infants on the effects
of a home-based early intervention with the ‘CareToy System’.
PLoS One. 2017;12(3):e0173521. doi: 10.1371/journal.pone.0173521
66. Yazejian N, Bryant DM, Hans S, Horm D, St Clair L, et al. Child
and parenting outcomes after 1 year of Educare. Child Dev.
2017;88(5):1671-88. doi: 10.1111/cdev.12688
67. Schertz HH, Odom SL, Baggett KM, Sideris JH. Mediating parent
learning to promote social communication for toddlers with
autism: effects from a randomized controlled trial. J Autism
Dev Disord. 2018;48(3):853-67. doi: 10.1007/s10803-017-3386-8
68. Platje E, Sterkenburg P, Overbeek M, Kef S, Schuengel
C. The efficacy of VIPP-V parenting training for parents
of young children with a visual or visual-and-intellectual
disability: a randomized controlled trial. Attach Hum Dev.
2018;20(5):455-72. doi: 10.1080/14616734.2018.1428997
69. Nascimento AL, Toledo AM, Merey LF, Tudella E, Soares-
Marangoni DA. Brief reaching training with “sticky mittens”
in preterm infants: randomized controlled trial. Hum Mov Sci.
2019;63:138-47. doi: 10.1016/j.humov.2018.11.015
70. Hielkema T, Hamer EG, Boxum AG, La Bastide-Van Gemert S,
Dirks T, et al. LEARN2MOVE 0–2 years, a randomized early
intervention trial for infants at very high risk of cerebral palsy:
neuromotor, cognitive, and behavioral outcome. Disabil Rehabil.
2020;42(23):3752-61. doi: 10.1080/09638288.2019.1610508
71. Colditz PB, Boyd RN, Winter L, Pritchard M, Gray PH, et al.
A randomized trial of baby triple p for preterm infants: child
outcomes at 2 years of corrected age. J Pediatr. 2019;210:48-54.
e2. doi: 10.1016/j.jpeds.2019.01.024
72. Armstrong J, Girdler S, Davidson E, Mizen J, Bear N, et al.
Randomised controlled trial of a therapeutic playgroup for
children with developmental delays. J Autism Dev Disord.
2020;51(4):1039-53. doi: 10.1007/s10803-020-04580-7
73. Organização Mundial da Saúde. Classificação Internacional
de Funcionalidade, Incapacidade e Saúde: Atividades e
participação – Fatores ambientais. Genebra: Organização
Mundial de Saúde; 2008.
74. Lima CRG, Pavão SL, Campos AC, Rocha NACF. Sit-to-stand
movement in children with cerebral palsy and relationships with
the International classification of functioning, disability and
health: a systematic review. Res Dev Disabil. 2020;107:103804.
doi: 10.1016/j.ridd.2020.103804.
75. Fontana C, Picciolini O, Fumagalli M, Mosca F, Bernardelli G,
et al. A longitudinal ICF-CY-based evaluation of functioning and
disability of children born with very low birth weight. Int J Rehabil
Res. 2016;39(4):296-301. doi: 10.1097/MRR.0000000000000183
76. Hwang AW, Liao HF, Chen PC, Hsieh WS, Simeonsson RJ, et al.
Applying the ICF-CY framework to examine biological and
environmental factors in early childhood development. J Formos
Med Assoc. 2014;113(5):303-12. doi: 10.1016/j.jfma.2011.10.004
77. Ferreira RC, Alves CRL, Guimarães MAP, Menezes KKP,
Magalhães LC. Effects of early interventions focused on the
family in the development of children born preterm and/or at
social risk: a meta-analysis. J Pediatr (Rio J). 2020;96(1):20-38.
doi: 10.1016/j.jpedp.2019.05.023
78. Peacock S, Konrad S, Watson E, Nickel D, Muhajarine N.
Effectiveness of home visiting programs on child outcomes:
a systematic review. BMC Public Health. 2013;13(17):1-14.
doi: 10.1186/1471-2458-13-17
79. Cunha RFM, Costa KB, Morais RLS. Family-centered care
on a physiotherapy course: case reports. Fisioter Mov.
2022;35:e35301. doi: 10.1590/FM.2022.35301
80. Britto PR, Lye SJ, Proulx K, Yousafzai AK, Matthews SG, et al.
Nurturing care: promoting early childhood development. Lancet.
2017;389(10064):91-102. doi: 10.1016/S0140-6736(16)31390-3
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Direitos autorais (c) 2026 Letícia Helene Mendes Ferreira, Shamyr Sulyvan de Castro, Ana Caroline Belo Alencar, Maria Caroline da Silva, Kátia Virginia Viana-Cardoso
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