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Description

Premature infants (bord before 37 weeks of gestation) are exposed to sensory-rich neonatal intensive care unit (NICU) environments that may disrupt sleep and self-regulation. Sleep is a critical early occupation that supports neurodevelopment, physiological stability, and overall infant health. This capstone project developed and implemented Rest and Regulate, a sensory-informed occupational therapy (OT) program designed to support sleep and regulation in premature infants through environmental modifications, individualized sensory strategies, and caregiver education. Guided by the Person-Environment-Occupation-Performance (PEOP) model, Ayres Sensory Integration (ASI), and Dunn's Sensory Processing Framework (DSPF), the program translated evidence-based sensory principles into practical NICU routines. Key components included staff education through a video training series, bedside caregiver guidebooks, and environmental supports targeting noise, lighting, and handling. Post-training feedback indicated increased staff confidence in recognizing infant cues, modifying environmental stimulation, and implementing sensory-informed strategies. Findings suggest that integrating education, environmental awareness, and interdisciplinary collaboration supports improved caregiving practices and promotes infant sleep and regulation in the NICU.

Publication Date

Spring 4-2026

Publisher

University of St. Augustine for Health Sciences

Keywords

Premature infants, Neonatal intensive care units, Sleep, Self-regulation, Sensory processing, Occupational therapy, Infant behavior, Caregivers, Environmental modification, Neurodevelopment

Medical Subject Headings

Occupational Therapy, Pediatrics, Neonatology

Disciplines

Medicine and Health | Medicine and Health Sciences | Occupational Therapy | Other Social and Behavioral Sciences | Public Health Education and Promotion

Comments

Poster presented at the OTD Capstone Symposium held at the University of St. Augustine for Health Sciences April 22, 2026.

Rest & Regulate: NICU Sleep and Regulation Program

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