Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis.

Autor:	Ferreira RC; Grupo Universidade Brasil, Faculdade Santa Luzia, Departamento de Fisioterapia, Santa Luzia, MG, Brazil. Electronic address: rcffisio2016@gmail.com., Alves CRL; Universidade Federal de Minas Gerais (UFMG), Faculdade de Medicina, Departamento de Pediatria, Belo Horizonte, MG, Brazil., Guimarães MAP; Universidade Federal de Minas Gerais (UFMG), Programa de Pós-Graduação em Ciências da Saúde - Saúde da Criança e do Adolescente, Belo Horizonte, MG, Brazil., Menezes KKP; Universidade Federal de Minas Gerais (UFMG), Escola Educação Física, Fisioterapia e Terapia Ocupacional (EEFFTO), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil., Magalhães LC; Universidade Federal de Minas Gerais (UFMG), Escola Educação Física, Fisioterapia e Terapia Ocupacional (EEFFTO), Departamento de Terapia Ocupacional, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Jornal de pediatria [J Pediatr (Rio J)] 2020 Jan - Feb; Vol. 96 (1), pp. 20-38. Date of Electronic Publication: 2019 Jun 27.
DOI:	10.1016/j.jped.2019.05.002
Abstrakt:	Objective: To verify whether early intervention focused on the family improves the cognitive, motor, and language development of children born preterm and/or at social risk in the first 3 years of life. Source of Data: Meta-analysis of clinical trials published between 2008 and 2018, in the following databases: CINAHL, MEDLINE - PubMed, MEDLINE - BVS, LILACS - BVS, IBECS - BVS, PEDro and Cochrane Reviews. Experimental studies on early interventions focused on the family, whose target groups were children born preterm and/or at social risk, with assessment of cognitive and/or motor and/or language development up to 3 years were included. The studies were rated using the PEDro Scale. Data Synthesis: Twelve studies were included from a total of 3378 articles. Early intervention focused on the family contributed to the development of the cognitive (Standardized Mean Difference - SMD=0.48, 95% CI: 0.34-0.61) and motor (SMD=0.76, 95% CI: 0.55-0.96) domains of preterm infants. Regarding cognitive development, performance improvement was observed at 12, 24 and 36 months, while in the motor domain, the effect was observed only at 12 months in preterm infants. There was no benefit of the intervention in the cognitive, motor, and language outcomes of children with the social risk factor associated to biological risk. Conclusion: Early intervention focused on the family has a positive effect on the cognition of preterm infants. The effect on motor development was lower, possibly due to the emphasis on interventions in family-child interaction. The effect of interventions on the development of children at social risk and on the language domain was inconclusive, due to the scarcity of studies in the area. (Copyright © 2019 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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