A Neurobehavioral Intervention and Assessment Program in Very Low Birth Weight Infants: Outcome at 24 Months
| Autor: | Joke Kok, Anita Beelen, Marie-Jeanne Wolf, Aleid G. van Wassenaer, Dominique Meijssen, Karen Koldewijn, Frans Nollet, B. A. Houtzager |
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| Přispěvatelé: | Rehabilitation medicine, Other Research, Neonatology, Other departments, ANS - Amsterdam Neuroscience, Child and Adolescent Psychiatry & Psychosocial Care, AMS - Amsterdam Movement Sciences, Developmental Psychology |
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Psychomotor learning
Pediatrics medicine.medical_specialty business.industry Gestational age CBCL medicine.disease Bayley Scales of Infant Development Child development law.invention Low birth weight Randomized controlled trial Bronchopulmonary dysplasia law Pediatrics Perinatology and Child Health Medicine medicine.symptom business |
| Zdroj: | Journal of pediatrics, 156(3), 359-365. Mosby Inc. Journal of Pediatrics, 156(3), 359-365. Mosby Inc. |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2009.09.009 |
| Popis: | Objective To determine whether the Infant Behavioral Assessment and Intervention Program (IBAIP) improves development and behavior in very low birth weight (VLBW) infants at 24-month corrected age. Study design In a multicenter, randomized, controlled trial 86 infants received postdischarge intervention until 6-month corrected age. The intervention consisted of supporting infants' self-regulation and development, and facilitating sensitive parent-infant interactions; 90 control infants received regular care. At 6 months, positive intervention effects were found. At 24 months, development and behavior were evaluated with the Bayley Scales of Infant Development-II (BSID-II) and the Child Behavior Check List (CBCL). Results Eighty-three intervention and 78 control infants were available for follow-up. After adjustment for differences in perinatal characteristics, an intervention effect of 6.4 points (+/- standard error, 2.4) on the Psychomotor Developmental Index favored the intervention infants. Groups did not differ on the Mental Developmental Index, the Behavioral Rating Scale of the BSID-II, or on the CBCL. Subgroup analyses revealed improved motor as well as improved mental outcomes in intervention infants with bronchopulmonary dysplasia and with combined biological and social risk factors. Conclusions The IBAIP shows sustained motor improvement in VLBW infants until 2-year corrected age. (J Pediatr 2010;156:359-65) |
| Databáze: | OpenAIRE |
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