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. 2021 Apr 29;11(5):575.
doi: 10.3390/brainsci11050575.

Preventive Intervention Program on the Outcomes of Very Preterm Infants and Caregivers: A Multicenter Randomized Controlled Trial

Affiliations

Preventive Intervention Program on the Outcomes of Very Preterm Infants and Caregivers: A Multicenter Randomized Controlled Trial

Young-Ah Youn et al. Brain Sci. .

Abstract

Increased survival in the very preterm population results in a higher risk of developing neurodevelopmental and behavioral disabilities among survivors. We examined the outcomes of very preterm infants and parents after a preventive intervention program of four home visits by a specialized nurse, 5 days, 2 weeks, and 1 month after discharge, respectively, and at CA 2 months, followed by up to 12 times of group sessions between CA 3 and 6 months. Our multicenter randomized controlled trial assessed 138 preterm infants (gestational age ≤30 weeks or birth weight ≤1500 g) enrolled from the three participating hospitals. We randomly allocated the preterm babies to either the intervention or the control group. The primary outcome was the neurodevelopmental outcomes of Bayley-III scores at CA 10 and 24 months. At CA 10 months and 24 months, there were no significant differences between the intervention and control groups in the cognitive, motor, and language domains of Bayley-III scores. In addition, there were no significant differences in the mother's depression scale, mother-child attachment, and the modified Infant and Toddler Social and Emotional Assessment.

Keywords: intervention; neurodevelopmental; preterm; prevention; primary outcome; very low birth weight.

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Conflict of interest statement

The authors have no conflict of interest relevant to this article to disclose.

Figures

Figure 1
Figure 1
The CONSORT flow study diagram.

References

    1. Roberts G., Lim J., Doyle L.W., Anderson P.J. High Rates of School Readiness Difficulties at 5 Years of Age in Very Preterm Infants Compared with Term Controls. J. Dev. Behav. Pediatr. 2011;32:117–124. doi: 10.1097/DBP.0b013e318206d5c9. - DOI - PubMed
    1. Wang C.J., McGlynn E.A., Brook R.H., Leonard C.H., Piecuch R.E., Hsueh S.I., Schuster M.A. Quality-of-care indicators for the neurodevelopmental follow-up of very low birth weight children: Results of an expert panel process. Pediatrics. 2006;117:2080–2092. doi: 10.1542/peds.2005-1904. - DOI - PubMed
    1. Gray P.H., Edwards D.M., O’Callaghan M.J., Cuskelly M., Gibbons K. Parenting stress in mothers of very preterm infants—Influence of development, temperament and maternal depression. Early Hum. Dev. 2013;89:625–629. doi: 10.1016/j.earlhumdev.2013.04.005. - DOI - PubMed
    1. Treyvaud K., Anderson V.A., Howard K., Bear M., Hunt R.W., Doyle L.W., Inder T.E., Woodward L., Anderson P.J. Parenting Behavior Is Associated With the Early Neurobehavioral Development of Very Preterm Children. Pediatrics. 2009;123:555–561. doi: 10.1542/peds.2008-0477. - DOI - PubMed
    1. Pace C.C., Spittle A.J., Molesworth C.M., Lee K.J., Northam E.A., Cheong J.L., Davis P.G., Doyle L.W., Treyvaud K., Anderson P.J. Evolution of Depression and Anxiety Symptoms in Parents of Very Preterm Infants During the Newborn Period. JAMA Pediatr. 2016;170:863–870. doi: 10.1001/jamapediatrics.2016.0810. - DOI - PubMed

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