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. 2022 Mar 1;9(3):323.
doi: 10.3390/children9030323.

School Readiness in 4-Year-Old Very Preterm Children

H Gerry Taylor  1   2 , Daphne M Vrantsidis  1 , Mary Lauren Neel  1   2 , Rebekah Benkart  1 , Tyler A Busch  1 , Aryanne de Silva  1   2 , Shivika Udaipuria  3 , Nathalie L Maitre  4
Affiliations

School Readiness in 4-Year-Old Very Preterm Children

H Gerry Taylor et al. Children (Basel). .

Abstract

The aims of this study were to identify the aspects of school readiness that best distinguish very preterm (VPT) preschoolers from full-term (FT) controls, determine the extent to which readiness problems in the VPT group reflected global cognitive weaknesses or more specific deficits, and identify distinct profiles of readiness problems. Fifty-three VPT (gestational age ≤ 30 weeks) 4-year-olds were compared to 38 FT (gestational age ≥ 37 weeks) controls on measures of global cognitive ability, executive function, motor skills, early literacy and numeracy, and psychosocial functioning. Latent class analysis (LCA) was also conducted to identify individual readiness profiles. The VPT group had the most pronounced difficulties on tests of spatial and nonverbal cognitive abilities, executive function, motor skills, phonological processing, and numeracy. The VPT group also had sex-related difficulties in processing speed, social functioning, and emotion regulation. These differences were evident in analyses of both continuous scores and rates of deficits. The VPT group's difficulties in motor skills, and VPT females' difficulties in social functioning and emotion regulation, were evident even when controlling for global cognitive ability. LCA suggested four profiles of readiness, with the majority of the VPT group assigned to profiles characterized by relative weaknesses in either cognitive abilities or psychosocial functioning or by more global readiness problems. The findings support the need to evaluate multiple aspects of school readiness in VPT preschoolers and inform efforts to design more targeted early educational interventions.

Keywords: preschool children; school readiness; very preterm birth.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Latent class differences in mean z scores for readiness measures.
See this image and copyright information in PMC

References

    1. Johnson S., Wolke D., Hennessy E., Marlow N. Educational Outcomes in Extremely Preterm Children: Neuropsychological Correlates and Predictors of Attainment. Dev. Neuropsychol. 2011;36:74–95. doi: 10.1080/87565641.2011.540541. - DOI - PubMed
    1. Pritchard V.E., Clark C.A., Liberty K., Champion P.R., Wilson K., Woodward L.J. Early school-based learning difficulties in children born very preterm. Early Hum. Dev. 2009;85:215–224. doi: 10.1016/j.earlhumdev.2008.10.004. - DOI - PubMed
    1. Aylward G.P. Neurodevelopmental outcomes of infants born prematurely. J. Dev. Behav. Pediatr. 2014;35:394–407. doi: 10.1097/01.DBP.0000452240.39511.d4. - DOI - PubMed
    1. Pritchard V.E., Bora S., Austin N.C., Levin K.J., Woodward L.J. Identifying very preterm children at educational risk using a school readiness framework. Pediatrics. 2014;134:e825–e832. doi: 10.1542/peds.2013-3865. - DOI - PubMed
    1. Shah P.E., Kaciroti N., Richards B., Lumeng J.C. Gestational age and kindergarten school readiness in a national sample of preterm infants. J. Pediatr. 2016;178:61–67. doi: 10.1016/j.jpeds.2016.06.062. - DOI - PMC - PubMed