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

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...

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Bibliographic Details
Published in:Brain sciences 2021-04, Vol.11 (5), p.575
Main Authors: Youn, Young-Ah, Shin, Seung-Han, Kim, Ee-Kyung, Jin, Hye-Jeong, Jung, Young-Hwa, Heo, Ju-Sun, Jeon, Ji-Hyun, Park, Joo-Hyun, Sung, In-Kyung
Format: Article
Language:English
Subjects:
Anxiety
Attachment
Babies
Behavior
Birth weight
Caregivers
Children & youth
Clinical trials
Cognitive ability
Ethics
Families & family life
Gestational age
Hospitals
Infants
Intensive care
Intervention
Lung diseases
Multiple births
Neonates
neurodevelopmental
Neurodevelopmental disorders
Neuromuscular diseases
Newborn babies
Parents & parenting
Pediatrics
Premature babies
preterm
prevention
Preventive medicine
primary outcome
Questionnaires
Society
Traumatic brain injury
very low birth weight
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Summary: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.
ISSN:2076-3425
2076-3425
DOI:10.3390/brainsci11050575