A randomized controlled trial of clinic-based and home-based interventions in comparison with usual care for preterm infants: Effects and mediators

Wu, Yi Chang; Leng, Chi-Hon; Hsieh, Wu‐Shiun; Hsu, Chyong-Hsin; Chen, Wei-Jen; Gau, Susan Shur‐Fen; Chiu, Nan-Chang; Yang, Ming‐Chin; Fang, Li-Jung; Hsu, Hui‐Chin; Yu, Yen‐Ting; Wu, Yu Jong; Li-Chiou, Chen; Jeng, Suh‐Fang

doi:10.1016/j.ridd.2014.06.009

Cited by 37 publications

(60 citation statements)

References 46 publications

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“…14,21,31 The MITP and IBAIP, 15,25 demonstrated improved outcome on some cognitive parameters up till 5 years after conclusion of the programme. Only IBAIP led to some improvement of both motor and cognitive outcome up till 5 years.…”

Section: Discussionmentioning

confidence: 93%

“…Developmental improvements of the child were established by programmes that focus primarily on responsive parenting, which supports the conditions for the child's development through the dyadic relations in the family. 14,21,31 The MITP and IBAIP, 15,25 demonstrated improved outcome on some cognitive parameters up till 5 years after conclusion of the programme. Only IBAIP led to some improvement of both motor and cognitive out-come up till 5 years.…”

Section: Discussionmentioning

confidence: 93%

“…These positive outcomes were possibly mediated by outcomes at age 12 months regarding dyadic interactive behaviour and duration of orientation towards a toy respectively. 31 Longer-term follow-up of this programme is not yet available.…”

Section: Ibaip N=86mentioning

confidence: 99%

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Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents

Wassenaer-Leemhuis

Jeukens-Visser

Hus

et al. 2016

Develop Med Child Neuro

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Post‐discharge preventive intervention programmes with involvement of the parent may support the resilience and developmental outcomes of infants born very preterm. Randomized controlled trials of home‐based family‐centred intervention programmes in very preterm infants that aimed to improve cognitive outcome, at least at age two, were selected and updated on the basis of a recent systematic review to compare their content and effect over time to form the basis of a narrative review. Six programmes were included in this narrative review. Four of the six programmes led to improved child cognitive and/or motor development. Two programmes, which focused primarily on responsive parenting and development, demonstrated improved cognitive outcome up till 5 years after completion of the programme. The programmes that also focused on maternal anxiety remediation led to improved maternal mental well‐being, along with improved child behaviour, in one study – even at 3 years after completion of the programme. The magnitude of the effects was modest. Family‐centred preventive intervention programmes that aim at improvement of child development should be continued after discharge home to improve the preterm child's resilience. Programmes may be most effective when they support the evolvement of a responsive parent–infant relationship over time, as well as the parent's well‐being.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents

Wassenaer-Leemhuis

Jeukens-Visser

Hus

et al. 2016

Develop Med Child Neuro

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“…Early interventions, which take advantage of the plasticity of the brain at this time, have been provided for many years with varying degrees of success (Blauw-Hospers et al, 2007;Javier et al, 2012;Orton et al, 2009;Spittle et al, 2015;Spittle et al, 2007;Wu et al, 2014). Spittle et al performed a systematic review to determine the benefits of early developmental intervention pre or post hospital discharge (up to 12 months of age) on motor and cognitive development in preterm infants (born at less than 37 weeks' gestational age) with no significant congenital problems (Spittle, Orton, et al, 2012;Spittle et al, 2015).…”

Section: Early Interventionmentioning

confidence: 99%

“…Additional evidence indicating that parents may play a pivotal role in intervention amongst VLBW infants has been described by Wu et al (Wu et al, 2014). The authors performed a randomised controlled trial exploring the impact of a clinic-based intervention program and a home-based intervention program compared with standard care.…”

Section: Role Of Parents In Interventionmentioning

confidence: 99%

Physiotherapy intervention for 4-5 year old children born extremely preterm and/or extremely low birth weight

Brown¹

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Neurodevelopmental impairments amongst the extremely low birth weight (ELBW) or extremely preterm population are well recognised. However, support services for these children who have mild impairments are lacking. This research aimed to explore the performance of a group of non-disabled ELBW or extremely preterm children with minimal/mild impairments over a 12 month period at a critical time-point, coinciding with the commencement of formal education. Performance of these children was established, as well as whether impairments persist. Persistence of impairments may suggest a widening gap between performance of these children and expected performance of term born peers. Additionally, this research aimed to investigate the short term and longer term impact of group-based physiotherapy intervention compared to standard care. SubjectsFifty children born ELBW and/or extremely preterm (26 males; mean birth weight: 838.8g, SD 174.8g; mean gestational age: 27.0 weeks, SD 2.0 weeks) with minimal/mild motor impairments and a mean age (corrected for prematurity) of 50 months (SD 2.6 months) at baseline. Twenty-four children were randomised to intervention and 26 children to standard care. MethodsChildren were assessed by paediatric physiotherapists blinded to group allocation. A set testing protocol was used. Baseline assessment included: Movement Assessment Battery for Children second-edition (MABC-2), tests of postural stability and limb strength, Child Behavior Checklist (CBCL) and Beery Visual-Motor Integration Test 5 th Edition (Beery VMI). Following baseline assessment, children were randomly allocated to intervention or standard care. All children were assessed on motor and postural tests at the conclusion of the intervention. Goal Attainment Scaling (GAS) was utilised within the intervention group. At one year post baseline assessment, all children were assessed on baseline tests, as well as Peabody Picture Vocabulary Test 4 th Edition (PPVT-4). The group had low average motor co-ordination, lower than expected postural stability and strength, and acceptable behaviour. Mean percentile rank on MABC-2 was 31%.However, 30% of children had a score less than or equal to the 15 th percentile, indicating at risk of or having a definite motor problem and these children had poorer postural outcomes compared to children with normal motor performance. Behaviour was within normal range according to performance on CBCL, although between 11-15% of children had a score within the clinical range. Behaviour of males was poorer than that of females. Study IV: GAS to explore effect of group-based physiotherapy intervention on personal growth of non-disabled ELBW children Intervention was effective with GAS mean T score of the group exceeding the expected level (mean=58.17, SD=0.82). Goal attainment was associated with motor co-ordination 4 and children with better motor skills post intervention, were more successful in reaching goals. Females improved more than males on GAS. Study V: Behaviour of 4-5 year old non-disabled E...

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Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants

Spittle

Orton

Anderson

et al. 2015

Cochrane Database of Systematic Reviews

540

478

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A randomized controlled trial of clinic-based and home-based interventions in comparison with usual care for preterm infants: Effects and mediators

Cited by 37 publications

References 46 publications

Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents

Rethinking preventive post‐discharge intervention programmes for very preterm infants and their parents

Physiotherapy intervention for 4-5 year old children born extremely preterm and/or extremely low birth weight

Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants

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