Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

Abstract

Objective: To determine in a systematic review, whether interventions for infant development that involve parents, improve neurodevelopment at 12 months corrected age or older.Study Design: Randomized trials were identified where an infant intervention was aimed to improve development and involved parents of preterms; and long-term neurodevelopment using standardized tests at 12 months (or longer) was reported.Result: Identified studies (n ¼ 25) used a variety of interventions including parent education, infant stimulation, home visits or individualized developmental care. Meta-analysis at 12 months (N ¼ 2198 infants) found significantly higher mental (N ¼ 2198) and physical (N ¼ 1319) performance scores favoring the intervention group. At 24 months, the mental (N ¼ 1490) performance scores were improved, but physical (N ¼ 1025) performance scores were not statistically significant. The improvement in neurodevelopmental outcome was not sustained at 36 months (N ¼ 961) and 5 years (N ¼ 1017). Conclusion:Positive clinically meaningful effects (>5 points) are seen to an age of 36 months, but are no longer present at 5 years.

The Relationship Among Caregiver Depressive Symptoms, Parenting Behavior, and Family-Centered Care

“…Parenting behaviors included routines, enrichment, punitive disciplinary behaviors, positive disciplinary strategies, and childproofing (see descriptions below). Recent literature has defined positive parenting behaviors that have been associated with optimal child health and developmental outcomes as well as negative parenting behaviors that have been associated with adverse child outcomes (Belsky & Jaffee, 2006;Belsky & Pluess, 2009;Chronis et al, 2007;de Graaf, Speetjens, Smit, de Wolff, & Tavecchio, 2008a, 2008bJuffers, Bakersmans-Kraneburg, & Van Ijzendoorn, 2008a, 2008bLandry & Smith, 2011;Landry, Smith, & Swank, 2006;Landry, Smith, Swank, & Guttentag, 2008;Matsumoto, Sofronoff, & Sanders, 2010;Morrongiello & Kiriakou, 2004;Mulvaney & Mebert, 2010;Nowak & Heinrichs, 2008;Perrin, Sheldrick, McMenamy, Henson, & Carter, 2014;Sanders, Bor, & Morawska, 2007;Shonkoff, 2010;Shonkoff, Garner, et al, 2012;Spijkers, Jansen, de Meer, & Reijneveld, 2010;Tamis-LeMonda & Baumwell, 2011;Thomas & Zimmer-Gembeck, 2007;Vanderveen, Bassler, Robertson, & Kirpalani, 2009;Wiggins, Sofronoff, & Sanders, 2009). The parenting behaviors described below fit with the current conceptualization of positive and negative parenting behavior.…”

Aquisição do controle postural por meio de posturas altas em prematuro extremo com diagnóstico de displasia broncopulmonar grave: relato de caso

“…The sensory system starts functioning even before its complete maturity. In preterm infants occur sensory loss in facilitating and inducing neural maturation and development, (23) and postural adjustments, as a result of low muscle tone and self-organization disability, favor the extension position and hinder the movements in flexion, (23) which favors the engine performance delays. (24) In addition, tactile and vestibular receptors receive little stimulation, while the vision and hearing are superstimulated by disorganized and in excess stimulation of human activity and environmental equipment with damage to the development of premature infants.…”

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

“…These children who accessed therapy may have performed more favourably at assessment 3 than if they had not been exposed to therapy. The importance of involving parents/guardians in the care of their child and the possible benefits this may have on neurodevelopmental outcomes of preterm children has been demonstrated (Vanderveen et al, 2009). …”

“…Involvement of parents in their child's intervention is also important as this interaction has been shown to have advantages (Vanderveen et al, 2009). Therefore, if intervention is provided to non-disabled extremely preterm or ELBW children, it may better prepare these children for school and in the long term, improve their quality of life.…”

“…Vanderveen et al investigated whether interventions that involve parents improve neurodevelopmental outcomes at 12 months corrected age or older for preterm or LBW infants (Vanderveen et al, 2009). In this systematic review, intervention included parent education, infant stimulation, home visits or individualised developmental care, with the intervention commencing during the first year of life.…”