Effect of Family-Centered Care Interventions on Motor and Neurobehavior Development of Very Preterm Infants: A Systematic Review and Meta-Analysis
- Forfatter(e)
- Raghupathy, M. K., Parsekar, S. S., Nayak, S. R., Karun, K. M., Khurana, S., Spittle, A. J., Lewis, L. E. S., Rao, B. K.
- År
- 2025
- Tidsskrift
- Physical & Occupational Therapy in Pediatrics
- Sider
- 1-30
- Kategori(er)
- For tidlig fødsel Kognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner) Språk og motorikkSosiale ferdigheter (inkl. vennerelasjoner)
- Tiltakstype(r)
- Foreldreveiledning/-terapi
- Abstract
AIM
To assess the effectiveness of family-centered care (FCC) interventions on motor and neurobehavior development of very preterm infants.
METHOD
Randomized and quasi-randomized trials assessing the effect of FCC on motor and neurobehavioral outcomes in very preterm infants (28-32 wk gestation) were included. Five electronic databases and grey literature were searched from January 2010 to August 2022. Two reviewers independently screened the titles/abstracts and full texts, assessed the risk of bias, and extracted data. The Cochrane Risk of Bias 2.0 Tool and GRADE were used for risk and evidence certainty assessments. Meta-analysis or narrative synthesis was performed based on data availability and heterogeneity.
RESULTS
Seventeen trials with 21 publications were included. GRADE showed low to moderate evidence. At 24 months, FCC interventions improved motor development (Mean Difference (MD):5.00, 95% CI: 2.58-7.42), cognitive development (MD: 3.64, 95% CI: 1.15-6.12), and behavior development (MD: -2.40, 95% CI: -4.32, -0.48) compared to control groups. Further, the FCC showed minimal or inconclusive effects on language, communication, and personal social development measured anytime between newborn and 24 months of age.
CONCLUSIONS
Early initiated FCC interventions can be a promising approach to improve motor, cognition, and behavioral development in very preterm infants.