Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis
- Forfatter(e)
- Vanderveen, J. A. Bassler, D. Robertson, C. M. Kirpalani, H.
- År
- 2009
- Tidsskrift
- Journal of Perinatology
- Sider
- 343-51
- Kategori(er)
- Kognisjon (hukommelse, oppmerksomhet og eksekutive funksjoner) Språk og motorikkFor tidlig fødsel
- Tiltakstype(r)
- Foreldreveiledning/-terapiTiltak rettet mot gravide og barselkvinner
- 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=25) used a variety of interventions including parent education, infant stimulation, home visits or individualized developmental care. Meta-analysis at 12 months (N=2198 infants) found significantly higher mental (N=2198) and physical (N=1319) performance scores favoring the intervention group. At 24 months, the mental (N=1490) performance scores were improved, but physical (N=1025) performance scores were not statistically significant. The improvement in neurodevelopmental outcome was not sustained at 36 months (N=961) and 5 years (N=1017).
CONCLUSION: Positive clinically meaningful effects (>5 points) are seen to an age of 36 months, but are no longer present at 5 years. [References: 81]