Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/20615
Title: Behavioural and cognitive outcomes following an early stress-reduction intervention for very preterm and extremely preterm infants.
Authors: Milgrom, Jeannette;Martin, Paul R;Newnham, Carol;Holt, Christopher J;Anderson, Peter J;Hunt, Rod W;Reece, John;Ferretti, Carmel;Achenbach, Thomas;Gemmill, Alan W
Affiliation: Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, VIC, 3010, Australia
Department of Neonatal Medicine, The Royal Children's Hospital, Melbourne, VIC, 3052, Australia
Departments of Obstetrics and Gynaecology, and Paediatrics, University of Melbourne, Melbourne, VIC, 3052, Australia
Monash Institute of Cognitive and Clinical Neurosciences, Melbourne, VIC, 3800, Australia
Research School of Psychology, The Australian National University, Canberra, ACT, 2000, Australia
Parent-Infant Research Institute, Department of Clinical & Health Psychology, Austin Health, Heidelberg, Victoria, Australia
School of Psychological Sciences, Australian College of Applied Psychology, Melbourne, VIC, 3000, Australia
Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, 3052, Australia
Department of Psychiatry, University of Vermont, Burlington, VT, 05405, USA
Issue Date: 9-Apr-2019
EDate: 2019-04-09
Citation: Pediatric research 2019; online first: 9 April
Abstract: The landmark findings of the Mother-Infant Transaction Program (MITP) showing improved neurodevelopment of preterm infants following parent-sensitivity training delivered in the neonatal intensive care unit have not been consistently replicated. This study evaluated an MITP-type intervention in terms of neurobehavioural development to preschool age. A randomised controlled trial involved 123 very preterm and extremely preterm infants allocated to either a parent-sensitivity intervention (PremieStart, n = 60) or to standard care (n = 63). When children were 2 and 4.5 years corrected age, parents completed the Child Behavior Checklist (CBCL). General development was assessed at 2 years with the Bayley Scales of Infant Development (Bayley-III). At 4.5 years, cognitive functioning was assessed with the Wechsler Preschool and Primary Scale of Intelligence (WPPSI-III) and executive functioning with the NEPSY-II. There were no significant between-group differences in behaviour problems at 2 or 4.5 years, general development at 2 years, or cognitive and executive functioning at 4.5 years. Advances in the quality of neonatal intensive care may mean that MITP-type interventions now have limited additional impact on preterm infants' long-term neurobehavioural outcomes. The gestational age of infants and the exact timing of intervention may also affect its efficacy.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20615
DOI: 10.1038/s41390-019-0385-9
ORCID: 0000-0002-4082-4595
PubMed URL: 30965355
Type: Journal Article
Appears in Collections:Journal articles

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