Behavioural and cognitive outcomes following an early stress-reduction intervention for very preterm and extremely preterm infants.

2019-07

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

Journal Article

0000-0002-4082-4595

10.1038/s41390-019-0385-9

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.

link

Pediatric research 2019; 86(1): 92-99

Pediatric research