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Long-term Benefits of Home-based Preventive Care for Preterm Infants: A Randomized Trial.
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- Author(s): Spencer-Smith, Megan M.; Spittle, Alicia J.; Doyle, Lex W.; Lee, Katherine J.; Lorefice, Lucy; Suetin, Anastasiya; Pascoe, Leona; Anderson, Peter J.
- Source:
Pediatrics. Dec2012, Vol. 130 Issue 6, p1094-1101. 8p. 1 Diagram, 4 Charts. - Source:
- Additional Information
- Subject Terms: PSYCHOLOGY of caregivers; CONFIDENCE intervals; EPIDEMIOLOGY; GESTATIONAL age; HOME care services; INFANT psychology; PREMATURE infants; EVALUATION of medical care; MENTAL health; PARENT-infant relationships; PREVENTIVE health services; QUESTIONNAIRES; REGRESSION analysis; RESEARCH funding; STATISTICAL sampling; SCALES (Weighing instruments); DATA analysis; EDINBURGH Postnatal Depression Scale; RANDOMIZED controlled trials; DATA analysis software
- Subject Terms:
- Abstract: BACKGROUND: We have previously reported improved caregiver mental health and infant behavior at 2 years following a home-based preventive care program for very preterm infants and their caregivers. This study aimed to determine the longer-term effectiveness of the program by reviewing caregivers and children at preschool age. METHODS: One hundred twenty very preterm infants (<30 weeks' gestation) were randomly allocated to intervention (n = 61) or control (n = 59) groups. The intervention included 9 home visits over the first year of life targeting infant development, parent mental health, and the parent-infant relationship. The control group received standard care. At 4 years' corrected age, child cognitive, behavioral, and motor functioning and caregiver mental health were assessed. RESULTS: At age 4 years, 105 (89%) children were reviewed. There was little evidence of differences in cognitive or motor functioning between groups. The intervention group had lower scores for child internalizing behaviors than the control group (mean difference -5.3, 95% confidence interval [CI] -9.6 to -0.9, P = .02). Caregivers in the intervention group had fewer anxiety symptoms (mean difference -1.8, 95% CI -3.3 to -0.4, P = .01) and were less likely to exhibit "at-risk" anxiety (odds ratio 0.3, 95% CI 0.1 to 0.7, P = .01) than those in the control group. CONCLUSIONS: This home-based preventive care program for very preterm infants has selective long-term benefits, including less caregiver anxiety and reduced preschooler internalizing behaviors. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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