Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with bronchopulmonary dysplasia

Aim Various early intervention programmes have been developed in response to the high rate of neurodevelopmental problems in very preterm infants. We investigated longitudinal effects of the Infant Behavioral Assessment and Intervention Program on cognitive and motor development of very preterm infa...

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Veröffentlicht in:Acta Paediatrica 2016-07, Vol.105 (7), p.773-781
Hauptverfasser: Van Hus, JWP, Jeukens-Visser, M, Koldewijn, K, Holman, R, Kok, JH, Nollet, F, Van Wassenaer-Leemhuis, AG
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container_end_page 781
container_issue 7
container_start_page 773
container_title Acta Paediatrica
container_volume 105
creator Van Hus, JWP
Jeukens-Visser, M
Koldewijn, K
Holman, R
Kok, JH
Nollet, F
Van Wassenaer-Leemhuis, AG
description Aim Various early intervention programmes have been developed in response to the high rate of neurodevelopmental problems in very preterm infants. We investigated longitudinal effects of the Infant Behavioral Assessment and Intervention Program on cognitive and motor development of very preterm infants at the corrected ages of six months to five and a half years. Methods This randomised controlled trial divided 176 infants with a gestational age
doi_str_mv 10.1111/apa.13387
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We investigated longitudinal effects of the Infant Behavioral Assessment and Intervention Program on cognitive and motor development of very preterm infants at the corrected ages of six months to five and a half years. Methods This randomised controlled trial divided 176 infants with a gestational age &lt;32 weeks or birthweight &lt;1500 g into intervention (n = 86) and control (n = 90) groups. Cognitive development and motor development were assessed with the Bayley Scales of Infant Development at the CAs of six, 12 and 24 months and at five and a half years with the Wechsler Preschool and Primary Scale of Intelligence and the Movement Assessment Battery for Children. Results We found significant longitudinal intervention effects (0.4 SD, p = 0.006) on motor development, but no significant impact on cognitive development (p = 0.063). Infants with bronchopulmonary dysplasia showed significant longitudinal intervention effects for cognitive (0.7 SD; p = 0.019) and motor (0.9 SD; p = 0.026) outcomes. Maternal education had little effect on intervention effects over time. Conclusion The Infant Behavioral Assessment and Intervention Program led to long‐term developmental improvements in the intervention group, especially in infants with BPD.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.13387</identifier><identifier>PMID: 26936312</identifier><language>eng</language><publisher>Norway: Blackwell Publishing Ltd</publisher><subject>Babies ; Birth weight ; Bronchopulmonary Dysplasia - complications ; Children ; Cognition ; Cognitive ability ; Cognitive and motor development ; Cognitive development ; Dysplasia ; Early intervention ; Educational Status ; Female ; Gestational age ; Humans ; Infant ; Infant Behavioral Assessment and Intervention Program ; Infant, Newborn ; Infant, Premature - growth &amp; development ; Infant, Very Low Birth Weight - growth &amp; development ; Infants ; Intelligence ; Lung diseases ; Male ; Motor Skills ; Neurodevelopmental Disorders - etiology ; Neurodevelopmental Disorders - prevention &amp; control ; Newborn babies ; Premature babies ; Very low birthweight ; Very preterm</subject><ispartof>Acta Paediatrica, 2016-07, Vol.105 (7), p.773-781</ispartof><rights>2016 Foundation Acta Pædiatrica. 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We investigated longitudinal effects of the Infant Behavioral Assessment and Intervention Program on cognitive and motor development of very preterm infants at the corrected ages of six months to five and a half years. Methods This randomised controlled trial divided 176 infants with a gestational age &lt;32 weeks or birthweight &lt;1500 g into intervention (n = 86) and control (n = 90) groups. Cognitive development and motor development were assessed with the Bayley Scales of Infant Development at the CAs of six, 12 and 24 months and at five and a half years with the Wechsler Preschool and Primary Scale of Intelligence and the Movement Assessment Battery for Children. Results We found significant longitudinal intervention effects (0.4 SD, p = 0.006) on motor development, but no significant impact on cognitive development (p = 0.063). Infants with bronchopulmonary dysplasia showed significant longitudinal intervention effects for cognitive (0.7 SD; p = 0.019) and motor (0.9 SD; p = 0.026) outcomes. Maternal education had little effect on intervention effects over time. 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development</topic><topic>Infants</topic><topic>Intelligence</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Motor Skills</topic><topic>Neurodevelopmental Disorders - etiology</topic><topic>Neurodevelopmental Disorders - prevention &amp; control</topic><topic>Newborn babies</topic><topic>Premature babies</topic><topic>Very low birthweight</topic><topic>Very preterm</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Hus, JWP</creatorcontrib><creatorcontrib>Jeukens-Visser, M</creatorcontrib><creatorcontrib>Koldewijn, K</creatorcontrib><creatorcontrib>Holman, R</creatorcontrib><creatorcontrib>Kok, JH</creatorcontrib><creatorcontrib>Nollet, F</creatorcontrib><creatorcontrib>Van Wassenaer-Leemhuis, AG</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Hus, JWP</au><au>Jeukens-Visser, M</au><au>Koldewijn, K</au><au>Holman, R</au><au>Kok, JH</au><au>Nollet, F</au><au>Van Wassenaer-Leemhuis, AG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with bronchopulmonary dysplasia</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2016-07</date><risdate>2016</risdate><volume>105</volume><issue>7</issue><spage>773</spage><epage>781</epage><pages>773-781</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim Various early intervention programmes have been developed in response to the high rate of neurodevelopmental problems in very preterm infants. We investigated longitudinal effects of the Infant Behavioral Assessment and Intervention Program on cognitive and motor development of very preterm infants at the corrected ages of six months to five and a half years. Methods This randomised controlled trial divided 176 infants with a gestational age &lt;32 weeks or birthweight &lt;1500 g into intervention (n = 86) and control (n = 90) groups. Cognitive development and motor development were assessed with the Bayley Scales of Infant Development at the CAs of six, 12 and 24 months and at five and a half years with the Wechsler Preschool and Primary Scale of Intelligence and the Movement Assessment Battery for Children. Results We found significant longitudinal intervention effects (0.4 SD, p = 0.006) on motor development, but no significant impact on cognitive development (p = 0.063). Infants with bronchopulmonary dysplasia showed significant longitudinal intervention effects for cognitive (0.7 SD; p = 0.019) and motor (0.9 SD; p = 0.026) outcomes. Maternal education had little effect on intervention effects over time. Conclusion The Infant Behavioral Assessment and Intervention Program led to long‐term developmental improvements in the intervention group, especially in infants with BPD.</abstract><cop>Norway</cop><pub>Blackwell Publishing Ltd</pub><pmid>26936312</pmid><doi>10.1111/apa.13387</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals; Alma/SFX Local Collection
subjects Babies
Birth weight
Bronchopulmonary Dysplasia - complications
Children
Cognition
Cognitive ability
Cognitive and motor development
Cognitive development
Dysplasia
Early intervention
Educational Status
Female
Gestational age
Humans
Infant
Infant Behavioral Assessment and Intervention Program
Infant, Newborn
Infant, Premature - growth & development
Infant, Very Low Birth Weight - growth & development
Infants
Intelligence
Lung diseases
Male
Motor Skills
Neurodevelopmental Disorders - etiology
Neurodevelopmental Disorders - prevention & control
Newborn babies
Premature babies
Very low birthweight
Very preterm
title Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with bronchopulmonary dysplasia
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