Randomized Trial of a Parenting Intervention for Very Preterm Infants: Outcome at 2 Years - 08/08/11
, Andrew Whitelaw, MD, FRCPCH b, Cris Glazebrook, PhD, CPsychol c, Chrissie Israel, RN, RSCN b, Rebecca Turner, PhD d, Ian R. White, MSc d, Tim Croudace, PhD e, Franca Davenport, MSc b, Neil Marlow, DM, FMedSci f
Reprint requests: Dr Samantha Johnson, Institute for Women’s Health, 86-96 Chenies Mews, London, WC1E 6HX UK.Abstract |
Objectives |
To determine the efficacy of a neonatal parenting intervention for improving development in very preterm infants.
Study design |
A cluster-randomized, controlled trial with a cross-over design and washout period was conducted in 6 neonatal centers. Two hundred thirty-three babies <32 weeks’ gestation were recruited (intervention = 112; control = 121). Intervention families received weekly Parent Baby Interaction Programme (PBIP) sessions during neonatal intensive care unit admission and up to 6 weeks after discharge. Control families received standard care. All 195 infants remaining in the study at 24 months’ corrected age were assessed by psychologists blinded to group allocation.
Results |
There was no significant difference in Mental Development Index (−0.9 points; 95% CI, −5.0, 3.2) or Psychomotor Development Index (2.5; −3.3, 8.4) scores between the intervention and control groups and no significant effect of intervention on Mental Development Index or Psychomotor Development Index scores for subgroups dichotomized by gestational age (<28 weeks/≥28 weeks), parity (1st/other child) or mother’s cohabiting status (supported/unsupported).
Conclusions |
There was no effect of PBIP on infant development at 2 years’ corrected age. Parenting interventions may be better delivered after discharge or targeted for preterm infants with high biological and social risk.
Le texte complet de cet article est disponible en PDF.Mots-clés : BSID-II, IMD, MDI, NICU, PDI, PBIP, PSI, RN
Plan
| Supported by the Health Foundation, London, United Kingdom |
|
| The authors have no conflicts of interest to declare. |
Vol 155 - N° 4
P. 488 - octobre 2009 Retour au numéro
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