Randomised trial of parental support for families with very preterm children: outcome at 5 years.
Aims: To test the effectiveness of a home based developmental education intervention in improving outcome at 5 years for very preterm infants.Methods: The Avon Premature Infant Project (APIP) is a randomised controlled trial in which the parents of 284 babies born <33 weeks gestational age received...
| Publicado en: | Archives of Disease in Childhood Vol. 90; no. 9; pp. 909 - 916 |
|---|---|
| Autores principales: | , , , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Sep2005
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106542923&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106542923 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039888 6PU jtl: Archives of Disease in Childhood issn: 00039888 maglogo: N pubinfo: dt: Sep2005 vid: 90 iid: 9 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 106542923 106542923 2009042712 10.1136/adc.2004.057620 NLM15899921 106542923 ppf: 909 ppct: 7 formats: tig: atl: Randomised trial of parental support for families with very preterm children: outcome at 5 years. aug: au: Johnson S Ring W Anderson P Marlow N affil: Division of Child Health, University of Nottingham, UK sug: subj: Developmental Disabilities Prevention and Control Early Childhood Intervention Infant, Premature Parents Education Support, Psychosocial Birth Weight Chi Square Test Child Behavior Checklist Child Development Clinical Trials Cognition Confidence Intervals Counseling Data Analysis Software Descriptive Statistics Female Funding Source Infant, Newborn Infant, Very Low Birth Weight Kruskal-Wallis Test Linear Regression Male Mann-Whitney U Test Motor Skills One-Way Analysis of Variance Random Assignment Relative Risk Scales Human Infant, Newborn: birth-1 month Female Male ab: Aims: To test the effectiveness of a home based developmental education intervention in improving outcome at 5 years for very preterm infants.Methods: The Avon Premature Infant Project (APIP) is a randomised controlled trial in which the parents of 284 babies born <33 weeks gestational age received a developmental education programme, a social support intervention, or standard care. A term reference population was also recruited. This study reports outcomes at 5 years (mean age 58 months 15 days) for 187 (66%) of these children without disability. Outcomes were assessed using the British Ability Scales II for cognitive development, the Movement ABC for motor impairment, and the Child Behavior Checklist for behavioural problems.Results: Preterm infants showed poorer cognitive performance than their term peers. Mean (SD) general conceptual ability (GCA) scores were: Portage 99.2 (15.7); parent adviser 100.3 (14.8); preterm control 101.1 (15.0); term reference 107.2 (13.4). There were no significant differences between preterm groups in GCA scores indicating no effect of either intervention. Similarly, there was no significant effect of intervention on behavioural or motor outcomes. Further analyses, in which outcome data were adjusted for social factors, did not reveal any differences between the three preterm groups or by subgroups classified by a range of perinatal variables.Conclusion: The small advantage shown at 2 years of age is no longer detectable at 5 years. These results question the effectiveness of early intervention in enhancing cognitive, behavioural, and motor function at 5 years. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|