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A neurobehavioral intervention and assessment program in very low birth weight infants: outcome at 24 months.
Koldewijn, Karen; van Wassenaer, Aleid; Wolf, Marie-Jeanne; Meijssen, Dominique; Houtzager, Bregje; Beelen, Anita; Kok, Joke; Nollet, Frans.
Afiliação
  • Koldewijn K; Department of Rehabilitation, Academic Medical Center, University of Amsterdam, The Netherlands.
J Pediatr ; 156(3): 359-65, 2010 Mar.
Article em En | MEDLINE | ID: mdl-19880139
OBJECTIVE: To determine whether the Infant Behavioral Assessment and Intervention Program (IBAIP) improves development and behavior in very low birth weight (VLBW) infants at 24-month corrected age. STUDY DESIGN: In a multicenter, randomized, controlled trial 86 infants received postdischarge intervention until 6-month corrected age. The intervention consisted of supporting infants' self-regulation and development, and facilitating sensitive parent-infant interactions; 90 control infants received regular care. At 6 months, positive intervention effects were found. At 24 months, development and behavior were evaluated with the Bayley Scales of Infant Development-II (BSID-II) and the Child Behavior Check List (CBCL). RESULTS: Eighty-three intervention and 78 control infants were available for follow-up. After adjustment for differences in perinatal characteristics, an intervention effect of 6.4 points (+/- standard error, 2.4) on the Psychomotor Developmental Index favored the intervention infants. Groups did not differ on the Mental Developmental Index, the Behavioral Rating Scale of the BSID-II, or on the CBCL. Subgroup analyses revealed improved motor as well as improved mental outcomes in intervention infants with bronchopulmonary dysplasia and with combined biological and social risk factors. CONCLUSIONS: The IBAIP shows sustained motor improvement in VLBW infants until 2-year corrected age.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desenvolvimento Infantil / Deficiências do Desenvolvimento / Comportamento do Lactente / Intervenção Educacional Precoce / Recém-Nascido de muito Baixo Peso / Exame Neurológico Tipo de estudo: Clinical_trials / Etiology_studies / Risk_factors_studies Limite: Child, preschool / Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
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XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desenvolvimento Infantil / Deficiências do Desenvolvimento / Comportamento do Lactente / Intervenção Educacional Precoce / Recém-Nascido de muito Baixo Peso / Exame Neurológico Tipo de estudo: Clinical_trials / Etiology_studies / Risk_factors_studies Limite: Child, preschool / Female / Humans / Male / Newborn Idioma: En Revista: J Pediatr Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Holanda País de publicação: Estados Unidos