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The effect of the Infant Health and Development Program on special education use at school age.
Litt, Jonathan S; Glymour, Maria; Hauser-Cram, Penny; Hehir, Thomas; McCormick, Marie C.
Afiliação
  • Litt JS; Harvard School of Public Health, Boston, MA; Harvard Medical School, Boston, MA; Beth Israel Deaconess Medical Center, Boston, MA. Electronic address: jonathan.litt@bidmc.harvard.edu.
  • Glymour M; Beth Israel Deaconess Medical Center, Boston, MA; University of California, San Francisco, San Francisco, CA.
  • Hauser-Cram P; Boston College, Boston, MA.
  • Hehir T; Harvard Graduate School of Education, Cambridge, MA.
  • McCormick MC; Harvard School of Public Health, Boston, MA; Harvard Medical School, Boston, MA; Beth Israel Deaconess Medical Center, Boston, MA.
J Pediatr ; 166(2): 457-62.e1, 2015 Feb.
Article em En | MEDLINE | ID: mdl-25449222
OBJECTIVES: To evaluate the effect of an intensive early intervention on special service use at school-age. STUDY DESIGN: The Infant Health and Development Program was a randomized controlled trial of an intervention for low birth weight (<2500 g) infants ages 0-3 years. We used multivariate logistic regression to test the association between intervention and risk of special education, remedial reading and math, and speech therapy at age 8 years. We also compared rates of service use between study arms among those with learning disabilities (LDs). RESULTS: There were 875 complete cases at 8-year follow-up. There were no statistically significant differences between groups in risk of special education (risk ratio [RR] 0.86, 95% CI 0.64-1.15), remedial reading (RR 0.88, 95% CI 0.68-1.14), remedial math (RR 0.92, 95% CI 0.63-1.34), or speech therapy (RR 0.87, 95% CI 0.62-1.23). The treatment arms did not differ in rates of LDs, and service use for those with LDs was low and unaffected by study group. CONCLUSIONS: Early gains in IQ from infant interventions may not protect children as they face the educational demands of grade school. Only a fraction of those having a LD were receiving school-based support services, indicating a high level of unmet need among low birth weight children with disabilities.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intervenção Educacional Precoce / Educação Inclusiva Tipo de estudo: Clinical_trials Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Intervenção Educacional Precoce / Educação Inclusiva Tipo de estudo: Clinical_trials Limite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Ano de publicação: 2015 Tipo de documento: Article País de publicação: Estados Unidos