Journal
JOURNAL OF PEDIATRICS
Volume 156, Issue 3, Pages 359-365Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.jpeds.2009.09.009
Keywords
-
Categories
Funding
- Innovatiefonds Zorgverzekeraars [576]
- ZonMw (Zorg Onderzoek Nederland) [62200032]
Ask authors/readers for more resources
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. (J Pediatr 2010;156:359-65).
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available