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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Are former late-preterm children at risk for child vulnerability and overprotection?
Haifa A Samra1, Jacqueline M McGrath, Howard Wey
1South Dakota State University, College of Nursing, Brookings, SD 57007, United States. haifa.samra@sdstate.edu
Insights
Late-preterm birth history did not predict parent perception of child vulnerability, overprotection, or healthcare use in healthy children. Further research is needed in diverse populations to understand risks and develop interventions.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Maternal and Child Health
Background:
- Parent perception of child vulnerability (PPCV) and parent overprotection (POP) can impact child development.
- Concerns exist regarding suboptimal developmental outcomes in late-preterm children (34-36 6/7 weeks gestation).
Purpose of the Study:
- To examine the relationship between late-preterm birth history and PPCV, POP, and healthcare utilization (HCU).
Main Methods:
- Cross-sectional observational study of 54 mothers and their healthy singleton children (aged 3-8 years).
- Recruitment from community centers, WIC, primary care, and daycare.
- Measures included Forsyth Child Vulnerability Scale (CVS), Thomasgard Parent Protection Scale (PPS), and HCU, with covariates like maternal stress and depression.
Main Results:
- Healthcare utilization (HCU) and PPS subscales (supervision, separation) predicted PPCV.
- Child's age and CVS scores predicted POP.
- Maternal age, stress, and CVS scores predicted HCU.
- PPS dependence subscale correlated with child's age and gender.
Conclusions:
- Late-preterm birth history did not predict PPCV, POP, or HCU in healthy children.
- Larger, diverse samples are needed to understand causal relationships and develop risk-reduction strategies.
Background:
Parent perception of child vulnerability (PPCV) and parent overprotection (POP) are believed to have serious implications for age appropriate cognitive and psychosocial development in very low birth weight preterm children.
Aim:
With recent concerns about suboptimal developmental outcomes in late-preterm children, this study was aimed at examining the relationship between history of late-preterm birth (34-36 6/7 weeks gestation), and PPCV, POP, and healthcare utilization (HCU).
Study Design:
This was a cross-sectional observational design.
Participants:
Study participants were mothers of 54 healthy singleton children recruited from community centers including Women and Children Clinics (WIC), primary care clinics and daycare centers in the upper Midwest region.
Outcome Measures:
Outcome measures included Forsyth Child Vulnerability Scale (CVS), Thomasgard Parent Protection Scale (PPS) scores, and healthcare utilization (HCU). Potential covariates included history of life-threatening illness, child and maternal demographics, and maternal stress and depression using the Center for Epidemiologic Studies Depression Scale (CESD).
Results:
HCU (p=0.02) and the PPS subscales of supervision (p=0.003) and separation (p=0.03) were significant predictors of PPCV in mothers of 3-8 years old children with late-preterm history. Age of the child (p=0.008) and CVS scores (p=0.005) were significant predictors of POP. Maternal age (p=0.04), stress (p=0.04), and CVS scores (p=0.003) were significant predictors of HCU. Dependence, a subscale of the PPS, correlated with the child's age and gender even after controlling for age.
Conclusion:
History of late-preterm did not predict MPCV, MOP, or HCU in healthy children. Future research is needed in larger more diverse samples to better understand causal relationships and develop strategies to lessen risks of MPCV and MOP.
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