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Effect of home visit training program on growth and development of preterm infants: a double blind randomized
Mitra Edraki1, Hossian Moravej2, Masoume Rambod3
1Community Based Psychiatric Care Research Center, Department of Pediatric Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Insights
Home visiting programs significantly improved preterm infants' weight and developmental milestones by six months. This intervention is recommended for healthcare providers to enhance preterm infant health outcomes.
Area of Science:
- Pediatrics
- Neonatal Care
- Developmental Psychology
Background:
- Home visit programs can positively impact infant growth and development.
- Preterm infants require specialized support for optimal development.
- This study investigates the efficacy of home visits for preterm infants.
Purpose of the Study:
- To evaluate the effect of a home visit program on preterm infants' growth.
- To assess the impact of home visits on preterm infants' development up to six months.
- To provide evidence for integrating home visit training into neonatal care.
Main Methods:
- A double-blind clinical trial involving 60 preterm infants (30 intervention, 30 control).
- Intervention group received 6 months of home visit training; control group received routine care.
- Growth indexes (weight, height, head circumference) and developmental criteria were assessed at multiple time points.
Main Results:
- Infants in the home visit group showed significantly higher mean weight at six months (7207.3g vs 6366.7g).
- Significant improvements were observed in developmental milestones, including head stabilization, object tracking, vocalization, and grasping.
- The intervention group demonstrated superior outcomes in key growth and developmental markers.
Conclusions:
- Home visit programs are effective in promoting weight gain in preterm infants.
- The program positively influences specific developmental milestones in the first six months of life.
- Healthcare professionals should consider incorporating home visit training to improve preterm infant health.
Background:
Home visit program can be effective in infants' growth and development. The present study aimed to investigate the effect of home visit program on preterm infants' growth and development within 6 months.
Methods:
It was a double-blind clinical trial study. The study was conducted in Hafez, Hazrat-e-Zeinab, and Namazee Hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from 2010 to 2011. Preterm infants were divided into intervention (n=30) and control groups (n=30) through blocked randomization. The intervention group received home visit training program for 6 months, while the control group only received the hospital's routine care. Then, the infants' growth indexes, including weight, height, and head circumference, and development criteria were compared on the first day of admission in Neonatal Intensive Care Unit, and then first, second, third, and sixth months. The data were analyzed using Chi-square, independent t-test, and repeated measures ANCOVA.
Results:
The mean weight of the intervention and control group infants was 7207.3±1129.74 and 6366.7±922.26 gr in the sixth month. Besides, the intervention group infants' mean weight was higher compared to the control group after six months (t=-3.05, P=0.03). Also, a significant difference was found between the two groups regarding development indexes, such as following moving objects with the head, keeping the head stable when changing the position from lying to sitting, producing "Agha" sound, and taking objects by hand (P<0.05) during six months of age.
Conclusion:
The results showed that the home visit program was effective in preterm infants' weight gain and some development indexes at the sixth month. Considering the importance of infants' growth and development, healthcare staff is recommended to incorporate home visit training into their programs, so that steps can be taken towards improvement of preterm infants' health.
Trial Registration Number:
IRCT2014082013690N3
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