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Early intervention leads to long-term developmental improvements in very preterm infants, especially infants with

Jwp Van Hus1, M Jeukens-Visser1, K Koldewijn1

  • 1Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

Acta Paediatrica (Oslo, Norway : 1992)
|March 4, 2016
PubMed

Insights

The Infant Behavioral Assessment and Intervention Program improved motor development in very preterm infants. Benefits were most significant for infants with bronchopulmonary dysplasia, showing gains in both cognitive and motor skills.

Area of Science:

  • Developmental Pediatrics
  • Neonatology
  • Clinical Psychology

Background:

  • Very preterm infants face high rates of neurodevelopmental problems.
  • Early intervention programs are crucial for mitigating these issues.
  • Longitudinal data is needed to assess the long-term impact of interventions.

Purpose of the Study:

  • To evaluate the longitudinal effects of the Infant Behavioral Assessment and Intervention Program.
  • To assess impacts on cognitive and motor development in very preterm infants.
  • To examine outcomes from six months to five and a half years corrected age.

Main Methods:

  • Randomized controlled trial with 176 very preterm infants (gestational age <32 weeks or birthweight <1500 g).
  • Intervention group (n=86) received the program; control group (n=90) did not.
  • Cognitive and motor development assessed using Bayley Scales, Wechsler Preschool and Primary Scale of Intelligence, and Movement Assessment Battery for Children.

Main Results:

  • Significant longitudinal improvements in motor development (0.4 SD, p=0.006) were observed in the intervention group.
  • No significant impact on overall cognitive development (p=0.063).
  • Infants with bronchopulmonary dysplasia showed significant gains in both cognitive (0.7 SD, p=0.019) and motor (0.9 SD, p=0.026) outcomes.

Conclusions:

  • The Infant Behavioral Assessment and Intervention Program promotes long-term developmental improvements.
  • The intervention is particularly beneficial for very preterm infants with bronchopulmonary dysplasia.
  • Maternal education showed minimal influence on intervention effects over time.
Abstract

Keywords:
Cognitive and motor developmentEarly interventionInfant Behavioral Assessment and Intervention ProgramVery low birthweightVery preterm

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