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Rethinking preventive post-discharge intervention programmes for very preterm infants and their parents
Aleid G van Wassenaer-Leemhuis1, Martine Jeukens-Visser2, Janeline W P van Hus2
1Department of Neonatology, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.
Developmental Medicine and Child Neurology
|March 31, 2016
Summary
Post-discharge family-centered interventions enhance very preterm infant development and resilience. These programs, supporting responsive parenting and maternal well-being, show modest but lasting cognitive and motor improvements.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Public health interventions
Background:
- Infants born very preterm face developmental challenges.
- Post-discharge support is crucial for their resilience and long-term outcomes.
- Family-centered interventions show promise in addressing these needs.
Purpose of the Study:
- To review the content and effects of home-based, family-centered intervention programs for very preterm infants.
- To assess the long-term impact of these interventions on cognitive and motor development.
- To identify key components for effective post-discharge support.
Main Methods:
- A narrative review of six randomized controlled trials of home-based, family-centered intervention programs.
- Updated systematic review data to compare program content and effects over time.
- Focused on interventions aiming to improve cognitive outcomes by age two.
Main Results:
- Four of the six reviewed programs improved child cognitive and/or motor development.
- Interventions emphasizing responsive parenting yielded cognitive improvements up to 5 years post-program.
- Programs addressing maternal anxiety improved maternal well-being and child behavior, with effects lasting up to 3 years.
Conclusions:
- Family-centered preventive interventions post-discharge are vital for preterm infant resilience.
- Effective programs support the parent-infant relationship and parental well-being.
- Modest but sustained improvements in development and behavior are achievable.
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