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Joint Attention Development in Low-risk Very Low Birth Weight Infants at Around 18 Months of Age

Noriko Yamaoka1,2, Satoshi Takada1

  • 1Graduate School of Health Sciences, Kobe University, 10-7-2 Tomogaoka, Suma-ku, Kobe, 654-0142, Japan.

The Kobe Journal of Medical Sciences
|February 28, 2017
PubMed

Insights

Very low birth weight (VLBW) infants demonstrate developmental delays in joint attention skills compared to normal birth weight (NBW) infants. These differences in initiating and responding to joint attention may stem from underdeveloped verbal and fine motor functions.

Area of Science:

  • Developmental Psychology
  • Neonatal Studies
  • Pediatric Neurology

Background:

  • Joint attention is crucial for social and cognitive development.
  • Very low birth weight (VLBW) infants may face unique developmental challenges.
  • Understanding early developmental trajectories in VLBW infants is vital for timely intervention.

Purpose of the Study:

  • To investigate the joint attention development in VLBW infants without major complications.
  • To compare joint attention skills between VLBW and normal birth weight (NBW) infants.
  • To identify specific areas of difficulty in joint attention for VLBW infants.

Main Methods:

  • Utilized Section B of the Checklist for Autism in Toddlers (CHAT).
  • Observed 31 VLBW and 45 NBW infants aged 18-22 months.
  • Developed and employed a reliable semi-structured observation scale for video-recorded sessions.

Main Results:

  • VLBW infants showed significantly poorer skills in initiating joint attention (6/10 items).
  • VLBW infants also exhibited deficits in responding to joint attention (2/4 items).
  • VLBW infants required more cues to engage in joint attention behaviors.

Conclusions:

  • VLBW infants exhibit specific delays in joint attention development.
  • These delays are potentially linked to verbal and fine motor skill deficits.
  • Ongoing developmental monitoring is recommended for all VLBW infants and their families.

Keywords:
Checklist for Autism in Toddlers (CHAT)Joint attentionLow risk of complicationsVery low birth weight infants

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