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Patterns of everyday functioning in preschool children born preterm and at term

Anna Karin Andersson1, Lene Martin1, Katarina Strand Brodd2

  • 1School of Health, Care and Welfare, Mälardalen University, Box 883, SE-721 23 Västerås, Sweden.

Research in Developmental Disabilities
|June 27, 2017
PubMed

Insights

Most preschool children born preterm demonstrate strong everyday functioning. However, some experience challenges, with factors beyond prematurity influencing their development and daily life.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Preterm birth is associated with neonatal complications, but long-term effects on preschool children's daily functioning are not well understood.
  • Understanding these long-term consequences is crucial for early intervention and support.

Purpose of the Study:

  • To identify distinct patterns of everyday functioning in preschool children born preterm and at term.
  • To examine the relationship between functioning patterns and perinatal data, neonatal risk factors, behavior, and socioeconomic status.

Main Methods:

  • A person-oriented approach utilizing cluster analysis was employed.
  • Data were collected from registry records and parent-rated questionnaires for 331 children.

Main Results:

  • A seven-cluster solution identified patterns of everyday functioning, explaining 65.91% of the variance.
  • The majority of children (n=232) exhibited strong everyday functioning, while a minority (n=99) showed diverse patterns of weak functioning.
  • Preterm birth, neonatal risk factors, and socioeconomic status did not predict cluster membership; preterm children were present in all functioning groups.

Conclusions:

  • Most preschool children, including those born preterm, are perceived by parents as having strong everyday functioning.
  • Weak everyday functioning in some children is influenced by multiple factors, not solely preterm birth.
  • A holistic approach considering individual, behavioral, and environmental factors is essential for understanding and supporting children's everyday functioning.
Abstract

Keywords:
Child developmentChildren born pretermCluster analysisEveryday functioningPerson-oriented research

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