Behavioural and cognitive outcomes following an early stress-reduction intervention for very preterm and extremely

Jeannette Milgrom1,2, Paul R Martin3, Carol Newnham1

  • 1Parent-Infant Research Institute, Department of Clinical & Health Psychology, Austin Health, Melbourne, VIC, 3081, Australia.

Pediatric Research
|April 10, 2019
PubMed

Insights

Parent-sensitivity training did not improve neurobehavioural outcomes in very preterm infants up to preschool age. Advances in neonatal intensive care may limit the impact of such interventions.

Area of Science:

  • Neonatal care
  • Developmental psychology
  • Pediatric neurodevelopment

Background:

  • The Mother-Infant Transaction Program (MITP) previously showed improved neurodevelopment in preterm infants.
  • Replication of MITP's success has been inconsistent.
  • This study investigates an MITP-type intervention's long-term effects.

Purpose of the Study:

  • To evaluate a parent-sensitivity intervention (PremieStart) based on MITP principles.
  • To assess neurobehavioural development in very preterm infants until preschool age.
  • To determine if the intervention impacts behavior, general development, cognitive, and executive functioning.

Main Methods:

  • A randomized controlled trial included 123 very preterm infants.
  • Infants were assigned to either the PremieStart intervention (n=60) or standard care (n=63).
  • Neurobehavioural outcomes were assessed at 2 and 4.5 years using validated scales (Bayley-III, WPPSI-III, NEPSY-II, CBCL).

Main Results:

  • No significant differences were found in behavior problems at 2 or 4.5 years between groups.
  • General development at 2 years showed no significant group differences.
  • Cognitive and executive functioning at 4.5 years did not differ significantly between the intervention and control groups.

Conclusions:

  • Improved neonatal intensive care quality may reduce the additional benefits of MITP-type interventions.
  • Gestational age and intervention timing could influence the efficacy of such programs.
  • Further research is needed to optimize interventions for preterm infants' long-term outcomes.
Abstract

Related Concept Videos

Cognitive Dissonance01:38

Cognitive Dissonance

Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
36.8K
Oxidation-Reduction Reactions03:11

Oxidation-Reduction Reactions

Oxidation–Reduction Reactions
75.3K
Nursing Interventions I: Taxonomy of Nursing Interventions01:03

Nursing Interventions I: Taxonomy of Nursing Interventions

Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.7K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.1K
Predicting Reaction Outcomes02:24

Predicting Reaction Outcomes

Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.4K
Responses to Heat and Cold Stress02:45

Responses to Heat and Cold Stress

Every organism has an optimum temperature range within which healthy growth and physiological functioning can occur. At the ends of this range, there will be a minimum and maximum temperature that interrupt biological processes.
14.7K