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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parental cognitive stimulation in preterm-born children's neurocognitive functioning during the preschool years: a
Paige M Nelson1, Ö Ece Demir-Lira2,3,4,5
1Department of Psychological and Brain Sciences, University of Iowa, Iowa city, IA, USA. paige-nelson@uiowa.edu.
Insights
Parental cognitive stimulation significantly impacts neurocognitive outcomes in preterm infants. Early language skills in these children may be particularly influenced by the quality and quantity of cognitive stimulation they receive.
Area of Science:
- Developmental Psychology
- Pediatric Neurodevelopment
- Environmental Influences on Child Development
Background:
- Neonatal survival rates for preterm infants (<37 weeks gestation) have increased, yet these children often exhibit poorer neurocognitive performance compared to full-term peers (≥39 weeks gestation).
- Existing biological models for predicting neurocognitive outcomes in preterm infants have shown limited success, emphasizing the need to investigate environmental factors.
- Parental cognitive stimulation is a key environmental factor that may influence neurocognitive development in preterm-born children.
Approach:
- A systematic review of the literature was conducted to examine the relationship between parental cognitive stimulation and neurocognitive outcomes in preterm-born children.
- Studies were included if they involved preterm infants, measured parental cognitive stimulation, and assessed child neurocognitive performance.
- Relevant databases included PubMed, PsychINFO, CINAHL, ProQuest, and Scopus, yielding eight studies with 44 unique associations.
Key Points:
- Findings indicate that preterm-born children's language skills may be responsive to various qualitative and quantitative aspects of parental cognitive stimulation.
- The review highlights a significant association between parental cognitive stimulation and the neurocognitive performance of preterm-born children.
- Specific features of cognitive stimulation, such as interactive reading and responsive communication, are crucial for development.
Conclusions:
- Parental cognitive stimulation is a critical factor influencing neurocognitive development in preterm-born children.
- Intervention and prevention strategies should consider the role of cognitive stimulation to support at-risk children, especially during the transition to formal schooling.
- Future research should explore the mechanistic pathways through which cognitive stimulation affects neurocognitive outcomes in this population.
Abstract:
In the United States, survival rates for preterm neonates (<37 weeks of gestation) have tripled in recent years. In parallel, preterm-born children show poorer performance in neurocognitive functioning compared to their full-term peers (≥39 weeks of gestation), and biological models predicting preterm-born children's neurocognitive performance have been met with limited success, highlighting a need to focus on environmental factors. Thus, this systematic review examines the literature on parental cognitive stimulation in relation to preterm-born children's neurocognitive outcomes. Studies were considered for inclusion if they included a sample of preterm-born children, included a measure of parental cognitive stimulation, and included a measure of child neurocognitive performance. The databases searched were PubMed, PsychINFO, CINAHL, ProQuest, and Scopus. Eight studies were included (44 unique associations). Findings suggest that preterm-born children's language skills might be open to a wide range of qualitative and quantitative features of parental cognitive stimulation. Our findings suggest that parental cognitive stimulation matters for preterm-born children's neurocognitive performance. Future experiential models should examine the mechanistic roles of cognitive stimulation in relation to narrowed neurocognitive outcomes to better inform possible prevention and intervention efforts. IMPACT: This systematic review examines the literature on parental cognitive stimulation in relation to preterm-born children's neurocognitive outcomes. Our review demonstrates that preterm-born children's language skills might be open to a wide range of qualitative and quantitative features of parental cognitive stimulation. The emphasis on environmental factors might ultimately better inform possible prevention and intervention efforts for children at risk as they transition to formal schooling.
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