Parenting Interventions Targeting Behavior for Children Born Preterm or Low Birth Weight: A Systematic Review
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Updated: Jul 27, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Jamie Patronick1,2, Sandra Glazer1,2, Craig Sidol2
1Department of Psychology, University of Cincinnati, USA.
Insights
Parenting interventions show promise for improving behavior in children born preterm or with low birth weight (LBW). However, effects may not be long-lasting and interventions need adaptation for specific child needs.
Area of Science:
- Developmental Psychology
- Pediatric Health
- Intervention Science
Background:
- Children born preterm and/or with low birth weight (LBW) often exhibit behavioral challenges.
- Parenting interventions aim to improve child behavior and caregiver well-being in this population.
- Systematic review of existing literature is needed to summarize intervention outcomes.
Approach:
- Systematic literature search across multiple databases (Embase, Scopus, PubMed, PsycInfo, CINAHL).
- Inclusion of articles reporting on parenting interventions for preterm/LBW children and their caregivers.
- Risk of bias assessment using the Revised Cochrane Risk-of-Bias Tool.
Key Points:
- Nine interventions involving 1,676 participants were identified.
- Positive effects observed on externalizing behaviors, parenting stress, and parenting skills.
- Mixed results for internalizing behaviors and emotion regulation.
- Limited evidence for effects lasting beyond 6 months post-intervention.
Conclusions:
- Parenting interventions show potential for modifying behavior problems in preterm/LBW children.
- Current interventions may require adaptation for neurocognitive and medical needs.
- Long-term effectiveness may be enhanced by interventions promoting sustained change and developmental tailoring.
Objective:
To systematically review and summarize the outcomes of parenting interventions designed to improve child and/or parenting behavior for children born preterm and/or low birth weight (LBW).
Methods:
We conducted systematic searches of Embase, Scopus, PubMed, PsycInfo, and CINAHL in September 2021. We identified articles published at any time that describe the outcomes of parenting interventions targeting the child and/or parenting behavior of children born preterm/LBW and their caregivers. Two independent raters assessed the risk of bias using the Revised Cochrane Risk-of-Bias Tool.
Results:
Eight hundred sixteen titles and abstracts were screened, followed by 71 full-text articles, resulting in 24 eligible articles reporting on nine interventions with 1,676 participants. Eligible articles had an adequate risk of bias ratings. Sample characteristics, intervention components, and intervention effects were tabulated and described narratively by the intervention type. Preventative and treatment programs demonstrated positive intervention effects on externalizing behavior, parenting stress, and parenting behaviors, with mixed effects on internalizing behavior and emotion regulation. The few studies with longitudinal follow-up found little evidence of effects beyond 6 months postintervention.
Conclusion:
Behavior problems in children born preterm/LBW may be modifiable, and interventions targeting parenting behavior are promising. However, existing interventions may not produce long-lasting changes and are not designed for children older than four. Existing treatment programs may require adaptation for the neurocognitive, medical, and family needs of children born preterm/LBW (e.g., processing speed deficits, post-traumatic stress). Interventions that account for theories of sustained change may promote long-term effectiveness and the developmental tailoring of parenting skills.
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