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Updated: Jun 15, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Neurobehavioral outcomes of preterm infants: toward a holistic approach

Marie Camerota1, Barry M Lester2

  • 1Center for the Study of Children at Risk, Warren Alpert Medical School of Brown University & Women and Infants Hospital, Providence, RI, US. marie_camerota@brown.edu.

Pediatric Research
|August 23, 2024
PubMed

Insights

Children born very preterm (VPT) show varied developmental outcomes. A child-centered approach reveals unique neurodevelopmental profiles, guiding personalized post-NICU care and interventions for better outcomes.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Children born very preterm (VPT; <32 weeks gestation) face high risks for neurodevelopmental issues.
  • Traditional research often focuses on single-domain impairments, overlooking complex outcome patterns.
  • A "whole child" perspective is emerging to better understand diverse outcomes in VPT populations.

Purpose of the Study:

  • To review research employing a child-centered approach for assessing neurodevelopmental outcomes in very preterm children.
  • To highlight the clinical and research implications of a holistic, "whole child" assessment strategy.
  • To identify gaps in current research and suggest future directions for understanding VPT child development.

Main Methods:

  • Review of current literature utilizing child-centered analyses for very preterm (VPT) outcomes.
  • Integration of data across multiple neurodevelopmental and behavioral measures.
  • Focus on identifying distinct developmental phenotypes based on combined strengths and difficulties.

Main Results:

  • Child-centered approaches identify unique neurodevelopmental phenotypes in very preterm (VPT) populations.
  • These phenotypes represent combinations of strengths and weaknesses across multiple domains.
  • This contrasts with traditional variable-centered approaches that report isolated impairments.

Conclusions:

  • A "whole child" approach offers a more comprehensive understanding of neurodevelopmental outcomes in very preterm (VPT) children.
  • Identifying specific developmental profiles can inform personalized interventions and post-NICU care.
  • Further research is needed to fully elucidate these complex phenotypes and their long-term implications.

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