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Parent-child interaction after home-visiting intervention for children born extremely preterm-A randomised clinical

Erika Baraldi1, Mara Westling Allodi1, Kristina Löwing2,3

  • 1Department of Special Education, Stockholm University, Stockholm, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|August 31, 2024
PubMed

Insights

The Stockholm preterm interaction-based intervention (SPIBI) did not significantly improve parent-child interaction for extremely preterm infants. However, it enhanced child involvement for infants whose mothers reported depression.

Area of Science:

  • Neonatal development
  • Parent-child interaction
  • Early intervention programs

Background:

  • Extremely preterm infants face developmental challenges.
  • Parent-child interaction is crucial for infant development.
  • Early home-visiting programs aim to support vulnerable families.

Purpose of the Study:

  • To evaluate if a strength-based home-visiting program improves parent-child interaction in extremely preterm infants.
  • To assess the impact of the Stockholm preterm interaction-based intervention (SPIBI) on emotional availability.

Main Methods:

  • Randomized controlled trial involving 130 extremely preterm infants.
  • Intervention group received ten home visits focusing on sensitive parental responses.
  • Primary outcome: emotional availability assessed at 12 months corrected age using the Emotional Availability Scales (EAS).

Main Results:

  • No significant difference in emotional availability between groups at 12 months corrected age.
  • Secondary analysis revealed improved child involvement in the intervention group for mothers reporting depression.
  • Effect modification observed in families with maternal depression.

Conclusions:

  • The SPIBI program did not show a significant main effect on parent-child interaction.
  • Maternal depression acted as an effect modifier, suggesting targeted interventions may benefit specific subgroups.
  • Further research is needed on risk groups and tailored post-discharge interventions.
Abstract

Keywords:
early interventionemotional availabilityparent–child interactionpreterm infantrandomised controlled trial

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