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Effect of Family-Centered Care Interventions on Motor and Neurobehavior Development of Very Preterm Infants: A

Manasa Kolibylu Raghupathy1, Shradha S Parsekar2, Shubha R Nayak1

  • 1Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Physical & Occupational Therapy in Pediatrics
|January 17, 2025
PubMed

Insights

Family-centered care (FCC) interventions significantly enhance motor, cognitive, and behavioral development in very preterm infants. Early FCC implementation shows promise for improving neurodevelopmental outcomes in this vulnerable population.

Area of Science:

  • Neonatal Development
  • Developmental Pediatrics
  • Evidence-Based Practice

Background:

  • Very preterm infants (28-32 weeks gestation) face significant neurodevelopmental challenges.
  • Family-centered care (FCC) is a model that emphasizes family involvement in infant care.
  • The impact of FCC on the developmental trajectories of very preterm infants requires comprehensive assessment.

Purpose of the Study:

  • To evaluate the effectiveness of family-centered care (FCC) interventions on the motor and neurobehavioral development of very preterm infants.
  • To synthesize evidence from randomized and quasi-randomized trials on FCC's impact.

Main Methods:

  • Systematic review and meta-analysis of randomized and quasi-randomized controlled trials.
  • Searched five electronic databases and grey literature (January 2010 - August 2022).
  • Assessed risk of bias using Cochrane Risk of Bias 2.0 and evidence certainty with GRADE.

Main Results:

  • Seventeen trials (21 publications) were included, with low to moderate GRADE evidence.
  • FCC interventions significantly improved motor development (MD: 5.00, 95% CI: 2.58-7.42) at 24 months.
  • Improvements were also observed in cognitive (MD: 3.64, 95% CI: 1.15-6.12) and behavioral development (MD: -2.40, 95% CI: -4.32, -0.48).
  • FCC showed minimal or inconclusive effects on language, communication, and social development.

Conclusions:

  • Early-initiated family-centered care (FCC) interventions are a promising strategy.
  • FCC positively impacts motor, cognitive, and behavioral development in very preterm infants.
  • Further research may explore FCC's long-term effects and specific components.
Abstract

Keywords:
Family-centered caremotor and neurobehavior developmentvery preterm infants

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