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Published on: April 19, 2017
A Longitudinal Study of Preterm Infants at 12 and 30 Months: Links Among Object Interactions, Joint Engagement, and
Qin Liu1,2, Michelle de Haan1, Kathy Chant3
1University College London Great Ormond Street Institute of Child Health, London, UK.
Insights
Early object play in preterm infants can predict later cognitive development. More frequent infant-object interactions at 12 months were linked to lower cognitive scores at 30 months.
Area of Science:
- Developmental Psychology
- Neonatal Research
- Cognitive Science
Background:
- Preterm infants often face developmental challenges, including issues with object play and joint attention.
- These early disruptions may lead to cognitive delays later in childhood.
- The developmental cascades model suggests early interaction patterns influence later development.
Purpose of the Study:
- To investigate the longitudinal relationship between parent-infant interactions and cognitive outcomes in preterm infants.
- To explore how early object play and joint engagement predict cognitive development.
- To examine real-time differences in parent-infant interactions and their long-term effects.
Main Methods:
- Longitudinal study of 20 preterm infants (born ≤29 weeks gestation).
- Coded infant-object interactions and joint engagement during free play at 12 months corrected age.
- Assessed cognitive development using the Bayley Scales of Infant and Toddler Development, Third Edition at 30 months corrected age.
Main Results:
- Infants engaged frequently with objects, with significant parental involvement.
- Higher frequency of infant-object interaction bouts at 12 months was negatively associated with cognitive scores at 30 months.
- Parental multimodal engagement during object play showed a marginal positive association with 30-month cognitive scores.
Conclusions:
- Early patterns of object interaction and parental engagement are associated with cognitive development in preterm infants.
- The frequency of object play may have complex implications for cognitive outcomes.
- Further research is needed to understand the nuances of parent-infant interaction in preterm development.
Abstract:
Development takes place when change in one domain cascades into change in another domain. Preterm infants exhibit disruptions to their object play and the maintenance of a joint focus of attention with another person. Likewise, they tend to experience cognitive delays throughout childhood. By the developmental cascades model, early features of object play and joint engagement in preterm infants predict cognitive development. We examined longitudinal associations between real-time individual differences in parent-infant interactions and long-term outcomes to explore potential developmental processes. Features of infant-object interactions and joint engagement were coded in 20 12-month-old preterm infants (≤ 29 weeks of gestation) during parent-infant free play. Infants were tested again at 30 months using the Bayley Scales of Infant and Toddler Development, Third Edition. Preterm infants spent most of their time interacting with objects at 12 months, and their parents frequently engaged in their object interactions. The frequency of infant-object interaction bouts per minute at 12 months was negatively associated with 30-month cognitive scores. Furthermore, the percentage of infant-object interaction bouts in which parents practised multimodal engagement was marginally associated with 30-month cognitive scores. We discuss the associations of infant-object interactions and joint engagement with preterm infants' cognitive development.
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