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Updated: Aug 10, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Prediction of five-year Stanford-Binet scores in preterm infants
Insights
Early infant visual attention moderately predicts developmental outcomes by age 5. Social factors significantly influenced cognitive performance, with better prediction for girls than boys.
Area of Science:
- Developmental Psychology
- Pediatrics
- Neonatology
Background:
- Preterm infants face developmental challenges.
- Early life factors can impact long-term outcomes.
- Understanding predictive markers is crucial for early intervention.
Purpose of the Study:
- To investigate predictors of developmental outcome in preterm infants.
- To assess the role of early assessments and social factors.
- To examine gender differences in developmental prediction.
Main Methods:
- Longitudinal study of 100 preterm infants (mean birth weight 1,877g) from birth to age 5.
- Infant assessments included medical history, perceptual, motor, social, and cognitive development.
- Stanford-Binet test at age 5 used for outcome measure.
Main Results:
- Obstetric and neonatal complications did not predict 5-year outcomes.
- Infant visual attention at term date moderately predicted later development.
- Combined infant assessments improved prediction, especially for girls.
- Social factors were the strongest predictors of 5-year mental performance.
Conclusions:
- Early infant visual attention is a key predictor of developmental outcome.
- Social environment plays a critical role in cognitive development.
- Developmental trajectories and prediction accuracy differ between genders.
Abstract:
The development of a group of 100 preterm infants, mean birth weight 1,877 grams, from a broad range of social class and ethnic backgrounds was followed from birth to age 5. Assessments in infancy were directed at medical problems and early perceptual, motor, social, and cognitive development. The child's performance on the Stanford-Binet test at age 5 could not be predicted from early hazardous events in the obstetrical or neonatal period. The results indicate that developmental outcome at age 5 could be predicted moderately from a single measure, infant visual attention, administered as early as term date. Prediction was improved by using a combination of assessments given during the first 9 months. Furthermore, prediction was significantly better for girls than for boys. Although moderate stability in performance was found for the group as a whole, prediction of an individual's performance resulted in a substantial number of children being misclassified. Social factors were more important than any other set of factors in relating to the child's mental performance at age 5.
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