在对极度早产的儿童进行家庭访问干预后,父母与孩子的互动 - 一个随机临床试验
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Erika Baraldi1, Mara Westling Allodi1, Kristina Löwing2,3
1Department of Special Education, Stockholm University, Stockholm, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|August 31, 2024
概括
斯德哥尔摩基于早产互动的干预 (SPIBI) 没有显著改善极早产婴儿的亲子互动. 然而,它增强了母亲报告患有抑郁症的婴儿的儿童参与.
科学领域:
- 新生儿发育的新生儿发展
- 父母和孩子之间的互动.
- 早期干预计划是早期干预计划.
背景情况:
- 极度早产的婴儿面临着发育方面的挑战.
- 亲子互动对于婴儿发育至关重要.
- 早期家庭访问计划旨在支持弱势家庭.
研究的目的:
- 评估基于强度的家庭访问计划是否能改善极度早产婴儿的亲子互动.
- 评估斯德哥尔摩早产互动基干预 (SPIBI) 对情绪可用性的影响.
主要方法:
- 随机对照试验涉及130名极度早产婴儿.
- 干预组接受了十次家庭访问,专注于敏感的家长反应.
- 主要结局:使用情绪可用性尺度 (EAS) 评估12个月校正年龄的情绪可用性.
主要成果:
- 在12个月的校正年龄时,两组之间的情绪可用性没有显著差异.
- 二次分析显示,母亲报告患有抑郁症的干预组中儿童参与度有所改善.
- 在母亲抑郁症的家庭中观察到的效果修饰.
结论:
- 该SPIBI计划没有显示出对亲子互动有显著的主要影响.
- 孕产妇抑郁症作为效果修饰剂,表明有针对性的干预措施可能有利于特定的子组.
- 需要进一步研究风险群体和量身定制的免责后干预措施.
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