Tidlige intervensjoner som involverer foreldre for å forbedre nevrodevelopmentale utfall hos premature barn: en metaanalyse

Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis

Forfattere
Vanderveen, J. A. Bassler, D. Robertson, C. M. Kirpalani, H.
Årstall
2009
Tidsskrift
Journal of Perinatology
Volum
29
Sider
343-51
OBJECTIVE: To determine in a systematic review, whether interventions for infant development that involve parents, improve neurodevelopment at 12 months corrected age or older. STUDY DESIGN: Randomized trials were identified where an infant intervention was aimed to improve development and involved parents of preterms; and long-term neurodevelopment using standardized tests at 12 months (or longer) was reported. RESULT: Identified studies (n=25) used a variety of interventions including parent education, infant stimulation, home visits or individualized developmental care. Meta-analysis at 12 months (N=2198 infants) found significantly higher mental (N=2198) and physical (N=1319) performance scores favoring the intervention group. At 24 months, the mental (N=1490) performance scores were improved, but physical (N=1025) performance scores were not statistically significant. The improvement in neurodevelopmental outcome was not sustained at 36 months (N=961) and 5 years (N=1017). CONCLUSION: Positive clinically meaningful effects (>5 points) are seen to an age of 36 months, but are no longer present at 5 years. [References: 81]

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Tiltaksnivå

Tidlig innsats

Tema

Utvikling og livsmestring

Kognisjon (hukommelse, oppmerksomhet, eksekutive funksjoner)

Motorikk

Biologiske risikofaktorer, sykdommer og symptomer

For tidlig fødsel

Tiltak

Foreldreveiledning/-terapi (feks COS, ICDP)

Psykososiale hjelpetiltak

Tiltak rettet mot gravide og barselkvinner

Aldersgruppe

Sped- og småbarn (0-2 år)

Barn i førskolealder (3-5 år)

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