Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis

Effects of early interventions focused on the family in the development of children born preterm and/or at social risk: a meta-analysis

Authors
Ferreira, R. C. Alves, C. R. L. Guimaraes, M. A. P. Menezes, K. K. P. Magalhaes, L. C.
Year
2020
Journal
Jornal de Pediatria
Volume
96
Pages
20-38
OBJECTIVE: To verify whether early intervention focused on the family improves the cognitive, motor, and language development of children born preterm and/or at social risk in the first 3 years of life. SOURCE OF DATA: Meta-analysis of clinical trials published between 2008 and 2018, in the following databases: CINAHL, MEDLINE - PubMed, MEDLINE - BVS, LILACS - BVS, IBECS - BVS, PEDro and Cochrane Reviews. Experimental studies on early interventions focused on the family, whose target groups were children born preterm and/or at social risk, with assessment of cognitive and/or motor and/or language development up to 3 years were included. The studies were rated using the PEDro Scale. DATA SYNTHESIS: Twelve studies were included from a total of 3378 articles. Early intervention focused on the family contributed to the development of the cognitive (Standardized Mean Difference - SMD=0.48, 95% CI: 0.34-0.61) and motor (SMD=0.76, 95% CI: 0.55-0.96) domains of preterm infants. Regarding cognitive development, performance improvement was observed at 12, 24 and 36 months, while in the motor domain, the effect was observed only at 12 months in preterm infants. There was no benefit of the intervention in the cognitive, motor, and language outcomes of children with the social risk factor associated to biological risk. CONCLUSION: Early intervention focused on the family has a positive effect on the cognition of preterm infants. The effect on motor development was lower, possibly due to the emphasis on interventions in family-child interaction. The effect of interventions on the development of children at social risk and on the language domain was inconclusive, due to the scarcity of studies in the area.

Oversett med Google Translate
-
Type of intervention

Early Intervention

Treatment and Child Welfare Interventions

Topic

Development and Life Coping Skills

Cognition

Motor development

Language

Biological Risk Factors, Diseases and Symptoms

Preterm Birth

Intervention

Psychological Treatments

Parent Guidance / Therapy

Age group

Infants and Toddlers (0-2 years)

More information
Looking for more information on this topic? Click on the links below to search PsykTestBarn and Håndboka