Original ArticleSustained Developmental Effects of the Infant Behavioral Assessment and Intervention Program in Very Low Birth Weight Infants at 5.5 Years Corrected Age
Section snippets
Methods
The study population consisted of VLBW children participating in a multicenter RCT on the effect of the IBAIP in Amsterdam, The Netherlands.7 In this RCT, 176 infants of gestational age (GA) <32 weeks and/or birth weight <1500 g were included. Exclusion criteria were severe congenital abnormalities of the infant, severe physical or mental illness/problems of the mother, non-Dutch-speaking families for whom an interpreter could not be arranged, and participation in other trials on postdischarge
Results
Of the 176 children participating in the RCT, 136 were available for follow-up at the CA of 5.5 years. The response rate was 80.2% (n = 69) in the intervention group and 74.4% (n = 67) in the control group. The mean (SD) CA at the assessment time point was 5.5 years (0.1). The sample size was calculated originally with 90% power to detect a difference of 0.5 SD in Bayley Scales of Infant Development, Second Edition scores at 6 and 24 months with an α level of 0.05. With our sample size at 5.5
Discussion
This study was performed to evaluate the effect of the IBAIP on cognitive, neuromotor, and behavioral outcomes in VLBW children at 5.5 years CA. We found that 5 years after completion of the intervention, the IBAIP improved the children's performance IQ, motor skills with respect to handling a ball, and visual-motor integration.
Because biologic risk factors, which are associated with worse development, occurred more often in the intervention group, all earlier and current results were based on
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Brain Damage and Visuospatial Impairments: Exploring Early Structure-Function Associations in Children Born Very Preterm
2020, Pediatric NeurologyCitation Excerpt :Brain damage acquired early in life can lead to neurodevelopmental impairments and can substantially impact further cognitive and academic function.6 In the past decades several early neuroprotective strategies and (neuro)developmental support programs have been developed.7-9 Careful selection of children who could benefit from such early interventions may be aided by both structural and functional information on brain development.
Evaluation of the human newborn infant
2018, Handbook of Developmental NeurotoxicologyThe link between motor and cognitive development in children born preterm and/or with low birth weight: A review of current evidence
2017, Neuroscience and Biobehavioral ReviewsCitation Excerpt :Next to the socio-emotional component, this programme has a strong motor component as parents are taught for example about positioning and handling of the infant (e.g., positioning in prone position) (Hedlund, 1998). The first evaluations of this programme indicate that besides doing better on motor development, children who followed this programme also showed better performance IQ and self-regulation skills at age 5.5 years when compared to children who followed the standard care (Van Hus et al., 2013; Verkerk et al., 2011). Thus, targeting early motor development seems to have effects going beyond just the motor domain and lasting until at least age 5.5 years.
Supported by grants from the Innovatiefonds Zorgverzekeraars (576) and ZonMw (Zorg Onderzoek Nederland; 62200032). The sponsors had no involvement in study design, collection, analysis, or interpretation of the data; writing of the report; or the decision to submit the manuscript for publication. The authors declare no conflicts of interest.
Registered with Controlled-Trials.com: ISRCTN65503576.