Article

AIM: To examine the differential effects of an early intervention programme for
infants born preterm on neurodevelopment and parental mental health according to
family social risk. METHOD:
One hundred and twenty infants born earlier than 30
weeks' gestation were randomized to early intervention (n=61) or control groups
(n=59). Cognitive, language,
and motor outcomes were assessed by blinded
assessors at 2 years, 4 years, and 8 years, and primary caregivers completed
questionnaires on their anxiety and depression. Outcomes at each time point were
compared between groups using linear regression with an interaction term for
social risk (higher/lower). RESULTS: There was evidence of interactions between
intervention group and social risk for cognition at 2 years and 4 years, motor
function at 4 years, and language at 8 years, with a greater intervention effect
in children from higher social risk environments. In contrast, the impact of
early intervention on parental depressive symptoms was greater for parents of
lower social risk than for those of higher social risk. INTERPRETATION: Effects
of early intervention on outcomes for children born preterm and their caregivers
varied according to family social risk. Family social risk should be considered
when implementing early intervention programmes for children born preterm and
their families. WHAT THIS PAPER ADDS: Intervention is associated with better
early cognitive functioning for children in higher social risk families. Positive
effects of intervention for the high risk group were not sustained at school-age.
Intervention has a greater effect on primary caregiver mental health in the lower
social risk group compared with higher social risk.
CI - (c) 2017 Mac Keith Press.

Langue : ANGLAIS