Rethinking preventive post-discharge intervention programmes for very preterm infants and their parents
Open accessAbstract
Post‐discharge preventive intervention programmes with involvement of the parent may support the resilience and developmental outcomes of infants born very preterm. Randomized controlled trials of home‐based family‐centred intervention programmes in very preterm infants that aimed to improve cognitive outcome, at least at age two, were selected and updated on the basis of a recent systematic review to compare their content and effect over time to form the basis of a narrative review. Six programmes were included in this narrative review. Four of the six programmes led to improved child cognitive and/or motor development. Two programmes, which focused primarily on responsive parenting and development, demonstrated improved cognitive outcome up till 5 years after completion of the programme. The programmes that also focused on maternal anxiety remediation led to improved maternal mental well‐being, along with improved child behaviour, in one study – even at 3 years after completion of the programme. The magnitude of the effects was modest. Family‐centred preventive intervention programmes that aim at improvement of child development should be continued after discharge home to improve the preterm child's resilience. Programmes may be most effective when they support the evolvement of a responsive parent–infant relationship over time, as well as the parent's well‐being.
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Preterm birth is associated with an increased risk for numerous complications such as delayed growth and development, decreased cognitive and neurobehavioral functioning, and increased infant mortality.
“Preterm birth is associated with an increased risk for numerous complications such as delayed growth and development, decreased cognitive and neurobehavioral functioning, and increased infant mortality (Hsu, Chen, Lin, Wang, & Hsu, 2018; van Wassenaer-Leemhuis et al., 2016).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as van Wassenaer-Leemhuis et al., 2016
The introductory section (page unavailable) associates very preterm birth with developmental disabilities across neurocognitive, behavioural, and motor domains. It mentions impaired fetal growth as a possible contributing factor, not delayed growth as an outcome, and discusses improved survival with neonatal care without stating that preterm birth increases infant mortality. (LLM, conf=0.86)
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References 33 · Cited by 66
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- Authors
- van Wassenaer‐Leemhuis, A. G., Jeukens‐Visser, M., van Hus, J. W. P., Meijssen, D., Wolf, M., Kok, J. H., Nollet, F., & Koldewijn, K.
- Affiliations
- Department of Neonatology Academic Medical Centre University of Amsterdam Amsterdam the Netherlands
- Amsterdam UMC Location University of Amsterdam (NL)
- Department of Rehabilitation Academic Medical Centre University of Amsterdam Amsterdam the Netherlands
- Venue
- Developmental Medicine & Child Neurology
- Publisher
- Wiley
- Published
- 2016-03
- Volume
- 58
- Issue
- S4
- Pages
- 67-73
- ISSN
- 0012-1622 (ISSN-L)
- 1469-8749
- OpenAlex
- W2333533330
- Cited by
- 66
- References
- 33
- Citations by year
- 2026: 8 · 2025: 3 · 2024: 9 · 2023: 5 · 2022: 7 · 2021: 6 · 2020: 5 · 2019: 9 · 2018: 1 · 2017: 5 · 2016: 7
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Developmental Medicine & Child Neurology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Keywords
- very preterm infants, post-discharge interventions, family-centered intervention, home-based intervention, parental involvement, cognitive development, motor development, responsive parenting, parent-infant relationship, maternal anxiety, maternal mental well-being, child behavior
- MeSH terms
- Adult, Child Development, Child, Preschool, Family Therapy, Humans, Infant, Infant, Newborn, Parent-Child Relations, Primary Prevention, Parenting, Infant, Extremely Premature
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