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Cognitive outcome of early intervention in preterms at 7 and 9 years of age: a randomised controlled trial
Open accessAbstract
Objective: Examine the effect of an early intervention programme on cognitive outcome at 7 and 9 years in children with birth weight (BW) <2000 g. Design: A randomised controlled trial of a modified version of the Mother–Infant Transaction Program. Setting: A single tertiary neonatal unit. Patients: 146 infants were randomised into a preterm control group (74) or a preterm intervention group (72). Interventions: The intervention consisted of eight sessions shortly before discharge and four home visits by specially trained nurses focusing on the infants’ unique characteristics, temperament, developmental potential and the interaction between infants and parents. Main outcome measures: Outcomes were assessed with the Wechsler Intelligence Scale for Children (WISC-III). Results: Mean BWs were 1396 (429) g in the intervention group and 1381(436) g in the control group. After adjusting for the possible clustering effects of twin pairs and maternal education, there were no significant differences in WISC-III scores at age 7 or 9. The mean difference was 4.1 points (95% CI −1.5 to 9.8 points) in favour of the intervention group at 7 years and 2.2 points (95% CI −3.4 to 7.6 points) at 9 years. At 7 years, a 6.8 points difference in the Verbal Comprehension Index (95% CI 0.5 to 13.0 points) was found in favour of the intervention group. Loss to follow-up at age 7 and 9 was 11% and 14%, respectively. Conclusions: This intervention programme did not have a sustained significant effect on overall cognitive outcomes in preterm children at age 7 and 9. Trial registration number: The trial has been registered at http://www.clinicaltrials.gov (identifier NCT00222456).
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“On the other hand, there was no significant difference in the cognitive and motor functioning outcomes at age 4, 7 and 9 (Hauglann et al., 2015; Spencer-Smith et al., 2012).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Hauglann et al., 2015
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“However, there was no evidence of long-term effect at age 4, 7 and 9 for cognitive and motor functioning outcomes (Hauglann et al., 2015; Spencer-Smith et al., 2012).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Hauglann et al., 2015
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“Additionally, the investigators examined the longitudinal effects of the post-NICU discharge intervention at age 4, 7 and 9 (Hauglann et al., 2015; Landsem et al., 2015; Spencer-Smith et al., 2012).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Hauglann et al., 2015
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Kaaresen, P. I., Rønning, J. A., Ulvund, S. E., & Dahl, L. B. (2006) · Pediatrics · doi:10.1542/peds.2005-1491 · Cited by 318
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Cited by
Scoping review of interventions to support families with preterm infants post-NICU discharge
Griffith, T., Singh, A., Naber, M., Hummel, P., Bartholomew, C., Amin, S., White-Traut, R., & Garfield, L. (2022) · Journal of Pediatric Nursing · doi:10.1016/j.pedn.2022.08.014 · Cited by 76
School-Age outcomes of early intervention for preterm infants and their parents: a randomized trial
Spittle, A. J., Barton, S., Treyvaud, K., Molloy, C. S., Doyle, L. W., & Anderson, P. J. (2016) · Pediatrics · doi:10.1542/peds.2016-1363 · Cited by 62
Metadata
- Authors
- Hauglann, L., Handegaard, B. H., Ulvund, S. E., Nordhov, M., Rønning, J. A., & Kaaresen, P. I.
- Affiliations
- University Hospital of North Norway (NO)
- Regional Centre for Child and Youth Mental Health and Child Welfare, The Arctic University of Norway, Tromsø, Norway
- University of Oslo (NO)
- Pediatric Department, University Hospital of North Norway, Tromsø, Norway
- UiT The Arctic University of Norway (NO)
- Corresponding author
- Hauglann, Lisbeth
- Venue
- Archives of Disease in Childhood - Fetal and Neonatal Edition
- Publisher
- BMJ
- Published
- 2014-09-23
- Volume
- 100
- Issue
- 1
- Pages
- F11-F16
- ISSN
- 1359-2998 (ISSN-L)
- 1468-2052
- OpenAlex
- W1971398474
- Cited by
- 20
- References
- 1
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2019: 2 · 2018: 1 · 2016: 4 · 2015: 2
- FWCI
- 1.88
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Archives of Disease in Childhood Fetal & Neonatal (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Helse Nord RHF
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Neonatal Respiratory Health Research
- Keywords
- preterm infants, early intervention, cognitive outcomes, intellectual development, parent-infant interaction, birth weight, neonatal unit, verbal comprehension, Wechsler Intelligence Scale for Children
- MeSH terms
- Child, Cognition Disorders, Female, Humans, Infant, Newborn, Infant, Premature, Infant, Premature, Diseases, Intelligence, Male, Early Medical Intervention
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
