Long-term benefits of home-based preventive care for preterm infants: A randomized trial
Abstract
Background We have previously reported improved caregiver mental health and infant behavior at 2 years following a home-based preventive care program for very preterm infants and their caregivers. This study aimed to determine the longer-term effectiveness of the program by reviewing caregivers and children at preschool age. Methods One hundred twenty very preterm infants ( Results At age 4 years, 105 (89%) children were reviewed. There was little evidence of differences in cognitive or motor functioning between groups. The intervention group had lower scores for child internalizing behaviors than the control group (mean difference -5.3, 95% confidence interval [CI] -9.6 to -0.9, P = .02). Caregivers in the intervention group had fewer anxiety symptoms (mean difference -1.8, 95% CI -3.3 to -0.4, P = .01) and were less likely to exhibit "at-risk" anxiety (odds ratio 0.3, 95% CI 0.1 to 0.7, P = .01) than those in the control group. Conclusions This home-based preventive care program for very preterm infants has selective long-term benefits, including less caregiver anxiety and reduced preschooler internalizing behaviors.
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Compared to the control group, children in the intervention group had lower scores for internalizing behaviors at age 4.
“Furthermore, compared to the control group, children in the intervention group had lower scores for internalizing behaviors at age 4 (Spencer-Smith et al., 2012) and higher physical well-being at age 9 (Landsem et al., 2015).”
From Scoping review of interventions to support families with preterm infants post-NICU discharge (2022) · cites this paper as Spencer-Smith et al., 2012
There was no significant difference in cognitive and motor functioning outcomes at age 4, 7, and 9.
“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 Spencer-Smith et al., 2012
There was no evidence of long-term effect at age 4, 7 and 9 for cognitive and motor functioning outcomes.
“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 Spencer-Smith et al., 2012
The investigators examined the longitudinal effects of the post-NICU discharge intervention at age 4, 7 and 9.
“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 Spencer-Smith et al., 2012
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- Authors
- Spencer-Smith, M. M., Spittle, A. J., Doyle, L. W., Lee, K. J., Lorefice, L., Suetin, A., Pascoe, L., & Anderson, P. J.
- Affiliations
- Critical Care and Neurosciences, Murdoch Childrens Research Institute, Victoria, Australia;
- Murdoch Children's Research Institute (AU)
- Royal Women's Hospital (AU)
- The University of Melbourne (AU)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2012-12-01
- Volume
- 130
- Issue
- 6
- Pages
- 1094-1101
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W2137163191
- Cited by
- 74
- References
- 0
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 4 · 2019: 4 · 2017: 6 · 2016: 10 · 2015: 10 · 2014: 11 · 2013: 4 · 2012: 1
- FWCI
- 7.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- very preterm infants, home visits, caregiver mental health, caregiver anxiety, internalizing problems, preschool children, child cognitive development, motor development, parent-infant relationship, long-term outcomes
- MeSH terms
- Adaptation, Psychological, Anxiety, Child Behavior Disorders, Child, Preschool, Cognition Disorders, Depressive Disorder, Female, Humans, Infant, Infant, Newborn, Infant, Premature, Diseases, Internal-External Control, Longitudinal Studies, Male, Neuropsychological Tests, Parent-Child Relations, Psychometrics, Psychomotor Disorders, Surveys and Questionnaires, Caregivers, Outcome Assessment, Health Care, Home Care Services, Hospital-Based, Infant, Very Low Birth Weight
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