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Minimizing adverse effects of low birthweight: four-year results of an early intervention program.
Child Dev. 1988 Jun; 59(3):544-53.CD

Abstract

The outcome of an early intervention program for low-birthweight (LBW) infants was examined in this study. The intervention consisted of 11 sessions, beginning during the final week of hospitalization and extending into the home over a 3-month period. The program aimed to facilitate maternal adjustment to the care of a LBW infant, and, indirectly, to enhance the child's development. Neonates weighing less than 2,200 grams and under 37 weeks gestational age were randomly assigned to experimental or control conditions. A full-term, normal birthweight (NBW) group served as a second control. 6-month analyses of dyads who completed all assessments over a 4-year period (N's = 25 LBW experimental, 29 LBW control, and 28 NBW infant-mother dyads) showed that the experimental group mothers reported significantly greater self-confidence and satisfaction with mothering, as well as more favorable perception of infant temperament than LBW control group mothers. A progressive divergence between the LBW experimental and LBW control children on cognitive scores culminated in significant group differences on the McCarthy GCI at ages 36 and 48 months, when the LBW experimental group caught up to the NBW group. Possible explanations for the observed delay in the emergence of intervention effects on cognitive development and the mediating role of favorable mother-infant transactional patterns are discussed in light of recent evidence from the literature.

Authors+Show Affiliations

Center for Population and Family Health, Columbia University, School of Public Health, New York, NY 10032.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2454783

Citation

Rauh, V A., et al. "Minimizing Adverse Effects of Low Birthweight: Four-year Results of an Early Intervention Program." Child Development, vol. 59, no. 3, 1988, pp. 544-53.
Rauh VA, Achenbach TM, Nurcombe B, et al. Minimizing adverse effects of low birthweight: four-year results of an early intervention program. Child Dev. 1988;59(3):544-53.
Rauh, V. A., Achenbach, T. M., Nurcombe, B., Howell, C. T., & Teti, D. M. (1988). Minimizing adverse effects of low birthweight: four-year results of an early intervention program. Child Development, 59(3), 544-53.
Rauh VA, et al. Minimizing Adverse Effects of Low Birthweight: Four-year Results of an Early Intervention Program. Child Dev. 1988;59(3):544-53. PubMed PMID: 2454783.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Minimizing adverse effects of low birthweight: four-year results of an early intervention program. AU - Rauh,V A, AU - Achenbach,T M, AU - Nurcombe,B, AU - Howell,C T, AU - Teti,D M, PY - 1988/6/1/pubmed PY - 1988/6/1/medline PY - 1988/6/1/entrez KW - Americas KW - Behavior KW - Biology KW - Birth Weight KW - Body Weight KW - Child Development KW - Child Rearing KW - Developed Countries KW - Developing Countries KW - Education KW - Educational Activities KW - Evaluation KW - Family And Household KW - Family Characteristics KW - Family Planning KW - Family Planning Programs KW - Family Relationships KW - Low Birth Weight KW - Mothers KW - North America KW - Northern America KW - Parents KW - Physiology KW - Population At Risk KW - Postpartum Programs KW - Research Methodology KW - Research Report KW - Training Programs KW - United States KW - Vermont SP - 544 EP - 53 JF - Child development JO - Child Dev VL - 59 IS - 3 N2 - The outcome of an early intervention program for low-birthweight (LBW) infants was examined in this study. The intervention consisted of 11 sessions, beginning during the final week of hospitalization and extending into the home over a 3-month period. The program aimed to facilitate maternal adjustment to the care of a LBW infant, and, indirectly, to enhance the child's development. Neonates weighing less than 2,200 grams and under 37 weeks gestational age were randomly assigned to experimental or control conditions. A full-term, normal birthweight (NBW) group served as a second control. 6-month analyses of dyads who completed all assessments over a 4-year period (N's = 25 LBW experimental, 29 LBW control, and 28 NBW infant-mother dyads) showed that the experimental group mothers reported significantly greater self-confidence and satisfaction with mothering, as well as more favorable perception of infant temperament than LBW control group mothers. A progressive divergence between the LBW experimental and LBW control children on cognitive scores culminated in significant group differences on the McCarthy GCI at ages 36 and 48 months, when the LBW experimental group caught up to the NBW group. Possible explanations for the observed delay in the emergence of intervention effects on cognitive development and the mediating role of favorable mother-infant transactional patterns are discussed in light of recent evidence from the literature. SN - 0009-3920 UR - https://www.unboundmedicine.com/medline/citation/2454783/Minimizing_adverse_effects_of_low_birthweight:_four_year_results_of_an_early_intervention_program_ L2 - https://medlineplus.gov/developmentaldisabilities.html DB - PRIME DP - Unbound Medicine ER -