title: Developmental outcome, child behaviour and mother-child interaction at 3 years of age following Newborn Individualized Developmental Care and Intervention Program (NIDCAP) intervention.
abstract: The aim of the present pilot study was to investigate the impact of early intervention in the form of family-centred developmentally supportive care according to NIDCAP((R)) (Newborn Individualized Developmental Care and Assessment Program) on the development and behaviour of the child and on the mother-child interaction at 3 years of age. Two groups of very-low-birth-weight (VLBW) infants (< or = 1500 g) were studied. The control group (n=21) was born in 1990, i.e. prior to implementation of the NIDCAP. The intervention group, born in 1992-1993 (n=21), was subjected to formal NIDCAP observation once every 10 days. Development was assessed using the Griffiths' Developmental Scale II in conjunction with a neurological examination. Behaviour was assessed on the basis of a parental interview. Mother-child interaction was assessed according to the Parent-Child Early Relational Assessment Scale (ERA). There was no significant difference in motor development. The total developmental quotient (DQ) on the Griffiths' developmental scale was 109 (94-122) [median (range)] for the NIDCAP group and 108 (93-120) for the control group (n.s.). On the subscale hearing-speech, the intervention group scored 119 (72-157) and the control group 108 (84-130) (P=0.02). The total score with respect to the Behaviour Symptom Interview was 6 (0-20) for the NIDCAP group and 16 (0-54) for the control group (P=0.03). With respect to the mother-child interaction, there was a significant difference in the child cluster 'communication', the total score being 12 (11-13) for the NIDCAP group and 10 (9-13) for the control group (P=0.03). In conclusion, care of VLBW infants according to NIDCAP appears to have certain positive long-term effects on the child's behaviour and mother-child interaction.
authors: Neonatal Unit, Astrid Lindgren Children's Hospital, Karolinska Institute, Stockholm, Sweden.
authors: A
authors: A
authors: Kleberg
authors: B
authors: B
authors: Westrup
authors: K
authors: K
authors: Stjernqvist
mesh_terms: D000328:Adult; D002652:Child Behavior / Q000502:physiology* / Q000523:psychology; D002657:Child Development; D002675:Child, Preschool; D003071:Cognition; D005260:Female; D006309:Hearing; D006801:Humans; D007230:Infant, Low Birth Weight / Q000254:growth & development* / Q000502:physiology / Q000523:psychology; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development* / Q000502:physiology / Q000523:psychology; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009034:Mother-Child Relations; D009043:Motor Activity / Q000502:physiology; D010865:Pilot Projects; D011597:Psychomotor Performance / Q000502:physiology; D012424:Rural Population; D012919:Social Behavior; D013060:Speech; D018709:Statistics, Nonparametric; D013548:Sweden; D014743:Videotape Recording