title: Factors associated with developmental concern and intent to access therapy following discharge from the NICU.
abstract: OBJECTIVE
  To determine factors associated with mothers' concern about infant development and intent to access therapy services following neonatal intensive care unit (NICU) discharge.
  
  
  METHODS
  Infant medical factors, magnetic resonance imaging results, neurobehavior at term, maternal factors, and maternal perceptions about developmental concern and intent to access therapy at NICU discharge were prospectively collected in 84 infants born premature (<30 weeks gestation). Regression was used to determine factors associated with developmental concern and intent to access therapy at NICU discharge.
  
  
  RESULTS
  Decreased developmental concern was reported by mothers with more children (P = .007). Infant stress signs (P = .038), higher maternal education (P = .047), reading books (P = .030), and maternal depression (P = .018) were associated with increased developmental concern. More maternal education was associated with more intent to access services (P = .040).
  
  
  CONCLUSIONS
  Maternal factors, rather than infant factors, had important associations with caregiver concern. In contrast, abnormal term neurobehavior and/or the presence of cerebral injury were not associated with caregiver concern about development.
authors.affiliation: Program in Occupational Therapy and Pediatrics, Washington University School of Medicine, St Louis, Missouri, USA. pineda_r@kids.wustl.edu
authors.forename: Roberta G
authors.initials: RG
authors.lastname: Pineda
authors.forename: Alison
authors.initials: A
authors.lastname: Castellano
authors.forename: Cynthia
authors.initials: C
authors.lastname: Rogers
authors.forename: Jeffrey J
authors.initials: JJ
authors.lastname: Neil
authors.forename: Terrie
authors.initials: T
authors.lastname: Inder
mesh_terms: D000328:Adult; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature / Q000254:growth & development*; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008425:Maternal Behavior; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D014481:United States