The relationship between multiple developmental difficulties in very low birth weight children at 3½ years of age and the need for learning support at 5 years of age.
This study investigated whether multiple developmental difficulties are more frequent in very low birth weight (VLBW) children than in those born full term. The association between multiple developmental difficulties assessed at 3½ years of age and educational provision for the child at 5½ years was also investigated, with 'educational provision' referring to the curriculum, school placement and the level of learning support. There were 143 VLBW children without cerebral palsy (CP) and 41 term-born peers assessed at 3½ years of age. The assessment included 6 measures of development: word comprehension, visual motor integration, visual perception, motor coordination, executive functioning and behaviour. Educational provision was determined at age 5½ years. A mildly abnormal score (score <1 standard deviation) was considered to indicate developmental difficulty. Scores from the six measures of development were analysed to determine the difficulty frequency and the presence of multiple difficulties (>1 difficulty score) in each child. This study showed that at 3½ years of age, the VLBW children had significantly more difficulty with motor coordination than their term-born peers. In addition, 27% of the VLBW children had multiple difficulties compared to 10% in the term-born group. Multiple logistic regression analyses showed that of the difficulties, impaired motor coordination was most strongly associated with the requirement for learning support two years later. Regression analyses showed that having multiple difficulties was significantly associated with the need for learning support (Odds Ratio of 3.4 (95% CI: 1.5-7.8). These results show that the presence of multiple difficulties in a VLBW child of preschool age, can impact the child's educational provision two years later.
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: g.j.verkerk@amc.uva.nl.
Gijs
G
Verkerk
Martine
M
Jeukens-Visser
Aleid
A
van Wassenaer-Leemhuis
Joke
J
Kok
Frans
F
Nollet
D002652:Child Behavior; D002663:Child Language; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000453:epidemiology* / Q000534:rehabilitation*; D018479:Early Intervention, Educational / Q000379:methods*; D004519:Education, Special / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D007804:Language Development; D016015:Logistic Models; D009048:Motor Skills; D019957:Motor Skills Disorders / Q000453:epidemiology* / Q000534:rehabilitation*; D020380:Needs Assessment
Education; Learning support; Multiple developmental difficulties; Preschool; School; VLBW; Very preterm born