The role of early developmental intervention to influence neurobehavioral outcomes of children born preterm.
Children who are born preterm are at risk of adverse long-term neurobehavioral outcomes, including cognitive, motor, and behavioral impairments. Early developmental interventions that commence within the first year after preterm birth have a preventative focus, with the aim to positively influence the developmental trajectory. While there is a great deal of heterogeneity in the research trials to date, there is evidence that early developmental interventions have a moderate effect on cognitive and behavioral outcomes up to preschool age, with some evidence for improved motor outcomes. This review discusses key components of early developmental interventions including commencing the intervention as early as possible, ideally in the neonatal intensive care unit, and promoting developmental skills overtime with an appropriate enriched environment. The importance of involving and supporting parents in early intervention is also highlighted, particularly given the influence of the parent-infant relationship on developmental outcomes and higher rates of mental health problems in parents after preterm birth.
Department of Physiotherapy, University of Melbourne, Level 7 Alan Gilbert Building, 161 Barry St, Parkville 3010, Victoria, Australia; Victorian Infant Brain Studies, Murdoch Childrens Research Institute, Parkville, Victoria, Australia; Neonatal Services, The Royal Women's Hospital, Melbourne, Victoria, Australia. Electronic address: aspittle@unimelb.edu.au.
Alicia
A
Spittle
Victorian Infant Brain Studies, Murdoch Childrens Research Institute, Parkville, Victoria, Australia; Neonatal Services, The Royal Women's Hospital, Melbourne, Victoria, Australia; Department of Psychology and Counselling, La Trobe University, Bundoora, Victoria, Australia; Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia.
Karli
K
Treyvaud
D001315:Australia; D002648:Child; D002657:Child Development; D003072:Cognition Disorders / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy; D002658:Developmental Disabilities / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy; D018479:Early Intervention, Educational / Q000379:methods; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy; D019102:Infant, Very Low Birth Weight; D007363:Intensive Care Units, Neonatal; D009460:Neurologic Examination; D010287:Parent-Child Relations; D012931:Social Environment; D016896:Treatment Outcome
Early intervention; Neurobehaviour; Neurodevelopment; Preterm infant