TY - JOUR
T1 - The Infant Behavioral Assessment and Intervention Program for Very Low Birth Weight Infants at 6 Months Corrected Age
AU - Koldewijn, Karen
AU - Wolf, Marie-Jeanne
AU - van Wassenaer, Aleid
AU - Meijssen, Dominique
AU - van Sonderen, Loekie
AU - van Baar, Anneloes
AU - Beelen, Anita
AU - Nollet, Frans
AU - Kok, Joke
PY - 2009
Y1 - 2009
N2 - OBJECTIVE: To determine whether the Infant Behavioral Assessment and Intervention Program (IBAIP), designed to support and enhance infants' self-regulatory competence, improved developmental and neurobehavioral outcomes in very low birth weight (VLBW) infants. STUDY DESIGN: We randomized 86 infants to 1 intervention before discharge and to 6 to 8 home interventions until 6 months corrected age, and 90 control infants received standard care. Developmental and behavioral outcomes were evaluated at 6 months corrected age with the Bayley Scales of Infant Development-II (BSID-II). Neurobehavioral functioning was evaluated with the Infant Behavioral Assessment (IBA) at baseline and at 6 months corrected age. RESULTS: Despite randomization, some differences in neonatal characteristics were found between the intervention and control infants. After adjustment, intervention effects of 7.2 points (+/- standard error 3.1) on the Mental Developmental Index and 6.4 +/- 2.4 points on the Psychomotor Developmental Index favored the intervention infants. The Behavioral Rating Scale of the BSID-II (P = .000) and the IBA (more approach [P = .003] and less stress [P = .001] over time) also favored the intervention infants. CONCLUSIONS: The IBAIP improved the mental, motor, and behavioral outcomes of VLBW infants at 6 months corrected age
AB - OBJECTIVE: To determine whether the Infant Behavioral Assessment and Intervention Program (IBAIP), designed to support and enhance infants' self-regulatory competence, improved developmental and neurobehavioral outcomes in very low birth weight (VLBW) infants. STUDY DESIGN: We randomized 86 infants to 1 intervention before discharge and to 6 to 8 home interventions until 6 months corrected age, and 90 control infants received standard care. Developmental and behavioral outcomes were evaluated at 6 months corrected age with the Bayley Scales of Infant Development-II (BSID-II). Neurobehavioral functioning was evaluated with the Infant Behavioral Assessment (IBA) at baseline and at 6 months corrected age. RESULTS: Despite randomization, some differences in neonatal characteristics were found between the intervention and control infants. After adjustment, intervention effects of 7.2 points (+/- standard error 3.1) on the Mental Developmental Index and 6.4 +/- 2.4 points on the Psychomotor Developmental Index favored the intervention infants. The Behavioral Rating Scale of the BSID-II (P = .000) and the IBA (more approach [P = .003] and less stress [P = .001] over time) also favored the intervention infants. CONCLUSIONS: The IBAIP improved the mental, motor, and behavioral outcomes of VLBW infants at 6 months corrected age
U2 - https://doi.org/10.1016/j.jpeds.2008.07.039
DO - https://doi.org/10.1016/j.jpeds.2008.07.039
M3 - Article
C2 - 18783797
SN - 0022-3476
VL - 154
SP - 33
EP - 38
JO - Journal of pediatrics
JF - Journal of pediatrics
IS - 1
ER -