TY - JOUR
T1 - The infant behavioral assessment and intervention program in very low birth weight infants; Outcome on executive functioning, behaviour and cognition at preschool age
AU - Verkerk, Gijs
AU - Jeukens-Visser, Martine
AU - Houtzager, Bregje
AU - Koldewijn, Karen
AU - van Wassenaer, Aleid
AU - Nollet, Frans
AU - Kok, Joke
PY - 2012
Y1 - 2012
N2 - Background: The Infant Behavioral Assessment and Intervention Program (IBAIP (c)) improved motor function at 24 months, and mental and behavioural development in high risk subgroups of very low birth weight (VLBW) infants. Aim: To determine IBAIP's effects on executive functioning, behaviour and cognition at preschool age. Study design: Follow-up of a randomised controlled trial (RCT). Subjects: At 44 months corrected age, all 176 VLBW infants were invited for follow-up. Forty-one term born children were assessed for comparison. Outcome measures: Visual Attention Task (VAT), Gift delay, Peabody Picture Vocabulary Test III-NL (PPVT), Visual motor integration tests and Miller assessment for preschoolers. Parents completed Behavior Rating Inventory of Executive Function-Preschool (BRIEF-P) and Child Behavior Checklist (CBCL). Results: At preschool age, 76 (88%) children of the intervention group and 75 (83%) children of the control group participated. There were no significant differences between the intervention and the control group. However, positive interaction effects between intervention and infants with bronchopulmonary dysplasia, infants born at gestational age <28 weeks, and infants of low educated mothers were found on CBCL, CBCL and BRIEF-P, and PPVT respectively. Most interaction effects exceeded 1 standard deviation in favour of the intervention children. The 151 VLBW children performed significantly worse than the term born children on the VAT, BRIEF-P and CBCL. Conclusion: IBAIP effects in VLBW children did not sustain until preschool age on executive functioning, behaviour and cognition. However, the most vulnerable children had a clinical relevant profit from IBAIP. VLBW children performed worse than the term born children. This study is a follow-up at preschool age of the multi-centre RCT of IBAIP versus usual care in VLBW infants. The RCT was performed in Amsterdam, The Netherlands (IBAIP RCT registered on http://www.controlled-trials.com number ISRCTN65503576). (c) 2012 Elsevier Ireland Ltd. All rights reserved
AB - Background: The Infant Behavioral Assessment and Intervention Program (IBAIP (c)) improved motor function at 24 months, and mental and behavioural development in high risk subgroups of very low birth weight (VLBW) infants. Aim: To determine IBAIP's effects on executive functioning, behaviour and cognition at preschool age. Study design: Follow-up of a randomised controlled trial (RCT). Subjects: At 44 months corrected age, all 176 VLBW infants were invited for follow-up. Forty-one term born children were assessed for comparison. Outcome measures: Visual Attention Task (VAT), Gift delay, Peabody Picture Vocabulary Test III-NL (PPVT), Visual motor integration tests and Miller assessment for preschoolers. Parents completed Behavior Rating Inventory of Executive Function-Preschool (BRIEF-P) and Child Behavior Checklist (CBCL). Results: At preschool age, 76 (88%) children of the intervention group and 75 (83%) children of the control group participated. There were no significant differences between the intervention and the control group. However, positive interaction effects between intervention and infants with bronchopulmonary dysplasia, infants born at gestational age <28 weeks, and infants of low educated mothers were found on CBCL, CBCL and BRIEF-P, and PPVT respectively. Most interaction effects exceeded 1 standard deviation in favour of the intervention children. The 151 VLBW children performed significantly worse than the term born children on the VAT, BRIEF-P and CBCL. Conclusion: IBAIP effects in VLBW children did not sustain until preschool age on executive functioning, behaviour and cognition. However, the most vulnerable children had a clinical relevant profit from IBAIP. VLBW children performed worse than the term born children. This study is a follow-up at preschool age of the multi-centre RCT of IBAIP versus usual care in VLBW infants. The RCT was performed in Amsterdam, The Netherlands (IBAIP RCT registered on http://www.controlled-trials.com number ISRCTN65503576). (c) 2012 Elsevier Ireland Ltd. All rights reserved
U2 - https://doi.org/10.1016/j.earlhumdev.2012.02.004
DO - https://doi.org/10.1016/j.earlhumdev.2012.02.004
M3 - Article
C2 - 22406323
SN - 0378-3782
VL - 88
SP - 699
EP - 705
JO - Early Human Development
JF - Early Human Development
IS - 8
ER -