Do Early Intervention Programmes Improve Cognitive and Motor Outcomes for Preterm Infants after Discharge? A Systematic Review

Autor/inn/en	Orton, Jane; Spittle, Alicia; Doyle, Lex; Anderson, Peter; Boyd, Roslyn
Titel	Do Early Intervention Programmes Improve Cognitive and Motor Outcomes for Preterm Infants after Discharge? A Systematic Review
Quelle	In: Developmental Medicine & Child Neurology, 51 (2009) 11, S.851-859 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0012-1622
DOI	10.1111/j.1469-8749.2009.03414.x
Schlagwörter	Early Intervention; Intelligence Quotient; Premature Infants; Preschool Children; Patients; Cognitive Development; Psychomotor Skills; Program Effectiveness; Meta Analysis; Databases; Child Development; Age Differences + Suchen Sie Ihr Suchwort? Intelligenzquotient; Frühgeburt; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Patient; Kognitive Entwicklung; Psychomotorische Aktivität; Meta-analysis; Metaanalyse; Datenbank; Kindesentwicklung; Age; Difference; Age difference; Altersunterschied
Abstract	Aim: The aim of this study was to review the effects of early developmental intervention after discharge from hospital on motor and cognitive development in preterm infants. Method: Randomized controlled trials (RCTs) or quasi-RCTs of early developmental intervention programmes for preterm infants in which motor or cognitive outcomes were reported and in which the intervention commenced before or after discharge were included. A systematic review and meta-analysis of studies grouped by intervention, age of outcome, and study quality was undertaken. Databases searched (up to January 2009) included the Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, PsycINFO, and Embase. Results: Eighteen studies met the inclusion criteria (2686 patients randomized), but only 11 studies had data suitable for meta-analysis. Early developmental intervention improved cognitive outcomes at infant age (developmental quotient: standardized mean difference [SMD] 0.42, 95% confidence interval [CI] 0.33-0.52; p less than 0.001), and at preschool age (IQ: SMD 0.46, 95% CI 0.33-0.59; p less than 0.001). However, the benefit was not sustained at school age (IQ: SMD 0.02, 95% CI -0.10 to 0.14; p = 0.71). Early intervention had little effect on motor outcome at infant or school age, and there was no study reporting motor outcome at preschool age. Interpretation: Current evidence suggests that the benefits of developmental intervention postdischarge are restricted to short-term gains in cognitive outcome. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10