Intervention effects on emotion regulation in preterm infants with very low birth weight: A randomize controlled trial
Journal
Research in Developmental Disabilities
Journal Volume
48
Pages
1-12
Date Issued
2016
Author(s)
Wu Y.-C.
Hsieh W.-S.
Hsu C.-H.
Chang J.-H.
Hsu H.-C.
Chiu N.-C.
Ho Y.-W.
Abstract
Preterm infants are at risk for emotional difficulties and behavioral problems. This study was aimed to investigate the effects of a clinic-based intervention program (CBIP) and a home-based intervention program (HBIP) compared with a usual care program (UCP) on emotion regulation to stress in preterm infants with very low birth weight (VLBW, birth weight <1500. g). A total of 178 VLBW preterm infants had been previously randomly assigned to receive one of three interventions (57 in CBIP, 63 in HBIP and 58 in UCP). The CBIP and HBIP contained identical child-, parent- and dyad-focused interventions that were provided to infants during hospitalization and were respectively delivered at clinics and at home at PMA 36-38 and 40 weeks, and 1, 2, 4, 6, 9, 12 months of corrected age. All infants were prospectively observed for behavioral reactivity and regulation in response to experimentally evoke stress evoked by a toy-behind-barrier procedure at 12, 18, and 24 months of corrected age. Their cognitive and language abilities, and mothers' responsiveness were also assessed at 12 months as potential covariates. Compared to the UCP-group infants, the HBIP-group infants exhibited shorter durations of visual orientation to a toy (adjusted difference [95% CI]. = -1.60 [-3.07 to -0.13], p= 0.03), and the CBIP-group infants exhibited shorter durations of avoidance (adjusted difference [95% CI]. = -0.84 [-1.57 to -0.10], p= 0.03) from 12 to 24 months of corrected age. The CBIP and HBIP showed no difference in the stress reactivity from the UCP, however. These results suggest that comprehensive interventions incorporating child-, parent- and dyad-focused services enhanced VLBW preterm infants' emotion regulation in response to stress at toddler age. ? 2015 Elsevier Ltd.
SDGs
Other Subjects
Article; autoregulation; child parent relation; clinic based intervention program; cognition; controlled study; early childhood intervention; emotionality; female; health program; health service; home based intervention program; hospitalization; human; infant; language ability; male; prematurity; prospective study; randomized controlled trial; stress; Taiwan; usual care program; very low birth weight; visual orientation; Affective Symptoms; behavior control; behavioral observation; child parent relation; clinical trial; emotion; growth, development and aging; infant care; language development; multicenter study; newborn; pathophysiology; prematurity; preschool child; procedures; program evaluation; psychological adjustment; psychology; Affective Symptoms; Behavior Control; Behavior Observation Techniques; Child, Preschool; Cognition; Emotional Adjustment; Emotions; Female; Humans; Infant; Infant Care; Infant, Newborn; Infant, Premature; Infant, Very Low Birth Weight; Language Development; Male; Parent-Child Relations; Program Evaluation; Taiwan
Publisher
Elsevier Inc.
Type
journal article