Intervention effects on emotion regulation in preterm infants with very low birth weight: A randomize controlled trial. (January 2016)

• Record Type: Journal Article
• Authors: Wu, Ying-Chin; Hsieh, Wu-Shiun; Hsu, Chyong-Hsin; Chang, Jui-Hsing; Chou, Hung-Chieh; Hsu, Hui-Chin; Chiu, Nan-Chang; Lee, Wang-Tso; Chen, Wei-J.; Ho, Yu-Wen; Jeng, Suh-Fang
• Is Part Of: Research in developmental disabilities. Volume 48(2016:Jan.)
• Page Start: 1
• Page End: 12
• Publication Date: 2016-01
• Subjects: Preterm infants -- Early intervention -- Development -- Effectiveness -- Behavior -- Emotion regulation; Developmental disabilities -- Periodicals; Developmentally disabled -- Research -- United States -- Periodicals; Developmentally disabled children -- Education -- Research -- United States -- Periodicals; Developmental Disabilities -- Periodicals; Disabled -- Periodicals; Mental Retardation -- rehabilitation -- Periodicals; Personnes atteintes de troubles du développement -- Recherche -- États-Unis -- Périodiques; Enfants atteints de troubles du développement -- Éducation -- Recherche -- États-Unis -- Périodiques; Développement, Troubles du -- Recherche -- États-Unis -- Périodiques; 616.858800
• DOI: 10.1016/j.ridd.2015.10.016
• Languages: English
• ISSNs: 0891-4222

Abstract

Highlights: Clinic- and home-based intervention programs were developed for preterm infants. Both intervention programs contained child-, parent- and dyad-focused services. Preterm infants were examined for emotion regulation to stress at toddler age. Both intervention programs enhanced preterm infants' emotion regulation to stress. 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.