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The Infant Behavioral Assessment and Intervention Program to support preterm infants after hospital discharge: a pilot study
Author(s) -
Koldewijn Karen,
Wolf MarieJeanne,
Van Wassenaer Aleid,
Beelen Anita,
De Groot Imelda J M,
MEd Rodd Hedlund
Publication year - 2005
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/j.1469-8749.2005.tb01098.x
Subject(s) - bayley scales of infant development , medicine , pediatrics , gestational age , randomized controlled trial , birth weight , periventricular leukomalacia , psychological intervention , pregnancy , cognition , surgery , psychomotor learning , psychiatry , genetics , biology
In this pilot study we investigated the feasibility of The Infant Behavioral Assessment and Intervention Program (IBAIP) in a group of preterm infants. At the age of 6 months, the neurobehavioural organization and self‐regulatory competence of an intervention group was compared with a control group who had received the standard follow‐up care. The intervention group consisted of 13 males and seven females (mean gestational age [GA] 29.2 weeks, SD 1.3wks; mean birth weight 1232g, SD 320g). The control group consisted of 11 males and nine females (mean GA 29wks, SD 1.6wks; mean birthweight 1198g, SD 397g). Inclusion criteria were: a GA of 32 weeks and family residence in the district of Amsterdam. Exclusion criteria were: severe congenital abnormalities, intraventricular haemorrhage grade III or IV, periventricular leukomalacia grade III or IV, and infants whose mothers had a history of illicit drug use. The intervention infants received 6 to 8 IBAIP interventions at home, from discharge until 6 months of age. The Neonatal Behavioral Assessment Scale was administered at term; the Infant Behavioral Assessment (IBA) at term, 3, and 6 months of age; and the Bayley Scales of Infant Development‐II at 3 and 6 months (corrected age). At 6 months, intervention infants showed less stress and more approach behaviours on the IBA compared with control infants. These promising results warrant further evaluation in a randomized controlled trial.