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17‐year outcome of preterm infants with diverse neonatal morbidities: Part 2, impact on activities and participation
Author(s) -
Sullivan Mary C.,
Miller Robin J.,
Msall Michael E.
Publication year - 2012
Publication title -
journal for specialists in pediatric nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.499
H-Index - 38
eISSN - 1744-6155
pISSN - 1539-0136
DOI - 10.1111/j.1744-6155.2012.00339.x
Subject(s) - socioeconomic status , cognition , psychological intervention , psychology , disadvantage , cognitive skill , gerontology , medicine , developmental psychology , social cognitive theory , clinical psychology , psychiatry , population , environmental health , political science , law
Purpose To examine functioning and participation in a diverse U . S . sample of 180 infants at age 17 years. Design and Methods T he W orld H ealth O rganization I nternational C lassification of F unctioning, D isability and H ealth model framed functioning and participation domains and contextual factors. Assessment included cognition, executive functioning, academic achievement, personal functioning, community participation, and social involvement. Results Socioeconomic status, not prematurity, impacted cognitive and academic outcomes. Across neonatal morbidities, male gender and social disadvantage are key determinants of cognitive, academic, and social functioning. Practice Implications Interventions addressing academic and social–behavioral competencies in early school years may potentially optimize long‐term preterm outcomes.

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