2454783

Source:http://linkedlifedata.com/resource/pubmed/id/2454783

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Predicate	Object
rdf:type	pubmed:Citation
lifeskim:mentions	umls-concept:C0005612, umls-concept:C0205251, umls-concept:C0242687, umls-concept:C0599917, umls-concept:C0879626, umls-concept:C1274040
pubmed:issue	3
pubmed:dateCreated	1988-8-8
pubmed:abstractText	The outcome of an early intervention program for low-birthweight (LBW) infants was examined in this study. The intervention consisted of 11 sessions, beginning during the final week of hospitalization and extending into the home over a 3-month period. The program aimed to facilitate maternal adjustment to the care of a LBW infant, and, indirectly, to enhance the child's development. Neonates weighing less than 2,200 grams and under 37 weeks gestational age were randomly assigned to experimental or control conditions. A full-term, normal birthweight (NBW) group served as a second control. 6-month analyses of dyads who completed all assessments over a 4-year period (N's = 25 LBW experimental, 29 LBW control, and 28 NBW infant-mother dyads) showed that the experimental group mothers reported significantly greater self-confidence and satisfaction with mothering, as well as more favorable perception of infant temperament than LBW control group mothers. A progressive divergence between the LBW experimental and LBW control children on cognitive scores culminated in significant group differences on the McCarthy GCI at ages 36 and 48 months, when the LBW experimental group caught up to the NBW group. Possible explanations for the observed delay in the emergence of intervention effects on cognitive development and the mediating role of favorable mother-infant transactional patterns are discussed in light of recent evidence from the literature.
pubmed:grant	http://linkedlifedata.com/resource/pubmed/grant/R01 MH 32924
pubmed:keyword	http://linkedlifedata.com/resource/pubmed/keyword/Americas, http://linkedlifedata.com/resource/pubmed/keyword/Behavior, http://linkedlifedata.com/resource/pubmed/keyword/Biology, http://linkedlifedata.com/resource/pubmed/keyword/Birth Weight, http://linkedlifedata.com/resource/pubmed/keyword/Body Weight, http://linkedlifedata.com/resource/pubmed/keyword/CHILD DEVELOPMENT, http://linkedlifedata.com/resource/pubmed/keyword/Child Rearing, http://linkedlifedata.com/resource/pubmed/keyword/Developed Countries, http://linkedlifedata.com/resource/pubmed/keyword/Developing Countries, http://linkedlifedata.com/resource/pubmed/keyword/Education, http://linkedlifedata.com/resource/pubmed/keyword/Educational Activities, http://linkedlifedata.com/resource/pubmed/keyword/Evaluation, http://linkedlifedata.com/resource/pubmed/keyword/Family And Household, http://linkedlifedata.com/resource/pubmed/keyword/Family Characteristics, http://linkedlifedata.com/resource/pubmed/keyword/Family Planning, http://linkedlifedata.com/resource/pubmed/keyword/Family Planning Programs, http://linkedlifedata.com/resource/pubmed/keyword/Family Relationships, http://linkedlifedata.com/resource/pubmed/keyword/Low Birth Weight, http://linkedlifedata.com/resource/pubmed/keyword/Mothers, http://linkedlifedata.com/resource/pubmed/keyword/North America, http://linkedlifedata.com/resource/pubmed/keyword/Northern America, http://linkedlifedata.com/resource/pubmed/keyword/PARENTS, http://linkedlifedata.com/resource/pubmed/keyword/Physiology, http://linkedlifedata.com/resource/pubmed/keyword/Population At Risk, http://linkedlifedata.com/resource/pubmed/keyword/Postpartum Programs, http://linkedlifedata.com/resource/pubmed/keyword/Research Methodology, http://linkedlifedata.com/resource/pubmed/keyword/Research Report, http://linkedlifedata.com/resource/pubmed/keyword/Training Programs, http://linkedlifedata.com/resource/pubmed/keyword/United States, http://linkedlifedata.com/resource/pubmed/keyword/Vermont
pubmed:language	eng
pubmed:journal	http://linkedlifedata.com/resource/pubmed/journal/0372725
pubmed:citationSubset	IM
pubmed:status	MEDLINE
pubmed:month	Jun
pubmed:issn	0009-3920
pubmed:author	pubmed-author:AchenbachT MTM, pubmed-author:HowellC TCT, pubmed-author:NurcombeBB, pubmed-author:SALOT PTP, pubmed-author:TetiD MDM
pubmed:issnType	Print
pubmed:volume	59
pubmed:owner	NLM
pubmed:authorsComplete	Y
pubmed:pagination	544-53
pubmed:dateRevised	2007-11-14
pubmed:otherAbstract	PIP: The outcome of an early intervention program for low-birthweight (LBW) infants was examined in this study. The intervention consisted of 11 sessions, beginning during the final week of hospitalization and extending into the home over a 3-month period. The program aimed to facilitate maternal adjustment to the care of a LBW infant, and indirectly, to enhance the child's development. Neonates weighing less than 2,200 grams and under 37 weeks gestational age were randomly assigned to experimental or control analysis of dyads who completed all assessments over a 4-year period (N's = 25 LBW experimental, 29 LBW control, and 28 NBW infant-mother dyads) showed that the experimental group mothers reported significantly greater self-confidence and satisfaction with mothering, as well as more favorable perception of infant temperament than LBW control group mothers. A progressive divergence between the LBW experimental and LBW control children on cognitive scores culminated in significant group differences on the McCarthy GCI at ages 36 and 48 months, when the LBW experimental group caught up to the NBW group. Possible explanations for the observed delay in the emergence of intervention effects on cognitive development and the mediating role of favorable mother-infant transactional patterns are discussed in light of recent evidence from the literature. These findings support a transactional model for facilitating mother-infant interactions. A logical next step would be to replicate the intervention program on a different sample of infants considered to be at biological risk. The studies were conducted at Medical Center Hospital in Vermont.
pubmed:meshHeading	pubmed-meshheading:2454783-Child, Preschool, pubmed-meshheading:2454783-Cognition, pubmed-meshheading:2454783-Developmental Disabilities, pubmed-meshheading:2454783-Female, pubmed-meshheading:2454783-Humans, pubmed-meshheading:2454783-Infant, pubmed-meshheading:2454783-Infant, Low Birth Weight, pubmed-meshheading:2454783-Infant, Newborn, pubmed-meshheading:2454783-Longitudinal Studies, pubmed-meshheading:2454783-Male, pubmed-meshheading:2454783-Mothers
pubmed:year	1988
pubmed:articleTitle	Minimizing adverse effects of low birthweight: four-year results of an early intervention program.
pubmed:affiliation	Center for Population and Family Health, Columbia University, School of Public Health, New York, NY 10032.
pubmed:publicationType	Journal Article, Clinical Trial, Research Support, U.S. Gov't, P.H.S., Randomized Controlled Trial, Research Support, Non-U.S. Gov't