Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study

Preterm children have an increased risk of neurodevelopmental impairments which include psychomotor and language retardation. The objectives of the present retrospective cohort study were to examine the effects of an individually adapted, home-based, and family-centred early developmental habilitati...

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Main Authors: Michela Poggioli, Fabrizio Minichilli, Tiziana Bononi, Pasquina Meghi, Paolo Andre, Alessandra Crecchi, Bruno Rossi, Maria Chiara Carboncini, Alberto Ottolini, Luca Bonfiglio
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/2016/4323792
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author Michela Poggioli
Fabrizio Minichilli
Tiziana Bononi
Pasquina Meghi
Paolo Andre
Alessandra Crecchi
Bruno Rossi
Maria Chiara Carboncini
Alberto Ottolini
Luca Bonfiglio
author_facet Michela Poggioli
Fabrizio Minichilli
Tiziana Bononi
Pasquina Meghi
Paolo Andre
Alessandra Crecchi
Bruno Rossi
Maria Chiara Carboncini
Alberto Ottolini
Luca Bonfiglio
author_sort Michela Poggioli
collection DOAJ
description Preterm children have an increased risk of neurodevelopmental impairments which include psychomotor and language retardation. The objectives of the present retrospective cohort study were to examine the effects of an individually adapted, home-based, and family-centred early developmental habilitation program on neurodevelopmental and behavioural outcomes of very preterm children compared with a standard follow-up at 2 years’ corrected age. Enrolled infants were retrospectively assigned to the intervention group (61 subjects) or to the control group (62 subjects) depending on whether they had or had not carried out a home-based family-centred early developmental habilitation program focused on environmental enrichment, parent-guided environmental interaction, and infant development. Developmental outcome was assessed for both groups at 24 months’ corrected age using the Bayley Scales of Infant Development 2nd Edition. Intervention significantly improved both cognitive and behavioural outcomes. In addition, males had significantly lower scores than females either before or after treatment. However, the treatment was effective in both genders to the same extent. In conclusion, a timely updated environment suitable to the infant’s developmental needs could provide the best substrate where the parent-infant relationship can be practised with the ultimate goal of achieving further developmental steps.
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spelling doaj-art-41caa0d787884fc6bee8626285fe0ca92025-08-20T02:08:24ZengWileyNeural Plasticity2090-59041687-54432016-01-01201610.1155/2016/43237924323792Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort StudyMichela Poggioli0Fabrizio Minichilli1Tiziana Bononi2Pasquina Meghi3Paolo Andre4Alessandra Crecchi5Bruno Rossi6Maria Chiara Carboncini7Alberto Ottolini8Luca Bonfiglio9Unità Operativa Neuropsichiatria Infanzia e Adolescenza (UONPIA), ASST Fatebenefratelli e Sacco, 20157 Milano, ItalyUnit of Environmental Epidemiology, Institute of Clinical Physiology, National Council of Research, 56124 Pisa, ItalyUnità Operativa Neuropsichiatria Infanzia e Adolescenza (UONPIA), ASST Fatebenefratelli e Sacco, 20157 Milano, ItalyUnità Operativa Neuropsichiatria Infanzia e Adolescenza (UONPIA), ASST Grande Ospedale Metropolitano Niguarda, 20162 Milano, ItalyDepartment of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, ItalyDepartment of Translational Research on New Technologies in Medicine and Surgery, School of Physical Medicine and Rehabilitation, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research on New Technologies in Medicine and Surgery, School of Physical Medicine and Rehabilitation, University of Pisa, 56126 Pisa, ItalyDepartment of Translational Research on New Technologies in Medicine and Surgery, School of Physical Medicine and Rehabilitation, University of Pisa, 56126 Pisa, ItalyUnità Operativa Neuropsichiatria Infanzia e Adolescenza (UONPIA), ASST Fatebenefratelli e Sacco, 20157 Milano, ItalyDepartment of Translational Research on New Technologies in Medicine and Surgery, School of Physical Medicine and Rehabilitation, University of Pisa, 56126 Pisa, ItalyPreterm children have an increased risk of neurodevelopmental impairments which include psychomotor and language retardation. The objectives of the present retrospective cohort study were to examine the effects of an individually adapted, home-based, and family-centred early developmental habilitation program on neurodevelopmental and behavioural outcomes of very preterm children compared with a standard follow-up at 2 years’ corrected age. Enrolled infants were retrospectively assigned to the intervention group (61 subjects) or to the control group (62 subjects) depending on whether they had or had not carried out a home-based family-centred early developmental habilitation program focused on environmental enrichment, parent-guided environmental interaction, and infant development. Developmental outcome was assessed for both groups at 24 months’ corrected age using the Bayley Scales of Infant Development 2nd Edition. Intervention significantly improved both cognitive and behavioural outcomes. In addition, males had significantly lower scores than females either before or after treatment. However, the treatment was effective in both genders to the same extent. In conclusion, a timely updated environment suitable to the infant’s developmental needs could provide the best substrate where the parent-infant relationship can be practised with the ultimate goal of achieving further developmental steps.http://dx.doi.org/10.1155/2016/4323792
spellingShingle Michela Poggioli
Fabrizio Minichilli
Tiziana Bononi
Pasquina Meghi
Paolo Andre
Alessandra Crecchi
Bruno Rossi
Maria Chiara Carboncini
Alberto Ottolini
Luca Bonfiglio
Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
Neural Plasticity
title Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
title_full Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
title_fullStr Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
title_full_unstemmed Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
title_short Effects of a Home-Based Family-Centred Early Habilitation Program on Neurobehavioural Outcomes of Very Preterm Born Infants: A Retrospective Cohort Study
title_sort effects of a home based family centred early habilitation program on neurobehavioural outcomes of very preterm born infants a retrospective cohort study
url http://dx.doi.org/10.1155/2016/4323792
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