Herd Michael, Whittingham Koa, Sanders Matthew, Colditz Paul, Boyd Roslyn N
University of Queensland, Brisbane, Australia.
Infant Ment Health J. 2014 Nov-Dec;35(6):630-41. doi: 10.1002/imhj.21480. Epub 2014 Oct 20.
The aim of this systematic review was to determine the efficacy of parenting interventions for parents of preterm infants to improve child behavior. Randomized controlled trials (RCTs) of parenting interventions for parents of preterm infants were included. Searchers were conducted of PubMed from 1951 to April 2013, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) from 1982 to April 2013, Scopus from 1966 to April 2013, PsycINFO from 1840 to April 2013, the Web of Science, and the Cochrane Library. Twelve RCTs were identified that assessed child behavior. Of these studies, only data from three were able to be pooled for meta-analysis: the Infant Health and Development Program (IHDP) at 3 years, the Mother-Infant Transaction Program (modified; MITP-M) at 5 years, and the Victorian Infant Brain Studies (VIBeS Plus) at 4 years. Outcome from this analysis revealed a small, but significant, effect on child behavior favoring the intervention (95% CI: 0.08-0.32; p = .001). There is evidence that preterm parenting interventions can improve child behavior. Streamlined interventions such as MITP-M and VIBeS Plus that have a strong focus on the mother-infant relationship may have greatest potential.
本系统评价的目的是确定针对早产儿父母的养育干预措施对改善儿童行为的效果。纳入了针对早产儿父母的养育干预措施的随机对照试验（RCT）。检索了1951年至2013年4月的PubMed、1982年至2013年4月的护理及相关健康文献累积索引（CINAHL）、1966年至2013年4月的Scopus、1840年至2013年4月的PsycINFO、科学网和Cochrane图书馆。共识别出12项评估儿童行为的RCT。在这些研究中，只有三项研究的数据能够合并进行荟萃分析：3岁时的婴儿健康与发展项目（IHDP）、5岁时的母婴互动项目（改良版；MITP-M）和4岁时的维多利亚婴儿大脑研究（VIBeS Plus）。该分析结果显示，干预措施对儿童行为有微小但显著的影响（95%置信区间：0.08 - 0.32；p = 0.001）。有证据表明，针对早产儿父母的养育干预措施可以改善儿童行为。像MITP-M和VIBeS Plus这样高度关注母婴关系的简化干预措施可能具有最大潜力。
