Turner Institute for Brain and Mental Health & School of Psychological Sciences, Monash University, Melbourne, Australia; Murdoch Children's Research Institute, Melbourne, Australia.
Murdoch Children's Research Institute, Melbourne, Australia; Department of Psychology and Counselling, La Trobe University, Melbourne, Australia.
Semin Fetal Neonatal Med. 2020 Jun;25(3):101119. doi: 10.1016/j.siny.2020.101119. Epub 2020 May 15.
Interventions are needed to enhance early development and minimise long-term impairments for children born very preterm (VP, <32 weeks' gestation) and their families. Given the role of the environment on the developing brain, the potential for developmental interventions that modify the infant's hospital and home environments to improve outcomes is high. Although early developmental interventions vary widely in focus, timing, and mode of delivery, evidence generally supports the effectiveness of these programs to improve specific outcomes for children born VP and their families. However, little is known about mechanisms for effectiveness, cost- and long-term effectiveness, which programs might work better for whom, and how to provide early intervention services equitably. This information is critical to facilitate systematic integration of effective developmental interventions into clinical care for infants born very preterm and their families.
需要采取干预措施来促进极早产儿（VP，<32 周妊娠）及其家庭的早期发育并最大限度地减少长期损害。鉴于环境对发育中大脑的作用，通过改变婴儿住院和家庭环境来进行发展干预以改善结果的潜力很大。尽管早期发展干预措施在重点、时机和实施方式上差异很大，但这些计划通常都支持改善 VP 出生的儿童及其家庭的特定结果的有效性。然而，对于有效性的机制、成本和长期效果、哪些计划对哪些人更有效以及如何公平地提供早期干预服务，我们知之甚少。这些信息对于促进将有效的发展干预措施系统地纳入极早产儿及其家庭的临床护理至关重要。
