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对早产儿家庭的早期干预:一项对儿童追踪至9岁的随机对照试验结果综述

Early Intervention in Families with Preterm Infants: A Review of Findings from a Randomized Controlled Trial Following Children Up to 9 Years of Age.

作者信息

Ulvund Stein Erik

机构信息

Department of Education, University of Oslo, 0317 Oslo, Norway.

出版信息

Children (Basel). 2022 Mar 30;9(4):474. doi: 10.3390/children9040474.

Abstract

The Tromsø Intervention Study on Preterms (TISP) randomized 146 preterm born children (<2000 g) either to the Mother-Infant Transaction Program-Modified (MITP-M, n = 72) or to a preterm control group (n = 74). In addition, 75 full-term babies were followed up until 9 years of age. TISP was conducted at the University Hospital Northern Norway (UNN) and only infants who did not have congenital anomalies and families where the mothers’ native language was Norwegian were included. The study investigates the effect of MITP-M on cognitive and social development including behavioral problems, quality of life and stress in the family. The results have so far been published in various journals. The aim of this article is to give a comprehensive overall presentation of the main findings and discuss implications for clinical practice and further research. Parents in the intervention group were superior in “reading” their infants’ temperament, and at 3, 5 and 7 years of age the intervention group scored significantly higher on well-known tests of cognitive outcome. At 9 years of age, the intervention group had fewer attentional problems, better school achievements and a better quality of life. From the first year onwards, mothers and fathers in the intervention group reported lower levels of stress than parents of in the preterm control group.

摘要

特罗姆瑟早产儿干预研究(TISP)将146名出生体重小于2000克的早产儿随机分为两组,一组接受改良的母婴互动项目(MITP-M,n = 72),另一组为早产对照组(n = 74)。此外,75名足月儿被随访至9岁。TISP在挪威北部大学医院(UNN)开展,仅纳入无先天性异常且母亲母语为挪威语的婴儿及其家庭。该研究调查了MITP-M对认知和社会发展的影响,包括行为问题、生活质量和家庭压力。目前研究结果已发表在各类期刊上。本文旨在全面呈现主要研究发现,并探讨其对临床实践和进一步研究的意义。干预组的父母在“解读”婴儿气质方面更胜一筹,在3岁、5岁和7岁时,干预组在知名认知结果测试中的得分显著更高。9岁时,干预组的注意力问题更少,学业成绩更好,生活质量更高。从第一年起,干预组的父母报告的压力水平低于早产对照组的父母。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3078/9029705/d04002862df3/children-09-00474-g001.jpg

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