BACKGROUND AND OBJECTIVE: Care based on the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) has been reported to exert a positive impact on the development of prematurely born infants. The aim of the present investigation was to determine the effect of such care on the 1-year development of infants born with a gestational age of less than 32 weeks. METHODS: All surviving infants (11 in the NIDCAP group and 9 in the control group) were assessed employing the Bayley Scales of Infant Development at 1 year of corrected age. RESULTS: The Mental Developmental Index (MDI) of children who had received care according to NIDCAP was higher [88 (72-114)] [median (range)] than the corresponding value for the control children [78 (50-82)] (p=0.01). The odds ratio for being alive with an MDI>80 was 14 (95% CI; 1.4-141.5) in favour of the intervention group. However, the Psychomotor Developmental Indices (PDI) were not significantly different [85 (61-108) and 69 (50-114), respectively] (p=0.23). CONCLUSION: Our findings indicate that care based on the NIDCAP might have a positive impact on the cognitive development of infants born very prematurely.
RCT Entities:
BACKGROUND AND OBJECTIVE: Care based on the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) has been reported to exert a positive impact on the development of prematurely born infants. The aim of the present investigation was to determine the effect of such care on the 1-year development of infants born with a gestational age of less than 32 weeks. METHODS: All surviving infants (11 in the NIDCAP group and 9 in the control group) were assessed employing the Bayley Scales of Infant Development at 1 year of corrected age. RESULTS: The Mental Developmental Index (MDI) of children who had received care according to NIDCAP was higher [88 (72-114)] [median (range)] than the corresponding value for the control children [78 (50-82)] (p=0.01). The odds ratio for being alive with an MDI>80 was 14 (95% CI; 1.4-141.5) in favour of the intervention group. However, the Psychomotor Developmental Indices (PDI) were not significantly different [85 (61-108) and 69 (50-114), respectively] (p=0.23). CONCLUSION: Our findings indicate that care based on the NIDCAP might have a positive impact on the cognitive development of infants born very prematurely.
Authors: Rita H Pickler; Jacqueline M McGrath; Barbara A Reyna; Nancy McCain; Mary Lewis; Sharon Cone; Paul Wetzel; Al Best Journal: J Perinat Neonatal Nurs Date: 2010 Oct-Dec Impact factor: 1.638
Authors: H Als; F H Duffy; G B McAnulty; C B Fischer; S Kosta; S C Butler; R B Parad; J G Blickman; D Zurakowski; S A Ringer Journal: J Perinatol Date: 2010-07-22 Impact factor: 2.521
Authors: Gloria B McAnulty; Frank H Duffy; Samantha C Butler; Jane H Bernstein; David Zurakowski; Heidelise Als Journal: Clin Pediatr (Phila) Date: 2009-05-15 Impact factor: 1.168
Authors: Thomas A Miller; Amy J Lisanti; Madolin K Witte; Justin J Elhoff; William T Mahle; Karen C Uzark; Nneka Alexander; Samantha C Butler Journal: J Pediatr Date: 2020-03-05 Impact factor: 4.406