Randomized controlled trial of a home-visiting intervention on infant cognitive development in peri-urban South Africa.
Randomized controlled trial of a home-visiting intervention on infant cognitive development in peri-urban South Africa.
复制标题
对南非城郊婴儿认知发展进行家访干预的随机对照试验。
DOI：
10.1111/dmcn.12873
复制
发表时间：
2016
影响因子：
3.8
通讯作者：
Tomlinson,Mark
中科院分区：
文献类型：
--
作者：
Murray,Lynne;Cooper,Peter;Arteche,Adriane;Stein,Alan;Tomlinson,Mark
AimTo确定是否，在一个贫困的南非社区，干预，有利于婴儿附件也有利于认知development. MethodPregnancy女性被随机干预（n=220）和无治疗对照组（n=229）。干预措施是以家庭为基础的亲子依恋支持，直到产后6个月。在18个月时，对婴儿的依恋和认知发育（Bayley量表精神发育指数[MDI]）进行评估（n=127名干预参与者，n=136名对照参与者）。婴儿MDI进行了检查干预，社会经济风险，产前抑郁症，婴儿性别和attachment.ResultsOverall，干预对MDI的影响很小（p= 0.094，d =0.20），但干预和风险之间存在相互作用（p=0.03，=0.02）。低危干预组母亲的新生儿MDI评分平均高于非干预组母亲的新生儿4.84分（p= 0.002，d =0.41）。一旦干预和风险得到控制，产后抑郁症并不显著（p=0.08）;婴儿MDI与性别（p=0.41）或依恋（p=0.56）之间没有关联。InterpretationParenting interventions for infant cognitive development may benefit from inclusion of specific components to support infant cognition beyond those that support attachment，and may be most effective for infants over 6 months.在逆境极端的情况下，他们可能需要其他投入的补充。
AimTo determine whether, in an impoverished South African community, an intervention that benefitted infant attachment also benefitted cognitive development.MethodPregnant females were randomized to intervention (n=220) and no‐treatment control groups (n=229). The intervention was home‐based parenting support for attachment, delivered until 6 months postpartum. At 18 months, infants were assessed on attachment and cognitive development (Bayley Scales Mental Development Index [MDI]) (n=127 intervention,n=136 control participants). Infant MDI was examined in relation to intervention, socio‐economic risk, antenatal depression, and infant sex and attachment.ResultsOverall, there was little effect of the intervention on MDI (p=0.094,d=0.20), but there was an interaction between intervention and risk (p=0.03, =0.02). MDI scores of infants of lower risk intervention group mothers were, on average, 4.84 points higher than those of other infants (p=0.002,d=0.41). Antenatal depression was not significant once intervention and risk were controlled (p=0.08); there was no association between infant MDI and either sex (p=0.41) or attachment (p=0.56).InterpretationParenting interventions for infant cognitive development may benefit from inclusion of specific components to support infant cognition beyond those that support attachment, and may be most effective for infants over 6 months. They may need augmentation with other input where adversity is extreme.