The Infant Behavioral Assessment and Intervention Program for Very Low Birth Weight Infants at 6 Months Corrected Age
The Infant Behavioral Assessment and Intervention Program for Very Low Birth Weight Infants at 6 Months Corrected Age
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DOI：
10.1016/j.jpeds.2008.07.039
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发表时间：
2009-01-01
影响因子：
5.1
通讯作者：
Kok, Joke
中科院分区：
文献类型：
--
作者：
Koldewijn, Karen;Wolf, Marie-Jeanne;Kok, Joke
目的确定旨在支持和提高婴儿自我调节能力的婴儿行为评估和干预计划(IBAIP)是否能改善极低出生体重(VLBW)婴儿的发育和神经行为结局。研究设计尼罗河随机对86名极低出生体重(VLBW)婴儿在出院前进行I干预，并对6至8个月的婴儿进行家庭干预，并对90名对照婴儿进行标准护理。用贝利婴儿发育量表II(BSID-II)在校正6个月时评估发育和行为结果。采用婴儿行为评定量表(IBA)对干预前后和矫正后6个月新生儿的神经行为功能进行评定。结果干预前后新生儿的行为特征有一定差异。调整后干预效果为7.2分(+/-标准差3.1.)智力发育指数和精神运动发育指数6.4+/-2.4分有利于干预儿。BSID-II的行为评定量表(P=.000)和IBA的行为评定量表(随着时间的推移更接近[P=.003]和更少的压力[P=.001])也有利于干预婴儿。结论IBAIP改善了6个月矫正年龄的极低出生体重儿的智力、运动和行为结果。(儿科杂志2009：154：3.3-8)
Objective To determine whether the Infant Behavioral Assessment and Intervention Program (IBAIP), designed to support and enhance infants' self-regulatory competence, improved developmental and neurobehavioral outcomes in very low birth weight (VLBW) infants.Study design Nile randomized 86 infants to I intervention before discharge and to 6 to 8 home interventions until 6 months corrected age, and 90 control infants received standard care. Developmental and behavioral outcomes were evaluated at 6 months corrected age with the Bayley Scales of Infant Development-II (BSID-II). Neurobehavioral functioning was evaluated with the Infant Behavioral Assessment (IBA) at baseline and at 6 months corrected age.Results Despite randomization, some differences in neonatal characteristies were found between the intervention and control infants. After adjustment, intervention effects of 7.2 points (+/- standard error 3.1.) on the Mental Developmental Index and 6.4 +/- 2.4 points on the Psychomotor Developmental Index favored the intervention infants. The Behavioral Rating Scale of the BSID-II (P = .000) and the IBA (more approach [P = .003] and less stress [P = .001] over time) also favored the intervention infants.Conclusions The IBAIP improved the mental, motor, and behavioral outcomes of VLBW infants at 6 months corrected age. (J Pediatr 2009:154:3.3-8)