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The Infant Behavioral Assessment and Intervention Program to support preterm infants after hospital discharge: a pilot study

Published online by Cambridge University Press:  27 January 2005

Karen Koldewijn
Affiliation:
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, the Netherlands.
Marie-Jeanne Wolf
Affiliation:
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, the Netherlands.
Aleid van Wassenaer
Affiliation:
Department of Neonatology, Academic Medical Centre, University of Amsterdam, the Netherlands.
Anita Beelen
Affiliation:
Department of Rehabilitation, Academic Medical Centre, University of Amsterdam, the Netherlands.
Imelda JM de Groot
Affiliation:
Rehabilitation Centre De Trappenberg, Huizen, the Netherlands.
Rodd Hedlund
Affiliation:
Washington Research Institute, Seattle, WA, USA.
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Abstract

In this pilot study we investigated the feasibility of The Infant Behavioral Assessment and Intervention Program (IBAIP) in a group of preterm infants. At the age of 6 months, the neurobehavioural organization and self-regulatory competence of an intervention group was compared with a control group who had received the standard follow-up care. The intervention group consisted of 13 males and seven females (mean gestational age [GA] 29.2 weeks, SD1.3wks; mean birthweight 1232g, SD320g). The control group consisted of 11 males and nine females (mean GA 29wks, SD1.6wks; mean birthweight 1198g, SD397g). Inclusion criteria were: a GA of 32 weeks and family residence in the district of Amsterdam. Exclusion criteria were: severe congenital abnormalities, intraventricular haemorrhage grade III or IV, periventricular leukomalacia grade III or IV, and infants whose mothers had a history of illicit drug use. The intervention infants received 6 to 8 IBAIP interventions at home, from discharge until 6 months of age. The Neonatal Behavioral Assessment Scale was administered at term; the Infant Behavioral Assessment (IBA) at term, 3, and 6 months of age; and the Bayley Scales of Infant Development–II at 3 and 6 months (corrected age). At 6 months, intervention infants showed less stress and more approach behaviours on the IBA compared with control infants. These promising results warrant further evaluation in a randomized controlled trial.

Type
Original Articles
Copyright
© 2005 Mac Keith Press

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