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dc.contributor.authorMilgrom, Jeannetteen_US
dc.contributor.authorNewnham, Carolen_US
dc.contributor.authorMartin, Paulen_US
dc.contributor.authorJ. Anderson, Peteren_US
dc.contributor.authorW. Doyle, Lexen_US
dc.contributor.authorW. Hunt, Roden_US
dc.contributor.authorM. Achenbach, Thomasen_US
dc.contributor.authorFerretti, Carmelen_US
dc.contributor.authorJ. Holt, Christopheren_US
dc.contributor.authorE. Inder, Terrieen_US
dc.contributor.authorW. Gemmill, Alanen_US
dc.date.accessioned2017-05-03T12:44:01Z
dc.date.available2017-05-03T12:44:01Z
dc.date.issued2013en_US
dc.identifier.issn03783782en_US
dc.identifier.doi10.1016/j.earlhumdev.2013.06.001en_US
dc.identifier.urihttp://hdl.handle.net/10072/60409
dc.description.abstractBackground Despite ongoing improvements in clinical care, preterm infants experience a variety of stressors in the first weeks of life, including necessary medical procedures, which may affect development. Some stress-reduction programmes based in the Neonatal Intensive Care Unit (NICU) have reported a positive impact on development. In particular, trials of the Mother-Infant Transaction Program (MITP) have shown positive short and longer term effects, and are based on training parents to recognise and minimise stress responses in preterm infants. Aims To evaluate the impact on early developmental milestones of an enhanced MITP (PremieStart) delivered over an extended period in the NICU. Study design This was a parallel 2-group randomised controlled trial involving 109 women with 123 infants born at < 30 weeks gestation assessed initially at term-equivalent age and then at 6 months' corrected-age. Results Intervention mothers were more sensitive in providing infant care, stressed their infants less, showed greater awareness of, and responded more appropriately to, negative infant cues (p < 0.05 in each case). Intervention infants displayed significantly lower stress when being bathed by mothers at term-equivalent age (p < 0.05). At 6 months corrected-age, intervention infants showed higher mean scores on the Communication and Symbolic Behavior Scales Developmental Profile Infant-Toddler Checklist. The strongest effects appeared in Symbolic behaviour (p = 0.05) and this was reflected in the Total score (p < 0.05). Conclusions As significant cognitive and language deficits are reported in longitudinal studies of preterm children, an intervention that improves early infant communication abilities is promising, especially since previous research suggests that the strongest benefits may emerge at later ages.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_US
dc.format.extent182057 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_US
dc.publisherElsevieren_US
dc.publisher.placeIrelanden_US
dc.relation.ispartofstudentpublicationNen_US
dc.relation.ispartofpagefrom755en_US
dc.relation.ispartofpageto762en_US
dc.relation.ispartofissue9en_US
dc.relation.ispartofjournalEarly Human Developmenten_US
dc.relation.ispartofvolume89en_US
dc.rights.retentionYen_US
dc.subject.fieldofresearchClinical Sciences not elsewhere classifieden_US
dc.subject.fieldofresearchCognitive Science not elsewhere classifieden_US
dc.subject.fieldofresearchcode110399en_US
dc.subject.fieldofresearchcode170299en_US
dc.titleEarly communication in preterm infants following intervention in the NICUen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.rights.copyright© 2013 Elsevier Ireland Ltd.. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.en_US
gro.date.issued2015-03-13T04:18:59Z
gro.hasfulltextFull Text


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