Conclusion : Positive clinical ly meaningful effects ( > 5 points ) are seen to an age of 36 months , but are no longer present at 5 years
Objective : To determine in a systematic review , whether interventions for infant development that involve parents , improve neurodevelopment at 12 months corrected age or older .
Long-term family outcomes for children with very low birth weights.
OBJECTIVE To examine long-term outcomes in families of children with very low birth weights ( < 1500 g ) in relation to the extent of low birth weight and neonatal medical risk . DESIGN Concurrent/cohort prospect i ve study . SETTING Regional follow-up program . PARTICIPANTS Families of 60 children of school age with birth weights less than 750 g , 55 with birth weights between 750 and 1499 g , and 49 normal birth weight full-term controls . MAIN OUTCOME MEASURES Parent ratings of psychological distress , family function , and child-related stress . RESULTS Families with children with birth weights less than 750 g experienced greater stress than did families of controls ( born at full term ) , and families who were sociodemographically advantaged experienced greater stress than did those who were disadvantaged . Higher neonatal medical risk also predicted a more negative impact on the family , but only in advantaged families . Regression analyses suggested that adverse family outcomes were mediated by ongoing problems in child functioning . CONCLUSIONS Families of children with birth weights less than 750 g experience more long-term adversity than families of full-term children . Family sequelae are also present for children with very low birth weight at high neonatal medical risk . Ongoing child health and behavior problems may be the major source of these sequelae , and sociodemographic status is an important consideration in identifying family adversity . Although many families appear unaffected , results support the need to monitor family outcomes and develop interventions for both the child and family
Conclusion : Positive clinical ly meaningful effects ( > 5 points ) are seen to an age of 36 months , but are no longer present at 5 years
Objective : To determine in a systematic review , whether interventions for infant development that involve parents , improve neurodevelopment at 12 months corrected age or older .