Abstract
Summary of: Spittle AJ et al (2010) Preventive care at home for very preterm infants improves infant and caregiver outcomes at 2 years. Pediatrics 126: e171–e178. [Prepared by Nora Shields, CAP Editor.] Question : Does a home-based preventive care program improve cognitive, language, and motor development in very preterm infants, and mental health in their primary caregivers? Design : Randomised, controlled trial with concealed allocation and blinded outcome assessment. Setting : In the homes of participants in Australia. Participants : Infants born at less than 30 weeks gestational age, with no major congenital brain anomalies were included. Infants were excluded if the family did not live within 100 km of the recruiting centre or if their family did not speak English. Randomisation of 120 participants allocated 61 to an education and support program group and 59 to a control group. Interventions : Both groups received standard follow-up care, including access to a maternal and child health nurse and referral to early intervention services if deemed appropriate. In addition, the intervention group received nine, 90–120 minute visits over one year by a psychologist and a physiotherapist. The visits consisted of education on infant self-regulation, techniques to improve postural stability, co-ordination, and strength, and parental support.
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