Title |
Behaviour of 4‐ to 5‐year‐old nondisabled ELBW children: Outcomes following group‐based physiotherapy intervention
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Published in |
Ambulatory Child Health, July 2017
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DOI | 10.1111/cch.12495 |
Pubmed ID | |
Authors |
L. Brown, Y. R. Burns, P. Watter, P. H. Gray, K. S. Gibbons |
Abstract |
Extreme prematurity or extremely low birth weight (ELBW) can adversely affect behaviour. Nondisabled ELBW children are at risk of behavioural problems, which may become a particular concern after commencement of formal education. This study explored the frequency of behavioural and emotional problems amongst nondisabled ELBW children at 4 to 5 years of age and whether intervention had a positive influence on behaviour. The relationship between behaviour, gender, and other areas of performance at 5 years was explored. Fifty 4-year-old children (born <28 weeks gestation or birth weight <1,000 g) with minimal/mild motor impairment were randomly allocated to intervention (n = 24) or standard care (n = 26). Intervention was 6 group-based physiotherapy weekly sessions and home programme. Standard care was best practice advice. The Child Behavior Checklist (CBCL) for preschool children was completed at baseline and at 1-year post-baseline. Other measures at follow-up included Movement Assessment Battery for Children Second Edition, Beery Visual-Motor Integration Test 5th Edition, and Peabody Picture Vocabulary Test 4th Edition. The whole cohort improved on CBCL total problems score between baseline (mean 50.0, SD 11.1) and 1-year follow-up (mean 45.2, SD 10.3), p = .004. There were no significant differences between groups over time on CBCL internalizing, externalizing, or total problems scores. The intervention group showed a mean difference in total problems score of -3.8 (CI [1.5, 9.1]) between times, with standard care group values being -4.4 (CI [1.6, 7.1]). Males had higher total problems scores than females (p = .026), although still performed within the "normal" range. CBCL scores did not correlate with other scores. The behaviour of nondisabled ELBW children was within the "normal" range at 4 to 5 years, and both intervention and standard care may have contributed to improved behavioural outcomes. Behaviour was not related to performance in other developmental domains. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 104 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 18 | 17% |
Student > Ph. D. Student | 10 | 10% |
Student > Bachelor | 10 | 10% |
Researcher | 9 | 9% |
Student > Doctoral Student | 4 | 4% |
Other | 13 | 13% |
Unknown | 40 | 38% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 15% |
Nursing and Health Professions | 14 | 13% |
Psychology | 12 | 12% |
Neuroscience | 6 | 6% |
Social Sciences | 5 | 5% |
Other | 9 | 9% |
Unknown | 42 | 40% |