Effects of Alberta Family Integrated Care (FICare) on Preterm Infant Development: Two Studies at 2 Months and between 6 and 24 Months Corrected Age

JOURNAL OF CLINICAL MEDICINE(2022)

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摘要
Preterm infants are at increased risk for developmental delays. Family integrated care (FICare) is a novel care delivery model that integrates parents into their infant's care in the neonatal intensive care unit. Two follow-up studies are presented to identify effects of Alberta FICare (TM) on the development of preterm infants born between 32 and 34 weeks of gestation. Data for Study 1 were collected at an age of 2 months, and between 6 and 24 months for Study 2. In Study 1, Ages and Stages Questionnaires (ASQ) and maternal psychosocial distress measures were completed by 330 mothers of 387 infants (FICare, n = 223; standard care, n = 164). Study 2 utilised an additional measure, the Parent-Child Interaction Teaching Scale, with 50 mothers of 61 infants (FICare, n = 30; standard care, n = 31). For Study 1, there was no effect of Alberta FICare (TM) on the ASQ domains of communication, problem solving, or personal-social at an age of 2 months. For Study 2, the risk of communication delay was significantly lower for infants in Alberta FICare (TM) compared with standard care. Results from Study 2 suggest a possible protective effect of Alberta FICare (TM) for the risk of communication delays between 6 and 24 months. Further investigation into the effect of Alberta FICare (TM) on parent-child interactions and implications for long-term development is warranted.
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关键词
premature infant, parent-child interactions, mothers, child development, cluster randomised controlled trial, family integrated care
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