Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial
License: Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0). Background: The Tromsø Intervention Study on Preterms evaluates an early, sensitizing intervention given to parents of prematurely born children (birth-weight < 2000 g). The current study investigated the...
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Online Access: | https://hdl.handle.net/10037/8794 https://doi.org/10.1186/s12955-015-0221-9 |
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ftunivtroemsoe:oai:munin.uit.no:10037/8794 2023-05-15T18:35:01+02:00 Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial Landsem, Inger Pauline Handegård, Bjørn Helge Ulvund, Stein Erik Kaaresen, Per Ivar Rønning, John Andreas 2015-02-22 https://hdl.handle.net/10037/8794 https://doi.org/10.1186/s12955-015-0221-9 eng eng BioMed Central Health and Quality of Life Outcomes 2015, 13:25 FRIDAID 1251924 doi:10.1186/s12955-015-0221-9 1477-7525 https://hdl.handle.net/10037/8794 URN:NBN:no-uit_munin_8376 openAccess VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Preterm children Early intervention Quality of Life Long-term follow-up Journal article Tidsskriftartikkel Peer reviewed 2015 ftunivtroemsoe https://doi.org/10.1186/s12955-015-0221-9 2021-06-25T17:54:39Z License: Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0). Background: The Tromsø Intervention Study on Preterms evaluates an early, sensitizing intervention given to parents of prematurely born children (birth-weight < 2000 g). The current study investigated the potential influence of the intervention on children’s self-reported and parental proxy-reported quality of life (QoL) at children’s age of nine. Methods: Participants were randomized to either intervention (PI, n = 72) or preterm control (PC, n = 74) in the neonatal care unit, while healthy term-born infants were recruited to a term reference group (TR, n = 75). The intervention was a modified version of the Mother-Infant Transaction Program, and comprised eight one-hour sessions during the last week before discharge and four home visits at 1, 2, 4 and 12 weeks post-discharge. The two control groups received care in accordance with written guidelines drawn up at the hospital. Participants and parents reported QoL independently on the Kinder Lebensqualität Fragebogen (KINDL) questionnaire. Differences between groups were analyzed by SPSS; Linear Mixed Models and parent–child agreement were analyzed and compared by intra-class correlations within each group. Results: On average, children in all groups reported high levels of well-being. The PI children reported better physical well-being than the PC children (p = 0.002). In all other aspects of QoL both the PI and the PC children reported at similar levels as the term reference group. PI parents reported better emotional wellbeing (p = 0.05) and a higher level of contentment in school (p = 0.003) compared with PC parents. Parent–child agreement was significantly weaker in the PI group than in the PC group on dimensions such as emotional well-being and relationships with friends (p < 0.05). PI parents reported QoL similar to parents of terms on all aspects except the subscale self-esteem, while PC parents generally reported moderately lower QoL than TR parents. Conclusions: This early intervention appears to have generated long-lasting positive effects, improving perceived physical well-being among prematurely born children and parent’s perception of these children’s QoL in middle childhood. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Tromsø Health and Quality of Life Outcomes 13 1 25 |
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University of Tromsø: Munin Open Research Archive |
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English |
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VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Preterm children Early intervention Quality of Life Long-term follow-up |
spellingShingle |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Preterm children Early intervention Quality of Life Long-term follow-up Landsem, Inger Pauline Handegård, Bjørn Helge Ulvund, Stein Erik Kaaresen, Per Ivar Rønning, John Andreas Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
topic_facet |
VDP::Medisinske Fag: 700::Helsefag: 800 VDP::Medical disciplines: 700::Health sciences: 800 Preterm children Early intervention Quality of Life Long-term follow-up |
description |
License: Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0). Background: The Tromsø Intervention Study on Preterms evaluates an early, sensitizing intervention given to parents of prematurely born children (birth-weight < 2000 g). The current study investigated the potential influence of the intervention on children’s self-reported and parental proxy-reported quality of life (QoL) at children’s age of nine. Methods: Participants were randomized to either intervention (PI, n = 72) or preterm control (PC, n = 74) in the neonatal care unit, while healthy term-born infants were recruited to a term reference group (TR, n = 75). The intervention was a modified version of the Mother-Infant Transaction Program, and comprised eight one-hour sessions during the last week before discharge and four home visits at 1, 2, 4 and 12 weeks post-discharge. The two control groups received care in accordance with written guidelines drawn up at the hospital. Participants and parents reported QoL independently on the Kinder Lebensqualität Fragebogen (KINDL) questionnaire. Differences between groups were analyzed by SPSS; Linear Mixed Models and parent–child agreement were analyzed and compared by intra-class correlations within each group. Results: On average, children in all groups reported high levels of well-being. The PI children reported better physical well-being than the PC children (p = 0.002). In all other aspects of QoL both the PI and the PC children reported at similar levels as the term reference group. PI parents reported better emotional wellbeing (p = 0.05) and a higher level of contentment in school (p = 0.003) compared with PC parents. Parent–child agreement was significantly weaker in the PI group than in the PC group on dimensions such as emotional well-being and relationships with friends (p < 0.05). PI parents reported QoL similar to parents of terms on all aspects except the subscale self-esteem, while PC parents generally reported moderately lower QoL than TR parents. Conclusions: This early intervention appears to have generated long-lasting positive effects, improving perceived physical well-being among prematurely born children and parent’s perception of these children’s QoL in middle childhood. |
format |
Article in Journal/Newspaper |
author |
Landsem, Inger Pauline Handegård, Bjørn Helge Ulvund, Stein Erik Kaaresen, Per Ivar Rønning, John Andreas |
author_facet |
Landsem, Inger Pauline Handegård, Bjørn Helge Ulvund, Stein Erik Kaaresen, Per Ivar Rønning, John Andreas |
author_sort |
Landsem, Inger Pauline |
title |
Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
title_short |
Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
title_full |
Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
title_fullStr |
Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
title_full_unstemmed |
Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
title_sort |
early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial |
publisher |
BioMed Central |
publishDate |
2015 |
url |
https://hdl.handle.net/10037/8794 https://doi.org/10.1186/s12955-015-0221-9 |
geographic |
Tromsø |
geographic_facet |
Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Health and Quality of Life Outcomes 2015, 13:25 FRIDAID 1251924 doi:10.1186/s12955-015-0221-9 1477-7525 https://hdl.handle.net/10037/8794 URN:NBN:no-uit_munin_8376 |
op_rights |
openAccess |
op_doi |
https://doi.org/10.1186/s12955-015-0221-9 |
container_title |
Health and Quality of Life Outcomes |
container_volume |
13 |
container_issue |
1 |
container_start_page |
25 |
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1766220075449188352 |