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Health-related quality of life of very preterm infants at 1 year of age after two developmental care-based interventions
- Publication Year :
- 2008
-
Abstract
- Background: In the context of a growing interest in developmental care (DC) this study explores the effect of the basic elements of DC and the additional effect of the individual approach of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) on the health-related quality of life (HRQoL) of very preterm infants at 1 year of age. The basic elements of DC in this study were defined as the use of standardized nests and incubator covers whose protective characteristics were hypothesized to have a positive effect on the infant's HRQoL. The individualized approach of the NIDCAP was thought to further increase HRQoL. Methods: Very preterm (≤32 weeks) born infants in a Dutch Neonatal Intensive Care Unit at two locations were included in two consecutive randomized controlled trials (RCT) comparing controls (standard care) with basic DC (standardized nests and covers) in the first RCT and basic DC with NIDCAP in the second RCT. Parents completed a questionnaire (RCT 1, n = 136; RCT 2, n = 128) regarding their infant's HRQoL (TNO-AZL Preschool Quality of Life Questionnaire) at 1 year of age, corrected for prematurity. Because of multiple testing a P-value of below 0.01 was chosen to indicate significance. Results: HRQoL scores ranged from good to optimal for most infants. No significant differences were found between basic DC vs. controls and NIDCAP vs. basic DC on the child's HRQoL as reported by parents at 1 year of age. Conclusions: These two RCT show that the basic elements of DC and the more individualized NIDCAP do not improve HRQoL of very preterm infants at 1 year of age. © 2008 The Authors Journal compilation © 2008 Blackwell Publishing Ltd.
- Subjects :
- Questionnaires
Incubators, Infant
Health-related quality of life
Health Status
child health care
preschool child
child parent relation
incubator
Humans
controlled study
human
Developmental care
gestational age
Equipment and Supplies, Hospital
Netherlands
controlled clinical trial
questionnaire
prematurity
article
Infant, Newborn
Infant
clinical trial
protection
major clinical study
multicenter study
Very preterm infants
priority journal
quality of life
Health
newborn care
randomized controlled trial
Infant Care
Intensive Care, Neonatal
Healthy for Life
newborn intensive care
Attitude to Health
Healthy Living
Infant, Premature
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.narcis........a91aa7b715ba7c849d42904004b9f3fb