Evidence map›Paper›PMID 25888838›Full record

Trial reportHealth and quality of life outcomes2015

Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial.

Inger Pauline Landsem, Bjørn Helge Handegård, Stein Erik Ulvund, Per Ivar Kaaresen, John A Rønning

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00222456 (Can Early Intervention Prevent Developmental Disturbances/Delays and Improve the Health of Children Born Prematurely), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00222456 nacompletednot on this map

Can Early Intervention Prevent Developmental Disturbances/Delays and Improve the Health of Children Born Prematurely

TypeinterventionalSponsorUniversity Hospital of North NorwayRan1999 to 2008Enrolled210ConditionsPreterm Infants, Parenting StressArmsSensitizing parents
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Inger Pauline LandsemChild and Adolescent Department, University Hospital of Northern Norway, Tromsø, Norway. inger.pauline.landsem@unn.no.
Bjørn Helge HandegårdUiT, RKBU Nord, The Arctic University of Norway, Tromsø, Norway. bjorn.helge.handegaard@uit.no.
Stein Erik UlvundUiT, RKBU Nord, The Arctic University of Norway, Tromsø, Norway. s.e.ulvund@ped.uio.no.
Per Ivar KaaresenChild and Adolescent Department, University Hospital of Northern Norway, Tromsø, Norway. per.ivar.kaaresen@unn.no.
John A RønningChild and Adolescent Department, University Hospital of Northern Norway, Tromsø, Norway. john.ronning@uit.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe 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.

methodsParticipants 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.

resultsOn 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.

conclusionsThis 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.

trial registrationClinical Trials Gov NCT00222456 .

Indexed as

Infant, Low Birth WeightChildChild BehaviorEarly Intervention, EducationalEarly Medical InterventionFemaleHumansInfantInfant, NewbornMaleMothersParentingParentsQuality of LifeSurveys and Questionnaires

Identifiers

PMID25888838
PMCPMC4343051

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.