Evidence map›Paper›PMID 34649193›Full record

ArticleEarly human development2021

Impact of the COVID-19 pandemic on developmental care practices for infants born preterm.

Melissa Scala, Virginia A Marchman, Edith Brignoni-Pérez, Maya Chan Morales, Sarah E Dubner, Katherine E Travis

Abstract read
In one paragraph

Article in Early human development, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Promoting bonding and secure attachment in the NICU to improve parent-infant mental health: recommendations for clinical practice.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Maternal mental health and engagement in developmental care activities with preterm infants in the NICU.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Melissa ScalaDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Stanford, CA, USA. Electronic address: mscala@stanford.edu.
Virginia A MarchmanDepartment of Psychology, Stanford University, Stanford, CA, USA; Department of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA.
Edith Brignoni-PérezDepartment of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA; Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA, USA.
Maya Chan MoralesDepartment of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA.
Sarah E DubnerDepartment of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA.
Katherine E TravisDepartment of Pediatrics, Division of Developmental-Behavioral Pediatrics, Stanford University, Stanford, CA, USA.

Funding

TRAINING FOR CHILD PSYCHIATRY AND CHILD DEVELOPMENTT32MH019908 · NIMH · STANFORD UNIVERSITY · PI IAN H GOTLIB, DAVID S HONG · 1993 to 2026
$6.3M
Predicting language processing efficiency in preterm children: Social-environmental and neuro-biological factorsR01HD069150 · NICHD · STANFORD UNIVERSITY · PI FELDMAN, HEIDI M. · 2011 to 2024
$5.8M
Listening to Mom in the NICU: Neural, Clinical and Language OutcomesR00HD084749 · NICHD · STANFORD UNIVERSITY · PI TRAVIS, KATHERINE ELIZABETH · 2019 to 2021
$724k
NICHD NIH HHS R00 HD084749NICHD NIH HHS R01 HD069150
6 · The paper itself

Abstract

objectivesTo assess the impact of the COVID-19 pandemic on rates of hospital visitation and rates and durations of developmental care practices for infants born preterm.

methodsWe analyzed electronic medical record data from 129 infants born at less than 32 weeks gestational age (GA) cared for in the Lucile Packard Children's Hospital neonatal intensive care unit (NICU) in a COVID-19-affected period (March 8, 2020 to Nov 30, 2020, n = 67) and the analogous period in 2019 (n = 62). Rates of family visitation and of family- and clinical staff-delivered developmental care were compared across cohorts, adjusting for covariates.

resultsFamilies of infants visited the hospital at nearly half of the rate during 2020 as during 2019 (p = 0.001). Infants experienced developmental care less frequently in 2020 vs. 2019 (3.0 vs. 4.3 activities per day; p = 0.001), resulting in fewer minutes per day (77.5 vs. 130.0; p = 0.001). In 2020, developmental care activities were 5 min shorter, on average, than in 2019, p = 0.001. Similar reductions occurred in both family- and staff-delivered developmental care. Follow-up analyses indicated that effects persisted and even worsened as the pandemic continued through fall 2020, despite relaxation of hospital visitation policies.

conclusionsThe COVID-19 pandemic has negatively impacted family visitation and preterm infant developmental care practices in the NICU, both experiences associated with positive health benefits. Hospitals should create programs to improve family visitation and engagement, while also increasing staff-delivered developmental care. Careful attention should be paid to long-term follow up of preterm infants and families.

Indexed as

COVID-19Infant, PrematureInfant, Very Low Birth WeightIntensive Care Units, NeonatalGestational AgeHumansInfant, NewbornIntensive Care, NeonatalPandemicsCOVID-19Developmental carePremature infants

Identifiers

PMID34649193
PMCPMC8489845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.