Early intervention to improve neurodevelopmental outcomes for high-risk infants

Andrew Elliot-Smith, Audrienne Sammut, Betty Hutchon, Nazakat Merchant, Frances O'Brien, Angela Huertas-Ceballos
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Abstract

Many babies cared for on a neonatal unit are at risk of adverse neurodevelopmental outcomes. The aim of early intervention (EI), therefore, is to support a child and their family to achieve the best outcome possible. Notably, EI is not one specific thing. The term encompasses a wide range of approaches and interventions that can vary in a number of ways, including who undertakes them, where they happen and when they start. There is debate as to the most effective approach, but the evidence supports the implementation of EI from soon after birth, continuing post-discharge. Furthermore, involving the parents in EI is critical, not only to ensure sustained effects throughout childhood, but also because of the beneficial impact on parental wellbeing. All in all, the evidence shows improved neurodevelopmental outcomes for children exposed to EI, particularly in the short-term. This review will explore what EI means in practice, considering the variations in application, as well as the evidence of benefit. It will also consider the limitations of current research.

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早期干预,改善高风险婴儿的神经发育结果
新生儿病房护理的许多婴儿都有可能出现不良的神经发育结果。因此,早期干预(EI)的目的是为儿童及其家庭提供支持,以实现尽可能好的结果。值得注意的是,早期干预并不是一个特定的概念。它包括一系列广泛的方法和干预措施,这些方法和干预措施可能在很多方面存在差异,包括由谁实施、在哪里实施以及何时开始实施。关于最有效的方法还存在争议,但有证据支持从婴儿出生后不久就开始实施婴儿早期教育,并持续到出院后。此外,让父母参与儿童早期教育至关重要,这不仅是为了确保在整个童年期持续产生效果,而且还因为这对父母的健康产生有益的影响。总之,有证据表明,接受环境教育的儿童的神经发育结果会得到改善,尤其是在短期内。本综述将探讨平等教育在实践中的意义,考虑应用中的差异以及受益的证据。它还将考虑当前研究的局限性。
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来源期刊
Paediatrics and Child Health (United Kingdom)
Paediatrics and Child Health (United Kingdom) Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.20
自引率
0.00%
发文量
70
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