The Effect of Psychosocial Stimulation on Cognition and Behaviour at 6 Years in a Cohort of Term, Low-Birthweight Jamaican Children
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| Title: | The Effect of Psychosocial Stimulation on Cognition and Behaviour at 6 Years in a Cohort of Term, Low-Birthweight Jamaican Children |
|---|---|
| Language: | English |
| Authors: | Walker, Susan P., Chang, Susan M., Younger, Novie, Grantham-McGregor, Sally M. |
| Source: | Developmental Medicine & Child Neurology. Jul 2010 52(7):e148-e154. |
| Availability: | Wiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/ |
| Peer Reviewed: | Y |
| Page Count: | 7 |
| Publication Date: | 2010 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Control Groups, Stimulation, Intervention, Attention, Sensitivity Training, Intelligence Quotient, Infants, Memory, Schemata (Cognition), Birth, Body Weight, Cognitive Ability, Comparative Analysis, Scores, Visual Perception, Spatial Ability, Young Children, Correlation |
| Geographic Terms: | Jamaica |
| DOI: | 10.1111/j.1469-8749.2010.03637.x |
| ISSN: | 0012-1622 |
| Abstract: | Aim: The aim of this study was to determine whether psychosocial stimulation up to the age of 2 years benefits cognition and behaviour at age 6 years in low-birthweight, term-born (LBW-T) children (gestational age greater than or equal to 37wk, birthweight less than 2500g), and to compare LBW-T and normal-birthweight (NBW) children. Method: LBW-T Jamaican infants were randomized at birth to a control group or an intervention group. Children in the intervention group received psychosocial stimulation for 2 years. LBW-T infants were also compared with NBW infants born in the same hospital. IQ, cognitive function, and behaviour were measured at age 6 years in 109 LBW-T infants. The LBW-T group were divided into the intervention group (55 out of 70 enrolled, 32 females, 23 males; mean birthweight 2190g, SD 200g; and the control group (54 out of 70 enrolled, 33 females, 21 males; birthweight 2240g, SD 180g]. These were compared with 73 out of 94 enrolled NBW infants (38 females 35 males; birthweight 3130g, SD 330g). Results: Among the LBW-T children performance IQ scores were higher in the intervention group than in the control group (regression coefficient [B] 4.06, 95% confidence interval [CI] 0.01-7.98) as were visual-spatial memory scores (B 1.12, 95% CI 0.45-1.87). Children in the intervention group also exhibited fewer behavioural difficulties (B -2.21, 95% CI -4.13 to -0.10) than children in the control group. Compared with NBW children, LBW-T children in the control group had poorer selective attention (B = -3.35, 95% CI -5.59 to -1.26) and visual-spatial memory (B = -0.76, 95% CI -1.54 to 0.00), but there were no differences in IQ, language, or behaviour. Interpretation: Stimulation had sustained benefits in LBW-T infants. Finding few differences between LBW-T and NBW school-aged children concurs with results from other developing countries. |
| Abstractor: | As Provided |
| Entry Date: | 2010 |
| Accession Number: | EJ886625 |
| Database: | ERIC |
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