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BMC Pediatrics
Published in: BMC Pediatrics 1/2018

Open Access 01-12-2018 | Research article

Effectiveness of early intervention programs for parents of preterm infants: a meta-review of systematic reviews

Authors: Shuby Puthussery, Muhammad Chutiyami, Pei-Ching Tseng, Lesley Kilby, Jogesh Kapadia

Published in: BMC Pediatrics | Issue 1/2018

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Abstract

Background

Various intervention programs exist for parents of preterm babies and some systematic reviews (SRs) have synthesised the evidence of their effectiveness. These reviews are, however, limited to specific interventions, components, or outcomes, and a comprehensive evidence base is lacking. The aim of this meta-review was to appraise and meta-synthesise the evidence from existing SRs to provide a comprehensive evidence base on the effectiveness of interventions for parents of preterm infants on parental and infant outcomes.

Methods

We conducted a comprehensive search of the following databases to identify relevant SRs: Cochrane library, Web of science, EMBASE, CINAHL, British Nursing Index, PsycINFO, Medline, ScienceDirect, Scopus, IBSS, DOAJ, ERIC, EPPI-Centre, PROSPERO, WHO Library. Additional searches were conducted using authors’ institutional libraries, Google Scholar, and the reference lists of identified reviews. Identified articles were screened in two stages against an inclusion criteria with titles and abstracts screened first followed by full-text screening. Selected SRs were appraised using the AMSTAR tool. Extracted data using a predesigned tool were synthesised narratively examining the direction of impact on outcomes.

Results

We found 11 SRs eligible for inclusion that synthesised a total of 343 quantitative primary studies. The average quality of the SRs was ‘medium’. Thirty four interventions were reported across the SRs with considerable heterogeneity in the structural framework and the targeted outcomes that included maternal-infant dyadic, maternal/parental, and infant outcomes. Among all interventions, Kangaroo Care (KC) showed the most frequent positive impact across outcomes (n = 19) followed by Mother Infant Transaction Program (MITP) (n = 14). Other interventions with most consistent positive impact on infant outcomes were Modified-Mother Infant Transaction Program (M-MITP) (n = 6), Infant Health and Development Program (IHDP) (n = 5) and Creating Opportunities for Parent Empowerment (COPE) (n = 5). Overall, interventions with both home and facility based components showed the most frequent positive impact across outcomes.

Conclusions

Neonatal care policy and planning for preterm babies should consider the implementation of interventions with most positive impact on outcomes. The heterogeneity in interventions and outcomes calls for the development and implementation of an integrated program for parents of preterm infants with a clearly defined global set of parental and infant outcomes.
Literature
1.
2.
Petrou S, Mehta Z, Hockley C, Cook-Mozaffari P, Henderson J, Goldacre M. The impact of preterm birth on hospital inpatient admissions and costs during the first 5 years of life. Pediatrics. 2003;112
3.
Feinberg ME, Roettger ME, Jones DE, Paul IM, Kan ML. Effects of a psychosocial couple-based prevention program on adverse birth outcomes. Matern Child Health J. 2015;19(1):102–11.CrossRefPubMedPubMedCentral
4.
5.
Boyle EM, Poulsen G, Field DJ, Kurinczuk JJ, Wolke D, Alfirevic Z, et al. Effects of gestational age at birth on health outcomes at 3 and 5 years of age: population based cohort study. BMJ. 2012;344:1–14.CrossRef
6.
Kerstjens JM, de Winter AF, Bocca-Tjeertes IF, ten Vergert EM, Reijneveld SA, Bos AF. Developmental delay in moderately preterm-born children at school entry. J Pediatr. 2011;159(1):92–8.CrossRefPubMed
7.
Miles MS, Funk SG, Kasper MA. The stress response of mothers and fathers of preterm infants. Res Nurs Health. 1992;15(4):261–9.CrossRefPubMed
8.
Forcada-Guex M, Pierrehumbert B, Borghini A, Moessinger A, Muller-Nix C. Early dyadic patterns of mother-infant interactions and outcomes of prematurity at 18 months. Pediatrics. 2006;118(1):e107–14.CrossRefPubMed
9.
Kaaresen PI, Rønning JA, Ulvund SE, Dahl LB. A randomized, controlled trial of the effectiveness of an early-intervention program in reducing parenting stress after preterm birth. Pediatrics. 2006;118(1):9–19.CrossRef
10.
Talmi A, Harmon RJ. Relationships between preterm infants and their parents: disruption and development. Zero to Three (J). 2003;24(2):13–20.
11.
Raju TN, Higgins RD, Stark AR, Leveno KJ. Optimizing care and outcome for late-preterm (near-term) infants: a summary of the workshop sponsored by the national institute of child health and human development. Pediatrics. 2006;118(3):1207–14.CrossRefPubMed
12.
Blencowe H, Cousens S, Chou D, Oestergaard M, Say L, Moller AB, et al. Born too soon: the global epidemiology of 15 million preterm births. Reprod Health. 2013;10(1):1–14.CrossRef
13.
Wang ML, Dorer DJ, Fleming MP, Catlin EA. Clinical outcomes of near-term infants. Pediatrics. 2004;114(2):372–6.CrossRefPubMed
14.
Smith V, Devane D, Begley CM, Clarke M, Higgins S. A systematic review and quality assessment of systematic reviews of randomised trials of interventions for preventing and treating preterm birth. Eur J Obstet Gynecol Reprod Biol. 2009;142(1):3–11.CrossRefPubMed
15.
Ravn IH, Lindemann R, Smeby NA, Bunch EH, Sandvik L, Smith L. Stress in fathers of moderately and late preterm infants: a randomised controlled trial. Early Child Dev Care. 2012;182(5):537–52.CrossRef
16.
17.
Day C, Michelson D, Thomson S, Penney C, Draper L. Evaluation of a peer led parenting intervention for disruptive behaviour problems in children: community based randomised controlled trial. BMJ. 2012;344:e1107.CrossRefPubMed
18.
Petrie J, Bunn F, Byrne G. Parenting programmes for preventing tobacco, alcohol or drugs misuse in children< 18: a systematic review. Health Educ Res. 2006;22(2):177–91.CrossRefPubMed
19.
Ferrari AJ, Whittingham K, Boyd R, Sanders M, Colditz P. Prem baby triple P a new parenting intervention for parents of infants born very preterm: acceptability and barriers. Infant Behav Dev. 2011;34(4):602–9.CrossRefPubMed
20.
Landsem IP, Handegård BH, Ulvund SE, Kaaresen PI, Rønning JA. Early intervention influences positively quality of life as reported by prematurely born children at age nine and their parents; a randomized clinical trial. Health Qual Life Outcomes. 2015;13(1):1–11.CrossRef
21.
Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, et al. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics. 2016;137(1):2015–238.CrossRef
22.
Orton J, Spittle A, Doyle L, Anderson P, Boyd R. Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review. Dev Med Child Neurol. 2009;51(11):851–9.CrossRefPubMed
23.
Vanderveen J, Bassler D, Robertson C, Kirpalani H. Early interventions involving parents to improve neurodevelopmental outcomes of premature infants: a meta-analysis. J Perinatol. 2009;29(5):343–51.CrossRefPubMed
24.
Zhang X, Kurtz M, Lee SY, Liu H. Early intervention for preterm infants and their mothers: a systematic review. J Perinat Neonatal Nurs. 2014;18(11):1–14.CrossRef
25.
Brett J, Staniszewska S, Newburn M, Jones N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ Open. 2011;1(1):1–13.CrossRef
26.
Evans T, Whittingham K, Sanders M, Colditz P, Boyd RN. Are parenting interventions effective in improving the relationship between mothers and their preterm infants? Infant Behav Dev. 2014;37(2):131–54.CrossRefPubMed
27.
28.
Shea BJ, Hamel C, Wells GA, et al. AMSTAR is a reliable and valid measurement tool to assess the methodological quality of systematic reviews. J Clin Epidemiol. 2009;62(10):1013–20.CrossRefPubMed
29.
Smith V, Devane D, Begley CM, Clarke M. Methodology in conducting a systematic review of systematic reviews of healthcare interventions. BMC Med Res Methodol. 2011;11(1):15.CrossRefPubMedPubMedCentral
30.
Benzies KM, Magill-Evans JE, Hayden KA, Ballantyne M. Key components of early intervention programs for preterm infants and their parents: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2013;13(S1):S10.CrossRefPubMedPubMedCentral
31.
Lawn JE, Mwansa-Kambafwile J, Horta BL, Barros FC, Cousens S. ‘Kangaroo mother care’ to prevent neonatal deaths due to preterm birth complications. Int J Epidemiol. 2010;39(1):144–54.CrossRef
32.
Herd M, Whittingham K, Sanders M, Colditz P, Boyd RN. Efficacy of preventative parenting interventions for parents of preterm infants on later child behavior: a systematic review and meta-analysis. Infant Ment Health J. 2014;35(6):630–41.CrossRefPubMed
33.
34.
Spittle A, Orton J, Anderson PJ, Boyd R, Doyle LW. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2015;11:1–74.
35.
McGregor J, Casey J. Enhancing parent-infant bonding using kangaroo care: a structured review. Evidence Based Midwifery. 2012;10(2):50–6.
36.
37.
McDonald Culp A. The transactional model of development: How children and contexts shape each other. Edited by Arnold Sameroff. American Psychological Association, Washington, DC, 2009;115–117.
38.
Sameroff AJ, MacKenzie MJ. A quarter-century of the transactional model: how have things changed? Zero to Three (J). 2003;24(1):14–22.
39.
Borrell-Carrio F, Suchman AL, Epstein RM. The biopsychosocial model 25 years later: principles, practice, and scientific inquiry. Ann Fam Med. 2004;2(6):576–82.CrossRefPubMedPubMedCentral
40.
Hartling L, Vandermeer B, Fernandes RM. Systematic reviews, overviews of reviews and comparative effectiveness reviews: a discussion of approaches to knowledge synthesis. Evid Based Child Health. 2014;9(2):486–94.CrossRefPubMed
Metadata
Title
Effectiveness of early intervention programs for parents of preterm infants: a meta-review of systematic reviews
Authors
Shuby Puthussery
Muhammad Chutiyami
Pei-Ching Tseng
Lesley Kilby
Jogesh Kapadia
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-018-1205-9

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