Introduction: Aim of this study is to investigate the efficacy of the NIDCAP methodology (Als, 1984), an early intervention program in a Neonatal Intensive Care Unit for reducing the risk of low psycho-motor development of the preterm born baby and difficulties in the parent-child relationship. Materials and methods: 78 families of preterm infants (gestational age <30; birth weight <1500 g.) were studied, dividing them into two groups: 1) A Group, composed by 39 families assisted by the NICU of the Rimini Hospital following the NIDCAP methodology; 2) B Group, composed by 39 families assisted by the NICU of the Brescia Hospital following the standard Care methodology. The families were studied up to 24 months corrected age of the baby. Both parents, at discharge, were given the PSS-NICU, which assesses the perception of parental stress caused by the NICU physical and psycho-social environment. At 3 months corrected age of the child, mother-child and father-child dyads were subjected to the CARE-Index (Crittenden 1979-2004), a videotaped procedure for the assessment of the parental sensitivity and precursors of attachment. During the follow-up consultations (at 3-6-9-12-l8-24 months corrected age) both parents were given the CES-D, for the assessment of depression, and the STAI Y-2, for the assessment of trait anxiety. Psychomotor development of infants was assessed using the Bayley Scales III. Results and conclusions: Preliminary data of the study will be presented. The NIDCAP method, based on care of the family of the born preterm, seems a valuable tool for prevention of child development pathology and attachment difficulties, providing a guide for the training of parents and NICU health professional. References Als H: Manual for the naturalistic observation of newborn behaviour NIDCAP (pre-term and full-term). Boston, The children's Hospital, 1984. Crittenden P.M. (1979-2007). CARE-Index: Coding Manual (unpublished). Family Relations Institute, Miami, FL.
NIDCAP methodology for the prevention of developmental and relational risks in the preterm born baby: a study on an Italian sample.
BALDONI, FRANCO;
2016
Abstract
Introduction: Aim of this study is to investigate the efficacy of the NIDCAP methodology (Als, 1984), an early intervention program in a Neonatal Intensive Care Unit for reducing the risk of low psycho-motor development of the preterm born baby and difficulties in the parent-child relationship. Materials and methods: 78 families of preterm infants (gestational age <30; birth weight <1500 g.) were studied, dividing them into two groups: 1) A Group, composed by 39 families assisted by the NICU of the Rimini Hospital following the NIDCAP methodology; 2) B Group, composed by 39 families assisted by the NICU of the Brescia Hospital following the standard Care methodology. The families were studied up to 24 months corrected age of the baby. Both parents, at discharge, were given the PSS-NICU, which assesses the perception of parental stress caused by the NICU physical and psycho-social environment. At 3 months corrected age of the child, mother-child and father-child dyads were subjected to the CARE-Index (Crittenden 1979-2004), a videotaped procedure for the assessment of the parental sensitivity and precursors of attachment. During the follow-up consultations (at 3-6-9-12-l8-24 months corrected age) both parents were given the CES-D, for the assessment of depression, and the STAI Y-2, for the assessment of trait anxiety. Psychomotor development of infants was assessed using the Bayley Scales III. Results and conclusions: Preliminary data of the study will be presented. The NIDCAP method, based on care of the family of the born preterm, seems a valuable tool for prevention of child development pathology and attachment difficulties, providing a guide for the training of parents and NICU health professional. References Als H: Manual for the naturalistic observation of newborn behaviour NIDCAP (pre-term and full-term). Boston, The children's Hospital, 1984. Crittenden P.M. (1979-2007). CARE-Index: Coding Manual (unpublished). Family Relations Institute, Miami, FL.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
