Parent–child interaction after home-visiting intervention for children born extremely preterm–A randomised clinical trial

• Aim: To determine whether a strength- based home-visiting program enhances par-ent–child interaction during the first year at home for children born extremely pre-term (gestational age < 28). Methods: A randomised controlled trial of 130 infants born extremely preterm 2018–2021 in Stockholm, allocated to either the Stockholm preterm interaction-based in-tervention (SPIBI) (n = 66) or an extended follow-up program (n = 64). The interventiongroup received ten home visits during the first year by a trained interventionist follow-ing SPIBI guidelines: an interaction- based intervention supporting sensitive parentalresponses to infants' signals. The primary outcome of emotional availability was as-sessed at 12 months corrected age (CA) using the emotional availability scales (EAS). Results: At 1-year CA, data were collected from 115/130 (89%) of the includedchildren. There were no significant group differences in emotional availability at12 months CA. A secondary analysis showed an effect modifier in families with moth-ers self-rated as depressed at discharge, with the outcome favouring intervention inthe EAS dimension of child involvement. Conclusion: The SPIBI had no significant main effect on emotional availability at12 months CA. Children of self-reported depressed mothers displayed superior in-volvement behaviour in the intervention group, prompting further research on riskgroups and potential modifications of post-discharge interventions.

Nyckelord

early intervention

emotional availability

parent–child interaction

preterm infant

randomisedcontrolled trial

specialpedagogik

Special Education

Publikations- och innehållstyp

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art (ämneskategori)