1. To assess the policy on referral to and use of special outpatient services at 6 years after very preterm birth. 2. To examine whether use of special outpatient services is associated with progress in fysical, cognitive, neuromotor, and behavioral…
ID
Source
Brief title
Condition
- Neonatal and perinatal conditions
- Cognitive and attention disorders and disturbances
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Fysical and neuromotor development:
* Growth and wellbeing
* Neurologolical development (Touwen Neurological Asessment)
* Motor development (Movement Assessment Battery for Children-II-NL)
Cognitive development:
* Cognitive development (Wechsler Preschool and Primary Scale for
Intelligence-iii-NL[WPPSI-iii-NL]
* Executive function (Stop Signal task, visual working memory, verbal working
memory tasks)
* Visual-motor integration (Beery VMI en tracking task)
* Language (Receptive Language en Names Pictures WPPSI-iii-NL)
Academic achievement functioneren
* CITO Pupil Monitoring System
Behavior
* Child Behavior Checklist 1.5-5 years en 6-18 years [CBCL\1.5-5][CBCL\6-18];
* Teacher Report Form 1.5-5 years en 6-18 years [TRF\1.5-5][TRF\6-18];
* Behavior Rating Inventory Executive Function (BRIEF);
* Vragenlijst Sociale Communicatie (SCQ);
* Gedragsvragenlijst voor Kleuters[GvK]
Secondary outcome
Use of special outpatient services at 5 and 6 years after very preterm birth.
Background summary
In the Netherlands, about 2200 children are born very preterm (gestational age
< 30 weken) or with very low birthweight (birthweight < 1000 grams). Preterm
children are at risk for developmental problems. 15% of these children has a
severe disability. However, the majority of the children without a severe
disability is still at risk for developmental problems in the cognitive,
neuromotor, or behavioral domain. Most of these problems become apparent at
early school age, at 5 years.
To detect such developmental problems and timely refer for treatment, the
development of very preterm children is standard monitored at the Neonatology
outpatient clinic of the AMC. After a thorough examination of the fysical,
cognitive, neuromotor, and behavioral development of the child, a majority of
the children is reffered for special outpatient services, such as fysical
therapy, occupational therapy,speech therapy, ect. Involved costs are high,
but the extent of special outpatient care needed for this population has for
the Dutch situation, never been examined. It is also unknown to what extent
referral to such special services meets parental satisfaction and contributes
to a better development of very preterm children.
This study will examine the current referral policy after the standard
examinations at 5 years of age in very preterm children and will also examine
effects of the referral policy on developmental outcomes at 6 years of age.
Study objective
1. To assess the policy on referral to and use of special outpatient services
at 6 years after very preterm birth.
2. To examine whether use of special outpatient services is associated with
progress in fysical, cognitive, neuromotor, and behavioral development at 6
years in very preterm children.
Study design
Follow-up study in very preterm children at 6 years of age and a term reference
group of comparable age and sekse.
Study burden and risks
None.
Meibergdreef 9
Amsterdam 1100 DD
NL
Meibergdreef 9
Amsterdam 1100 DD
NL
Listed location countries
Age
Inclusion criteria
Children born < 30 weeks of gestation and/or birthweight < 1000 grams admitted to the Neonatal Intensive Care Unit AMC and included in our local Neonatal Follow-up Program conform National Guidelines.
Exclusion criteria
None.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL42074.018.12 |