Strengthening Early Intervention for Very Preterm Infants

In this issue of Pediatrics , Spittle et al1 provide an important follow-up report at 8 years to their randomized trial of early intervention for very preterm infants. The intervention was delivered over 9 sessions during the first year of life and was based on a strong theoretical approach. The well-defined set of services aimed to enhance caretakers’ ability to foster the development of their children and to reduce parental stress.2 At planned follow-up assessments at 2 and 4 years of age,3,4 the authors found no difference between the intervention and control groups in the children’s cognitive, language, and motor scores. They did observe a persistent effect of the intervention on decreased mental health symptoms in caretakers at both points. The current follow-up was undertaken based on the relationship between child development and parental mental health, with the expectation that the persistent advantage in the intervention group would result in better child outcomes. The authors employed an expanded test battery to go beyond intelligence to examine specific domains of child cognitive development, attention, … Address correspondence to Marie C. McCormick MD, ScD, Department of Social and Behavioral Sciences, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115. E-mail: mmccormi{at}hsph.harvard.edu