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Clinical Pediatrics
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Article

Effects of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) at Age 8 Years: Preliminary Data

Gloria B. McAnulty, PhD, Frank H. Duffy, MD, Samantha C. Butler, PhD, Jane H. Bernstein, PhD, David Zurakowski, PhD, and Heidelise Als, PhD*

* To whom correspondence should be addressed. E-mail: heidelise.als{at}childrens.harvard.edu.


  Abstract
The current study reports the effects of NIDCAP (Newborn Individualized Developmental Care and Assessment Program) at 8 years of age for a randomized controlled trial of 38 very early born (≤29 weeks postmenstrual age), high-risk preterm infants. It was hypothesized that the experimental group at school age in comparison with the control group would perform significantly better neuropsychologically and neuroelectrophysiologically. Twenty-two (11 control, 11 experimental) children of the original 38 (18 control, 20 experimental) participants were studied at school age with a detailed neuropsychological battery and with eeG spectral coherence measures. Results indicated significantly better right hemisphere and frontal lobe function in the experimental group than the control group, both neuropsychologically and neurophysiologically. Neurobehavioral and physiological results in the newborn period successfully predicted the beneficial brain function effects at age 8 years. Results support the conclusion that the NIDCAP intervention has lasting effects into school age.

First published on May 15, 2009
Clinical Pediatrics 2009, doi:10.1177/0009922809335668
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