Early Intervention Services Improve School-age Functional Outcome Among Neonatal Intensive Care Unit Graduates

Litt, Jonathan S.; Glymour, M. Maria; Hauser‐Cram, Penny; Hehir, Thomas; McCormick, Marie C.

doi:10.1016/j.acap.2017.07.011

Cited by 40 publications

(18 citation statements)

References 24 publications

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“…There is less information available regarding utility of EI services specifically for children determined to be at increased risk for experiencing developmental delays due to their medical history. However, a recent study by Litt, Glymour, Hauser-Cram, Hehir, and McCormick (2017), investigated the effects of EI enrollment in children born at increased risk for developmental delays (most were LBW) on functional outcomes in kindergarten. They found that children who were late to enroll in EI were less likely to have average academic and physical skills than children with more timely entrance into the program.…”

Section: Educational Significancementioning

confidence: 99%

Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays

Atkins

Dolata

Blasco

et al. 2019

Matern Child Health J

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Research has shown that children born low birth weight (i.e., ≤ 2500 grams) and/or premature (i.e., birth prior to 37 weeks gestation) are at increased risk of experiencing developmental delays, as well as long-standing executive functioning and academic challenges. Despite these well-known risks, children born low birth weight are underenrolled nationally in Part C Early Intervention (EI) services intended to support EARLY INTERVENTION ENROLLMENT viii

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Section: Educational Significancementioning

confidence: 99%

Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays

Atkins

Dolata

Blasco

et al. 2019

Matern Child Health J

View full text Add to dashboard Cite

show abstract

“…In addition, certain states have started to specify very low birthweight as a criterion for early intervention eligibility (48,49), plausibly increasing awareness among both healthcare providers, educators, and parents regarding the importance of developmental screening for this subgroup. Given the benefits that developmental screening and early intervention access may have for young children born prematurely (50), continued efforts are warranted to increase developmental screening for children born prematurely. Existing initiatives intended to promote developmental screening and access to related services (e.g., early intervention, early childhood special education services) may consider explicitly raising public awareness about the elevated risk of developmental disability for children born prematurely.…”

Section: Resultsmentioning

confidence: 99%

Healthcare Access and Adverse Family Impact among U.S. Children ages 0-5 years by Prematurity Status

Lindly

Crossman

Shui

et al. 2019

Preprint

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Background: Many children and their families are affected by premature birth. Yet, little is known about their healthcare access and adverse family impact in early childhood. This study aimed to (1) examine differences in healthcare access and adverse family impact among young children by prematurity status and (2) determine associations of healthcare access with adverse family impact among young children born prematurely. Methods: This was a secondary analysis of cross-sectional 2016 and 2017 National Survey of Children’s Health data. The sample included 19,482 U.S. children ages 0-5 years including 242 very low birthweight (VLBW) and 2,205 low birthweight and/or preterm (LBW/PTB) children. Prematurity status was defined by VLBW (i.e., <1,500 grams at birth) and LBW/PTB (i.e., 1,500-2,499 grams at birth and/or born at <37 weeks with or without low birthweight). Healthcare access measures were adequate health insurance, medical home, and developmental screening receipt. Adverse family impact measures were ≥$1,000 annual out-of-pocket medical costs, having a parent cut-back or stop work, parental aggravation, maternal health not excellent, and paternal health not excellent. The relative risk of each healthcare access and adverse family impact measure was computed by prematurity status. Propensity weighted models were fit to estimate the average treatment effect of each healthcare access measure on each adverse family impact measure among children born prematurely (i.e., VLBW or LBW/PTB). Results: Bivariate analysis results showed that VLBW and/or LBW/PTB children generally fared worse than other children in terms of medical home, having a parent cut-back or stop working, parental aggravation, and paternal health. Multivariable analysis results only showed, however, that VLBW children had a significantly higher risk than other children of having a parent cut-back or stop work. Adequate health insurance and medical home were each associated with reduced adjusted relative risk of ≥$1,000 in out-of-pocket costs, having a parent cut-back or stop work, and parental aggravation among children born prematurely. Conclusions: This study’s findings demonstrate better healthcare access is associated with reduced adverse family impact among U.S. children ages 0-5 years born prematurely. Population health initiatives should target children born prematurely and their families.

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“…In addition, certain states have started to specify very low birthweight as a criterion for early intervention eligibility [59,60], plausibly increasing awareness among both healthcare providers, educators, and parents regarding the importance of developmental screening for this subgroup. Given the benefits that developmental screening and early intervention access may have for young children born prematurely [61], continued efforts are warranted to increase developmental screening for children born prematurely. Existing initiatives intended to promote developmental screening and access to related services (e.g., early intervention, early childhood special education services) may consider explicitly raising public awareness about the elevated risk of developmental disability for children born prematurely.…”

Section: Discussionmentioning

confidence: 99%

Healthcare access and adverse family impact among U.S. children ages 0–5 years by prematurity status

et al. 2020

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Background: Many children and their families are affected by premature birth. Yet, little is known about their healthcare access and adverse family impact during early childhood. This study aimed to (1) examine differences in healthcare access and adverse family impact among young children by prematurity status and (2) determine associations of healthcare access with adverse family impact among young children born prematurely. Methods: This was a secondary analysis of cross-sectional 2016 and 2017 National Survey of Children's Health data. The sample included 19,482 U.S. children ages 0-5 years including 242 very low birthweight (VLBW) and 2205 low birthweight and/or preterm (LBW/PTB) children. Prematurity status was defined by VLBW (i.e., < 1500 g at birth) and LBW/PTB (i.e., 1500-2499 g at birth and/or born at < 37 weeks with or without LBW). Healthcare access measures were adequate health insurance, access to medical home, and developmental screening receipt. Adverse family impact measures were ≥ $1000 in annual out-of-pocket medical costs, having a parent cutback or stop work, parental aggravation, maternal health not excellent, and paternal health not excellent. The relative risk of each healthcare access and adverse family impact measure was computed by prematurity status. Propensity weighted models were fit to estimate the average treatment effect of each healthcare access measure on each adverse family impact measure among children born prematurely (i.e., VLBW or LBW/PTB). Results: Bivariate analysis results showed that VLBW and/or LBW/PTB children generally fared worse than other children in terms of medical home, having a parent cutback or stop working, parental aggravation, and paternal health. Multivariable analysis results only showed, however, that VLBW children had a significantly higher risk than other children of having a parent cutback or stop work. Adequate health insurance and medical home were each associated with reduced adjusted relative risk of ≥$1000 in annual out-of-pocket costs, having a parent cutback or stop work, and parental aggravation among children born prematurely. Conclusions: This study's findings demonstrate better healthcare access is associated with reduced adverse family impact among U.S. children ages 0-5 years born prematurely. Population health initiatives should target children born prematurely and their families.

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Early Intervention Services Improve School-age Functional Outcome Among Neonatal Intensive Care Unit Graduates

Cited by 40 publications

References 24 publications

Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays

Early Intervention Referral Outcomes for Children at Increased Risk of Experiencing Developmental Delays

Healthcare Access and Adverse Family Impact among U.S. Children ages 0-5 years by Prematurity Status

Healthcare access and adverse family impact among U.S. children ages 0–5 years by prematurity status

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