A randomized clinical trial of home intervention for children with failure to thrive.
To evaluate the efficacy of a home-based intervention on the growth and development of children with nonorganic failure to thrive (NOFTT).
Randomized clinical trial.
The NOFTT sample included 130 children recruited from urban pediatric primary care clinics serving low income families.
All children were younger than 25 months with weight for age below the fifth percentile.
Eligibility criteria included gestational age of at least 36 weeks, birth weight appropriate for gestational age, and no significant history of perinatal complications, congenital disorders, chronic illnesses, or developmental disabilities.
Children were randomized into two groups.
Most children were raised by single, African-American mothers who received public assistance.
Eighty-nine percent of the families (116 of 130) completed the 1-year evaluation.
All children received services in a multidisciplinary growth and nutrition clinic.
A community-based agency provided the home intervention.
Families in the HI group were scheduled to receive weekly home visits for 1 year by lay home visitors, supervised by a community health nurse.
The intervention provided maternal support and promoted parenting, child development, use of informal and formal resources, and parent advocacy.
Growth was measured by standard procedures and converted to z scores for weight for height and height for age to assess wasting and stunting.
Mots-clés Pascal : Retard staturopondéral, Enfant, Traitement, Programme sanitaire, Evaluation, Etats Unis, Milieu familial, A domicile, Essai clinique, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Growth retardation, Child, Treatment, Sanitary program, Evaluation, United States, Family environment, At home, Clinical trial, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0352125
Code Inist : 002B30A03B. Création : 01/03/1996.