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  1. A randomized clinical trial of home intervention for children with failure to thrive.

    Article - En anglais

    Objective

    To evaluate the efficacy of a home-based intervention on the growth and development of children with nonorganic failure to thrive (NOFTT).

    Design

    Randomized clinical trial.

    Participants

    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.

    Interventions

    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.

    Measurements

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0352125

    Code Inist : 002B30A03B. Création : 01/03/1996.