A randomised controlled trial of specialist health visitor intervention for failure to thrive.
Aims-To determine whether home intervention by a specialist health visitor affects the outcome of children with failure to thrive.
Methods-Children referred for failure to thrive were randomised to receive conventional care, or conventional care and additional specialist home visiting for 12 months.
Outcomes measured were growth, diet, use of health care resources, and Bayley, HAD (hospital anxiety and depression), and behavioural scales.
Eighty three children, aged 4-30 months, were enrolled, 42 received specialist health visitor intervention.
Children in both groups showed good weight gain (mean (SD) increase in weight SD score for the specialist health visitor intervention group 0.59 (0.63) v 0.42 (0.62) for the control group).
Children<12 months in the intervention group showed a higher mean (SD) increase in weight SD score than the control group (0.82 (0.86) upsilon 0.42 (0.79)). Both groups improved in developmental score and energy intake.
No significant differences were found for the primary outcome measures, but controls had significantly more dietary referrals, social service involvement, and hospital admissions, and were less compliant with appointments.
Conclusions-The study failed to show that specialist health visitor intervention conferred additional benefits for the child.
However, the specialist health visitor did provide a more coordinated approach, with significant savings in terms of health service use. (...)
Mots-clés Pascal : Retard staturopondéral, Nourrisson, Homme, Randomisation, Essai clinique, Intervention, A domicile, Evolution, Développement staturopondéral, Développement psychomoteur, Régime alimentaire, Utilisation, Soin, Royaume Uni, Europe, Epidémiologie
Mots-clés Pascal anglais : Growth retardation, Infant, Human, Randomization, Clinical trial, Operation, At home, Evolution, Somatic growth, Psychomotor development, Diet, Use, Care, United Kingdom, Europe, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0313307
Code Inist : 002B30A01C. Création : 16/11/1999.