The purpose of this study is to extend into the middle and high school years (ages 11 through 15; grades 5 though 9) a prospective longitudinal research project describing the developmental and behavioral progress of very low birth weight children (VLBW less than 1500 grams).
The specific aims of the project are to: (1) Compare the school achievement, school and social adjustment, cognitive processing abilities and behavioral styles of children who were VLBW with normal birth weight peers; (2) Provide clinicians and researchers with information about the specific cognitive and behavioral processes and characteristics of children who were very low birth weight; (3) Analyze the interplay of the multiple factors that influence outcome in VLBW; (4) Identify antecedent variables which predict school achievement and school and social adjustment in children who were VLBW. The 98 subjects are in three groups: 39 children who were VLBW; 32 normal birth weight schoolmates who have been matched for age, birth order, maternal education, socioeconomic status, gender and race; and 27 siblings of the VLBW children. Data Is gathered during observations, interviews and psychological testing in the home, from ophthalmologic examinations; and from teacher and school records. The instruments used in the study measure intellectual and school achievement, temperament, social competencies, behavior problems, health behaviors, and family, peer and school supports and prohibitions. Specific cognitive processing skills are measured by neuropsychological testing and ocular examinations. Data from the first ten years of the study on perinatal adversity, biological immaturity, the home environment, development, cognitive processing and behavioral characteristics are also used in data analysis. Data are analyzed using analysis of variance, repeated measures Anova, and regression analysis.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR001315-13
Application #
2445609
Study Section
Nursing Research Study Section (NURS)
Program Officer
Bryan, Yvonne E
Project Start
1987-09-28
Project End
1999-06-30
Budget Start
1997-07-01
Budget End
1999-06-30
Support Year
13
Fiscal Year
1997
Total Cost
Indirect Cost
Name
Thomas Jefferson University
Department
Pediatrics
Type
Schools of Medicine
DUNS #
061197161
City
Philadelphia
State
PA
Country
United States
Zip Code
19107
Schraeder, B D; Czajka, C; Kalman, D D et al. (1998) Respiratory health, lung function, and airway responsiveness in school-age survivors of very-low-birth-weight. Clin Pediatr (Phila) 37:237-45
Schraeder, B D; Heverly, M A; O'Brien, C et al. (1997) Academic achievement and educational resource use of very low birth weight (VLBW) survivors. Pediatr Nurs 23:21-5, 44
Schraeder, B D; Heverly, M A; O'Brien, C (1996) The influence of early biological risk and the home environment on nine-year outcome of very low birth weight. Can J Nurs Res 28:79-95
Schraeder, B D; McEvoy-Shields, K (1991) Visual acuity, binocular vision, and ocular muscle balance in VLBW children. Pediatr Nurs 17:30-3