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    Pediatrics
    March 2014, VOLUME 133 / ISSUE 3
    Article

    Adult Talk in the NICU With Preterm Infants and Developmental Outcomes

    Melinda Caskey, Bonnie Stephens, Richard Tucker, Betty Vohr
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    • TABLE 1

      Maternal and Infant Characteristics

      CharacteristicValuea
      Male gender15 (41.7)
      Gestational age, wk27 ± 2
      Birth weight, g896 ± 195
      Maternal age, y30.8 ± 7
      Gravida 112 (42.9)
      Race
       African American6 (21.4)
       Hispanic4 (14.2)
       White18 (64.3)
      Mother’s education
       <High school4 (14.3)
       High school/partial college13 (46.4)
       College/graduate10 (35.7)
       Unknown1 (3.6)
      Family history of language delay7 (19.4)
      SNAPPE-II score, day 127.5 ± 17
      SNAPPE-II score, day 320.7 ± 17
      IVH (grade III or IV) or PVL2 (5.6)
      ROP (any)12 (33)
      Chronic lung disease (36 wk)10 (27.8)
      Hearing failed unilateral at discharge4 (11.1)
      Hearing failed bilateral at discharge0 (0)
      • Data are presented as n (%) or mean ± SD. IVH, intraventricular hemorrhage; PVL, periventricular leukomalacia; ROP, retinopathy of prematurity; SNAPPE-II, Score for Neonatal Acute Physiology–Perinatal Extension II.

      • ↵a Includes values for 36 infants, 28 mothers.

    • TABLE 2

      Increase in Adult Words, Child Vocalizations, and Conversational Turns Over Time

      Vocalization Counts32 Weeks (n = 35)36 Weeks (n = 33)Percent Change (95% CI)
      Total adult words
       Mean ± SD3306 ± 42748556 ± 6407160
       Median1289825574–287
       Range144–16 549374–26 145
      Total conversational turns
       Mean ± SD25 ± 2948 ± 4596
       Median153632–192
       Range0–1053–188
      Total child vocalizations
       Mean ± SD113 ± 101195 ± 15676
       Median7715330–138
       Range10–37421–705
      • Analysis for change over time estimated by using negative binomial regression with generalized estimating equations.

    • TABLE 3

      Mean Bayley-III Measures for Study Patients

      Bayley-III Measure7 Months
(n = 32)18 Months
(n = 31)
      Cognitive composite score94 ± 8 (80–110)91 ± 10 (65–105)
      Language composite score78 ± 9 (65–103)85 ± 15 (59–127)
      Receptive communication scaled score6 ± 2 (3–11)7 ± 3 (3–14)
      Expressive communication scaled score7 ± 2 (3–11)8 ± 3 (3–15)
      • Data are presented as mean ± SD (range).

    • TABLE 4

      Correlations of LENA Variables at 32 and 36 Weeks’ Corrected Age Recordings With 7- and 18-Month Bayley-III Scores

      32-week recordingsCCLCRCEC
      7 Months
(n = 32)18 Months
(n = 31)7 Months
(n = 28)18 Months
(n = 31)7 Months
(n = 32)18 Months
(n = 31)7 Months
(n = 28)18 Months
(n = 31)
      Adult words/h0.240.270.270.45*0.35**0.32*0.080.53*
      Conversational turns/h0.36*0.180.37*0.41*0.36*0.230.240.54*
      Child vocalizations/h0.230.200.240.220.270.060.110.35**
      36-week recordingsCCLCRCEC
      7 Months18 Months7 Months18 Months7 Months18 Months7 Months18 Months
      (n = 30)(n = 29)(n = 26)(n = 29)(n = 30)(n = 29)(n = 26)(n = 29)
      Adult words/h0.48*0.080.180.300.130.130.120.44*
      Conversational turns/h0.50*−0.020.340.060.23−0.060.310.19
      Child vocalizations/h0.44*−0.170.36−0.050.25−0.090.310.01
      • Zero-order Pearson correlations for 32- and 36-week recordings and 7- and 18-month Bayley-III scores. *P < .05; **P = .05. CC, cognitive composite score; LC, language composite score; RC, receptive communication score; EC, expressive communication score.

    • TABLE 5

      Regression Analysis of LENA Measures at 32- and 36 Weeks and Bayley-III Scores, Adjusted for Birth Weight

      LENA Measure/Bayley-IIIbaPModel R2LENA Partial r2
      32 weeks, adult word count/h
       Receptive communication, 7 mo0.3.04130.140.14
       Language composite, 18 mo2.0.04040.250.12
       Expressive communication, 18 mo0.5.00810.300.20
      36 weeks, adult word count/h
       Cognitive composite, 7 mo1.2.00490.260.26
       Expressive communication, 18 mo0.3.07010.240.10
      • ↵a Unstandardized regression coefficient adjusted for birth weight (units: per 100 adult words/hour).

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    Adult Talk in the NICU With Preterm Infants and Developmental Outcomes
    Melinda Caskey, Bonnie Stephens, Richard Tucker, Betty Vohr
    Pediatrics Mar 2014, 133 (3) e578-e584; DOI: 10.1542/peds.2013-0104

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    Adult Talk in the NICU With Preterm Infants and Developmental Outcomes
    Melinda Caskey, Bonnie Stephens, Richard Tucker, Betty Vohr
    Pediatrics Mar 2014, 133 (3) e578-e584; DOI: 10.1542/peds.2013-0104
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