Behavior Problem Clinical Trial
Official title:
Group Family Nurture Intervention: Short and Long Term Effects on Preschool Aged Children and Their Mothers at Children's Learning Centers
NCT number | NCT03908268 |
Other study ID # | AAAS1630 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 29, 2019 |
Est. completion date | June 11, 2020 |
Verified date | February 2023 |
Source | Columbia University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to compare the effects of Family Nurture Intervention in a mother-child group setting with a Standard Children's Learning Center (CLC) Program for preschool-aged children (ages 2-4.5). This approach is based on creating emotional connection and establishing mother-child two-way regulation, which the investigators hypothesize affects early child development. Mothers and children will be engaged by Nurture Specialists in comforting and calming interactions to regulate each other physically-leading to an automatic calming response to contact with each other.
Status | Completed |
Enrollment | 90 |
Est. completion date | June 11, 2020 |
Est. primary completion date | June 11, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 24 Months to 57 Months |
Eligibility | Inclusion Criteria: - Mother is able to consent in English or Spanish - Mother is 18 years of age or older at the time of consent - Child is between the ages of 2 to 4 years and 9 months at date of enrollment - Child resides with mother Exclusion Criteria: - The child has severe congenital anomalies or chromosomal anomalies including Downs syndrome and Cerebral Palsy - The child has a diagnosis of Autism Spectrum Disorder - The child has severe motor or physical disability - Mother currently presents with psychosis or is currently taking antipsychotic medication - Current maternal drug and/or alcohol abuse - Mother is more than four months pregnant - Mother and/or infant has a medical condition or contagion that precludes intervention components - Mother is unable to commit to study schedule - Mother is currently involved with the Department of Children and Families (DCF) |
Country | Name | City | State |
---|---|---|---|
United States | Children's Learning Centers of Fairfield County | Cos Cob | Connecticut |
Lead Sponsor | Collaborator |
---|---|
Columbia University | Children's Learning Centers of Fairfield County |
United States,
Myers MM, Grieve PG, Stark RI, Isler JR, Hofer MA, Yang J, Ludwig RJ, Welch MG. Family Nurture Intervention in preterm infants alters frontal cortical functional connectivity assessed by EEG coherence. Acta Paediatr. 2015 Jul;104(7):670-7. doi: 10.1111/apa.13007. Epub 2015 Apr 13. — View Citation
Welch MG, Firestein MR, Austin J, Hane AA, Stark RI, Hofer MA, Garland M, Glickstein SB, Brunelli SA, Ludwig RJ, Myers MM. Family Nurture Intervention in the Neonatal Intensive Care Unit improves social-relatedness, attention, and neurodevelopment of preterm infants at 18 months in a randomized controlled trial. J Child Psychol Psychiatry. 2015 Nov;56(11):1202-11. doi: 10.1111/jcpp.12405. Epub 2015 Mar 11. — View Citation
Welch MG, Myers MM, Grieve PG, Isler JR, Fifer WP, Sahni R, Hofer MA, Austin J, Ludwig RJ, Stark RI; FNI Trial Group. Electroencephalographic activity of preterm infants is increased by Family Nurture Intervention: a randomized controlled trial in the NICU. Clin Neurophysiol. 2014 Apr;125(4):675-684. doi: 10.1016/j.clinph.2013.08.021. Epub 2013 Oct 17. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Videotaped Interrupted Welch Lap Test | Mother-child interactions will be assessed for social engagement and emotional connection via the Welch Emotional Connection Screen (WECS).
The Welch Emotional Connection Scale (WECS) construct is emotional connection between mother and child, which the investigators hypothesize predicts optimal development. There are four items on the WECS: Mutual Attraction, Mutual Vocal Exchange, Mutual Facial Engagement, and Mutual Sensitivity/Reciprocity. Each item is rated on a scale from 1 to 3 in 0.25 increments with a score of 3 considered optimal. There is also a binary question to the rater asking if the pair is emotionally connected - yes or no. The mother and child are scored as a pair, not individually. |
Baseline, after 8 sessions/weeks and at 6-months post-accrual | |
Secondary | Respiration | Using a Biopac respiration belt, the respiration rate of mother and child will be measured during each assessment and used to compute vagal tone. | Baseline, after 8 sessions/weeks and at 6-months post-accrual | |
Secondary | ECG | Using a Biopac heart rate monitor and electrodes, the heart rate of mother and child during assessment will be measured. The change in R-R wave interval of mother and child throughout the assessment will be computed and used to compute vagal tone. | Baseline, after 8 sessions/weeks and at 6-months post-accrual | |
Secondary | Change in Maternal Symptoms of Anxiety and Depression | Measured via self-report on the Center for Epidemiologic Studies Depression Scale (CES-D), which measures symptoms of depression in nine different groups as defined by the American Psychiatric Association Diagnostic and Statistical Manual - Fifth Edition (DSM-V). Mothers are asked to respond to questions such as "I felt hopeful about the future." Responses range from "rarely or none of the time" to "most or all of the time." "Rarely..." earns a 0 while "most..." earns a 3, with the two responses in the middle earning a 1 and a 2. Each item in the CES-D is weighted equally. Scores are summed to equal a total score. A lower total score indicates the individual is minimally depressed (better outcome), whereas a higher total score indicates the individual is more severely depressed (worse outcome). | Baseline, after 8 sessions/weeks and at 6-months post-accrual | |
Secondary | Change in Maternal Symptoms of Anxiety and Depression | Measured via self-report on the Resilience/Stress (R/S) Questionnaire, a metric of the stress and resilience the mother experienced and developed during her childhood. The R/S Questionnaire is presented in a Likert scale format, asking the mother to respond to statements such as "I believe that my mother loved me when I was little." Potential answers range from "definitely true" to "definitely not true," where "definitely true" earns 1 point while "definitely not true" earns 5. Total scores are calculated by summing the points attributed to each response. A lower total score indicates that the mother had a healthy support system and experienced situations benefiting her psychological health. In contrast, multiple statements answered "definitely not true" or "probably not true," indicates a worse outcome, a lack of social support or psychological well-being during the mother's childhood. | Baseline, after 8 sessions/weeks and at 6-months post-accrual |
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