Language Development Clinical Trial
Official title:
Learning to Talk, Learning to Eat: A Randomized Controlled Trial of an Oromotor Stimulation Intervention vs no Oromotor Stimulation in Combination With a Reading Curriculum to Improve NICU Oral Feeding and Language Outcomes
This is a randomized controlled trial to study an oromotor stimulation in combination with a reading curriculum in the NICU among preterm infants using oral muscle exercises, Language Environment Analysis (LENA) recordings, linguistic feedback, and a language curriculum to improve the neonatal inpatient oral feeding and language outcomes for preterm infants.
Status | Not yet recruiting |
Enrollment | 124 |
Est. completion date | June 1, 2028 |
Est. primary completion date | June 1, 2026 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 22 Weeks to 30 Weeks |
Eligibility | Inclusion Criteria: - 22-30 weeks - English and Spanish speaking Exclusion Criteria: - Major congenital anomalies - Surgical necrotizing enterocolitis - Non-English and Non-Spanish speaking |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
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Women and Infants Hospital of Rhode Island |
Adams-Chapman I, Bann CM, Vaucher YE, Stoll BJ; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Association between feeding difficulties and language delay in preterm infants using Bayley Scales of Infant Development-Third Edition. J Pediatr. 2013 Sep;163(3):680-5.e1-3. doi: 10.1016/j.jpeds.2013.03.006. Epub 2013 Apr 10. — View Citation
Callahan JL, Borja SE, Hynan MT. Modification of the Perinatal PTSD Questionnaire to enhance clinical utility. J Perinatol. 2006 Sep;26(9):533-9. doi: 10.1038/sj.jp.7211562. Epub 2006 Jul 6. — View Citation
Dudek-Shriber L. Parent stress in the neonatal intensive care unit and the influence of parent and infant characteristics. Am J Occup Ther. 2004 Sep-Oct;58(5):509-20. doi: 10.5014/ajot.58.5.509. — View Citation
Fucile S, Gisel EG, McFarland DH, Lau C. Oral and non-oral sensorimotor interventions enhance oral feeding performance in preterm infants. Dev Med Child Neurol. 2011 Sep;53(9):829-835. doi: 10.1111/j.1469-8749.2011.04023.x. Epub 2011 Jun 27. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Days to oral feeding and non nutritive suck pattterns before and after oromotor stimulation | Days to initiate first oral feed, days to full oral feed, non nutritive suck pattern by NTrainer prior to and after oromotor stimulation or no oromotor stimulation | 33 weeks to 35 weeks | |
Secondary | Number of adult, infant, and conversational turn word counts measured by LENA device | Adult word counts, conversational turns, and infant vocalizations from each recording | From enrollment and biweekly until 36 weeks corrected | |
Secondary | Maternal stress | Using the Parental Stressor Scale: Neonatal Intensive Care Unit (PSS:NICU) to understand the parents' perceptions of stress within the NICU using 46 questions on a Likert scale with a 5 as extremely stressful and 1 as not stressful at all. Not applicable is also an option as well. | 36 weeks corrected | |
Secondary | Maternal post traumatic stress disorder | Perinatal posttraumatic stress disorder (PTSD) Questionnaire to measure maternal PTSD. PTSD symptoms of subjects will be measured with the modified PPQ, which consists of 14 items that measure three dimensions: unwanted intrusions or re-experiencing of delivery, avoidance or emotional numbing and hyperarousal. In the modified PPQ, each PPQ item is rated on five-point Likert scale (with a score of 0 indicating not sick to 4 indicating very sick). mothers with modified PPQ scores?19 and <19 as having and not having PTSD, respectively. | 7, 12 and 24 months | |
Secondary | Child Behavior | Using Child Behavior Checklist to measure child behavioral and emotional problems in childhood | 24 months | |
Secondary | Bayley Scales of Infant and Toddler Development, Fourth Edition | Individual assessment used to assess development of infants between 1 to 42 months of age. Domains are as follows: cognitive, language, motor, social-emotional, and adaptive behavior. Scores can be used to assess infants progress over time. Mean scores of 100 with 1 standard deviation below the mean indicating mild delay and 2 standard deivations below the mean indicating moderate to severe delay. | 12 months and 24 months |
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