Premature Birth Clinical Trial
Official title:
Family Nurture Intervention in the NICU at The Valley Hospital
NCT number | NCT03267043 |
Other study ID # | AAAR4899 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | October 20, 2017 |
Est. completion date | July 1, 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 neurodevelopment and activity in infants born preterm (25 to 34 1/7 weeks gestational age (GA)) receiving Standard Care (SC) or Family Nurture Intervention (FNI) in the neonatal intensive care unit (NICU). The investigators hypothesize that FNI will improve: i) neonatal electroencephalographic activity ii) maternal caregiving and wellbeing (psychological and physiological, and iii) infant behavior and neurodevelopment at 18 months corrected age (CA). The two-phase effectiveness study aims to: - Phase 1 - Examine the existing Standard Care Approximately 35 infants and their mothers - Phase 2 - Examine effectiveness by implementing FNI unit-wide so that every baby receives the intervention Approximately 35 infants and their mothers
Status | Completed |
Enrollment | 150 |
Est. completion date | July 1, 2020 |
Est. primary completion date | March 19, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 26 Weeks to 34 Weeks |
Eligibility | For the Standard Care and FNI Groups Inclusion Criteria: - infant is between 26 and 33 6/7 weeks gestational age upon admission - infant is a singleton or twin Exclusion Criteria: - infant's attending physician does not recommend enrollment in the study - severe congenital anomalies including chromosomal anomalies - ultrasound evidence of large parenchymal hemorrhagic infarction (>2 cm, intraventricular hemorrhage grade 3 or 4) - infant cardiac anomalies - mother has known history of substance abuse, severe psychiatric illness or psychosis - status of enrolled subject changes and subject now falls into exclusion criteria - mother and/or infant has a medical condition that precludes intervention components - mother and/or infant has a contagion that endangers other participants in the study |
Country | Name | City | State |
---|---|---|---|
United States | Morgan Stanley Children's Hospital of New York (MSCHONY) | New York | New York |
United States | The Valley Hospital | Ridgewood | New Jersey |
Lead Sponsor | Collaborator |
---|---|
Columbia University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Welch Emotional Connection Scale | To examine Mother-Infant Emotional Connection, this is a brief 4-item assessment requiring 5 minutes or less, which assesses the character of the relationship between study mothers and infants. It is filled out by study staff who rate mothers and infants in a dyadic interaction on their attraction, their vocal communication, facial expressiveness, and sensitivity and responsivity towards each other. | Up to 18 months | |
Other | Child Behavior Checklist Score | The Child Behavior Checklist (CBCL) is a device by which parents rate their child's problem behaviors and competencies. The CBCL can also be used to measure a child's change in behavior over time or following a treatment. The CBCL consists of 100 items. This will be administered at the 18 Months CA Follow-Up. | Up to 18 months | |
Other | Modified Checklist for Autism in Toddlers (M-CHAT) Score | The M-CHAT is a questionnaire validated for screening toddlers to assess risk for autism spectrum disorders (ASD). It is a 23 yes/no item questionnaire administered to the mother which can be scored in less than 2 minutes. This will be administered at the 18 Month CA Follow-Up. | Up to 18 months | |
Primary | EEG Power in the frontal polar region | Measured in microvolts (µV)^2 for infants. | Up to 41 weeks gestational age | |
Secondary | EEG Coherence in the left frontal polar to right frontal polar region | Coherence is a number between 0-1, generated by looking at the similarity/differences in activity between brain regions through analysis of EEG. | Up to 41 weeks gestational age | |
Secondary | CES-D Score | To examine maternal depression, the Center for Epidemiologic Studies Depression Scale (CES-D) is a 20 item self-report inventory designed to assess current but nonspecific distress rather than clinically diagnosed depression. It is the most frequently used measure in the field of infant research and maternal depression. Items probe for depressive symptoms and attitudes within the past week. | Up to 18 months | |
Secondary | State-Trait Anxiety Inventory (STAI) Score | To examine Maternal Anxiety, the State-Trait Anxiety Inventory (STAI) comprises 2 separate self-report scales of 20 items each that measure state and trait anxiety. The S-Anxiety Scale (measuring state), has been found to be a sensitive indicator of changes in transitory anxiety experienced by patients in counseling, psychotherapy, and behavior-modification programs, and has been used to assess the level of anxiety induced by unavoidable real-life stressors. The T-Anxiety scale has proven useful for identifying persons who differ in motivation or drive level. The STAI has been used in studies examining parents of hospitalized children, the transition to a maternal role, perception of illness severity in infants, and maternal anxiety during pregnancy and fetal attachment. | Up to 18 months | |
Secondary | Neurobehavioral Assessments of Infants - Bayley Scales or Infant and Toddler Development, Bayley III | At the 18 month corrected age follow-up, infants are administered the Bayley Scales of Infant and Toddler Development, Bayley III consisting of three developmental domains: Cognitive, Language (receptive/expressive) and Motor (fine/gross). For each domain, a composite score is provided and is scaled to a mean score of 100 and a standard deviation of 15. A child will receive 1 point for every item successfully completed. The administration of each section will end if the child received 0 points on 5 consecutive items. Scores <70 indicate significant developmental delays and scores <80 indicate mild to moderate developmental delays.
Cognitive Scale - comprised of 91 items Language Scale - comprised of 97 items Motor Scale - comprised of 138 items |
Up to 18 months |
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