Motor Delay Clinical Trial
Official title:
Project INITIATE: Developing Community Collaborations to Improve Developmental Outcomes Through Prompt and Equitable Transition to Community Therapy Services in High-risk Newborn Infants
Project Initiate is a pilot study of early neuromotor outcomes in high risk newborn infants who are referred to Early Intervention services after NICU discharge. The investigators hypothesize that infants with Medicaid insurance who have prompt access to weekly post-discharge therapy services will have better early neuromotor function at 3 months corrected age and better parent satisfaction than infants who receive only care coordination to help with Early Intervention enrollment and locating outpatient transitional services as indicated.
Status | Recruiting |
Enrollment | 105 |
Est. completion date | June 30, 2023 |
Est. primary completion date | January 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | N/A to 1 Month |
Eligibility | Inclusion Criteria: At-risk for developmental impairments (enrolled in Early Childhood Clinic and are automatically eligible for Illinois Early Intervention services) Less that 45 weeks post-menstrual age (PMA) at discharge English-speaking Able to be identified and enrolled before discharge from the NICU Exclusion Criteria: Children in DCFS custody or children of parents who decline therapy services through the State of Illinois Early Intervention Program. |
Country | Name | City | State |
---|---|---|---|
United States | Lurie Children's Hospital | Chicago | Illinois |
United States | Prentice Women's Hospital | Chicago | Illinois |
United States | University of Chicago | Chicago | Illinois |
United States | University of Illinois at Chicago | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Ann & Robert H Lurie Children's Hospital of Chicago |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Test of Infant Motor Performance Score (TIMP) | The TIMP is a motor evaluation conducted by a physical therapist. The test is scored and the scores are converted to standard deviations based on the child's age. Changes in the infant's TIMP standard deviation score from discharge to 3 months of age, corrected for prematurity, assessed by an physical therapist blinded to the intervention group. | 2-3 months (discharge to first developmental clinic visit) | |
Primary | Time to initiation of Early Intervention therapy services | The time from discharge to the first Early Intervention home therapy service will be assessed | Discharge to EI initiation (1-6 months) | |
Primary | Parent quality of life questionnaire assessed using the Peds QL Family Impact Module | Parent quality of life will be assessed at the beginning and end of the study. This test asks parents to rate their quality of life in 6 categories. Each item is scored on a Likert Scale from 0-4 and then reverse transformed to a score from 0-100. The investigators will use an overall score averaged from the 6 categories as an outcome, as well as scores for the individual categories. Higher scores indicated better parent reported quality of life. | 2-3 months | |
Secondary | General movements assessment- | Motor optimality scores will be obtained from observation of standard videos and rated by blinded trained observers. Motor optimality scores can range from 5-28 with higher scores indicating better motor optimality. | At 3 months corrected age | |
Secondary | Hammersmith Infant Neurologic examination | A neurologic examination performed by blinded observers who have been trained (physical therapists or physicians). Each item (n=26) is scored from 0-3 points. Higher scores indicate better neurologic function with a maximum score of 78. | At 3 months corrected age |
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