Preterm Infants Clinical Trial
Official title:
Can Early Intervention Prevent Developmental Disturbances/Delays and Improve the Health of Children Born Prematurely
The purpose of this study is to examine whether an early intervention program may improve cognitive and behavioral short and longterm outcome in preterm infants.
Advances in neonatal medicine has increased the survival of infants with low birth weight.
Repeatedly it has been documented an increased prevalence of psychological and medical
problems in this group of children. Frequent psychological problems are intellectual
disturbances, language delays, behavior problems like ADHD and learning difficulties. Usual
medical problems are subnormal growth, various illnesses and neuro‑developmental problems.
The high prevalence of psychological and medical risks makes this group of children target
for follow‑up assessments and early intervention.
The main aim of the project is to investigate whether sensitizing the parents will reduce
the incidence of developmental disturbances in a group of low birth weight infants compared
to a control group.
The study is carried out as a cooperation between the Departments of child‑ and adolescent
psychiatry and pediatrics of the University Hospital in Tromsoe in Northern ‑ Norway. 140
premature infants with birth weight less than 2000 grams are randomly distributed to an
intervention and control group. In addition 70 full term infants are selected to another
control.
A slightly modified version of The Vermont Intervention Program for Low Birth Weight Infants
is applied to the infants in the intervention group, where the parents receive one hour of
instruction from a special trained neonatal nurse one hour per day the last week before
discharge (infant = 37 weeks G.A.). In addition, the parents receive four home visits during
the the three first months after discharge.
Psychological and medical assessments are undertaken at ages: 36 weeks G.A., 6 months, 1, 2
3 5 years corrected for prematurity
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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