Preterm Clinical Trial
Official title:
Investigation of the Effectiveness of Environmental Enrichment-Based Intervention in Preterm Infants
Verified date | June 2023 |
Source | Istanbul University - Cerrahpasa (IUC) |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this study is to investigate the effectiveness the HEP (Homeostasis-Enrichment-Plasticity) approach, which based upon the principles of enriched environment (EE) and ecological theories of development on preterm infants with developmental delay risk. Thirty-two preterm infants aged 4-10 months will be randomly divided into 2 groups as the HEP intervention group and the Traditional Physical Therapy (TPT) group. EE-based intervention will be applied to the HEP intervention group, and traditional physiotherapy will be applied to the TPT group for 12 weeks (24 sessions). The demographic information of the participants will be recorded. The motor and sensory functions of the infants will be evaluated with, the Peabody Developmental Motor Scales (PDMS-2) and the Test of Sensory Functions in Infants™ (TSFI™), respectively. Additionally, the anxiety status of the parents will be evaluated with the Beck Anxiety Inventory (BAI). All evaluations will be done twice, at the end and at the beginning of 12 weeks.
Status | Completed |
Enrollment | 29 |
Est. completion date | May 5, 2023 |
Est. primary completion date | May 1, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 4 Months to 10 Months |
Eligibility | Inclusion Criteria: - To be in corrected age between 4 and 10 months - To being born 33 weeks and 6 days of gestation and before, - To absence of any systemic disease, congenital anomaly, - The family's volunteer to participate regularly in the study process. - Having abnormal or suspect results on the Denver Developmental Screening Test II Exclusion Criteria: - To be born at or after 34 weeks of gestational age - To having experienced intraventricular bleeding (Grade III and IV), - To having major vision or hearing problems - To having medical conditions that prevent active participation in the study (such as oxygen dependence) - To participate in other experimental rehabilitation studies. |
Country | Name | City | State |
---|---|---|---|
Turkey | Istanbul University-Cerrahpasa | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Istanbul University - Cerrahpasa (IUC) |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Motor Skills PDMS-2 Peabody Developmental Motor Scales 2nd Edition | The Peabody Developmental Motor Scales 2nd Edition (PDMS-2):
PDMS-2 evaluates fine and gross motor skills of children from birth to six years of age relative to their peers. There are four subtests on gross motor skills (Reflexes, stationary performances, locomotion, object manipulation) and two subtests on fine motor skills (Grasping, visual-motor integration). In the test, the skills to be assessed are listed in chronological order. The test starts at the child's age-appropriate beginner level (the level at which he gets 2 points on three items in a row) and ends when the child scores 0 on each of the three items in a row. Each item is scored as 0 (does not show performance criteria), 1 (shows some of the performance criteria), 2 (shows performance criteria) according to the child's performance, and the total score for each section is calculated at the end of the test. |
12 weeks | |
Primary | Sensory Function | Test of Sensory Functions in Infants™ (TSFI™):
TSFI consists of 5 subtests and 24 items. The application time is approximately 20 minutes. In the subtests of the test, reactivity to tactile deep pressure, adaptive motor functions, visual-tactile integration, ocular-motor control, and reactivity to vestibular stimulation are evaluated and all items are scored. The infant is evaluated as normal, at-risk, or deficient in terms of sensory processing according to the total score he/she gets. A higher score indicates better sensory processing. |
12 weeks | |
Secondary | Mental Health | Beck Anxiety Inventory (BAI):
The Beck Anxiety Inventory (BAI) consists of 21 self-reported items that question physical and cognitive anxiety symptoms such as hot flashes, fear of something bad happening to oneself, heart palpitations, irritability, fear of drowning, and sweating not related to heat. The individual scores from 0 to 3 how intensely they have experienced these symptoms during the past week. The total score may range from 0 and 63: 0-7 points indicate minimal anxiety, 8-15 points indicate mild anxiety, 16-25 points indicate moderate anxiety, and 26-63 points indicate severe anxiety. |
12 weeks |
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