- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01952093
Effects of Early Intervention for Preterm Children at School Age
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Specific Aims:
This study was to extend our previous research to longitudinally examine the effectiveness of three intervention programs (CBIP, HBIP and UCP) for VLBW preterm children in Taiwan at seven years of age. Gender and maternal education level matched term children were also included to serve as the reference group for comparison of developmental outcomes. The intervention had been delivered from birth to one year of corrected age in the previous study. Effectiveness examined including children's and parental outcomes. Primary outcome referred to measures of child neurobehavioral functions. Neurobehavioral assessment included cognitive, motor and behavioral measurement. Secondary outcomes referred to child growth and health, neurophysiological functions, and the quality of parenting measures. Neurophysiological assessment referred to electroencephalogram/event-related potential examinations that were used to investigate the neurological pathways underlying the effective intervention.
Subjects and Methods:
Participants:
One hundred and seventy-eight VLBW preterm children and 62 term children who had participated in our previous study were enrolled in this study. VLBW preterm children were born or admitted at the National Taiwan University Hospital, the Mackay Memorial Hospital and Taipei City Hospital, Branch for Women and Children in Taipei, Taiwan, during the time period of 2006 to 2008.
Methods:
While age seven is an important time period that children enter elementary school and begin to participate in school activities, more comprehensive outcome measurements are required. The World Health Organization emphasizes that health conditions should be considered from the body, individuals and societal perspectives as depicted in the International Classification of Functioning, Disability and Health model. Accordingly, the outcome measures in this study consisted of the primary (i.e., child neurobehavioral functions) and secondary outcomes (i.e., child growth and health, neurophysiological functions, and quality of parenting). Child neurobehavioral assessment included measurements of cognitive, motor, and behavior function. The domains of cognitive functions examined including the intelligence (IQ test), the efficiency of attention control (sustained attention test), and the cognitive flexibility and planning (executive function test). The motor function included motor skill acquisition and coordination. Children's behavior was measured using the parental report of child behavior and teacher's observation for child's adaptive behavior in the school context. Children's educational resources (special education or resource class) or other education-related support received from any institution would also be recorded in this study. Child neurophysiological functions were measured by the electroencephalogram (EEG)/event-related potential (ERP) technique.
All families were contacted via phone call and mail to be enrolled in this study. Children and their parents would have been examined for the following outcomes when the children approached at seven years of age. All measures except for the neurophysiological measures were conducted at Infant Motor Development Laboratory, School of Physical Therapy, National Taiwan University. Several examiners with the background knowledge of physical therapy or psychology received training with the testing instruments and procedures. Before commencing the study assessments, the interrater reliability (agreement with an experienced investigator > 0.80) would have been required for the assessors. All the examiners were kept blind to children's group assignment. To decrease the fatigue in children due to the prolonged examination, participants were asked to return twice for assessment.The first assessment would have taken 180 minutes which consisted of the IQ test, sustained attention test, and executive function test that the whole session.The second assessment was the neurophysiological measurement with the EEG/ERP tasks which would have taken 90 minutes.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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-
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Taipei, Taiwan, 100
- National Taiwan University Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Seven years old children who received the intervention service in our previous intervention study will be invited to participate in this study.
- The inclusion criteria for term infants were: birth weight greater than 2500 g, gestational age within 38-42 weeks, and the absence of serious prenatal and perinatal complications.
- The inclusion criteria for VLBW preterm infants were: birth weight less than 1500 g, gestational age less than 37 weeks, and the singleton or the first child of twin/multiple birth.
- The exclusion criteria for VLBW preterm infants were: admission to the study hospitals >7 days of birth and infants with congenital anomalies or severe neonatal diseases.
- Infants exhibiting persistently unstable physiological conditions until 36 weeks' post- menstrual age (PMA) or older, being discharged from hospital at 44 weeks' PMA or older, or developing severe neonatal diseases (e.g., seizure, hydrocephalus, ventriculoperitoneal shunt, periventricular leukomalacia, grade III-IV intraventricular hemorrhage, necrotizing enterocolitis with colostomy, and stage IV-V retinopathy of prematurity) were early terminated in this study.
- Additional selection criteria for all infants in this study were as follows: mothers who read and speak Chinese, maternal age older than 18 years, absence of maternal alcohol or drug abuse history, and parents married at child's birth.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Usual care program
VLBW preterm infants who received usual medical care during hospitalization after birth.(in the previous study)
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Clinic-based intervention program
VLBW preterm infants who received specific early intervention program delivered at clinic before 1 year of corrected age (in the previous study)
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The intervention had been done in the previous intervention study.
The intervention included in-hospital and after-discharge service.
After-discharge intervention performed at 0, 1, 2, 4, 6, 9, 12 months of age at the clinic.
Other Names:
|
Home-based intervention program
VLBW preterm infants who received specific early intervention program delivered at home before 1 year of corrected age (in the previous study)
|
The intervention had been done in the previous intervention study.
The intervention included in-hospital and after-discharge service.
After-discharge intervention performed at 0, 1, 2, 4, 6, 9, 12 months of age at the home.
Other Names:
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Term control group
Healthy term infants
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Child neurobehavioral development
Time Frame: at 7 years of age
|
Child neurobehavioral assessment including cognitive and, motor, and behavior functions. Cognitive functions were assessed by the intelligence (IQ test), the efficiency of attention control (sustained attention test), and the cognitive flexibility and planning (executive function test). Motor functions assessment included motor skill acquisition and coordination. Child's behavior was measured by the parent/teacher reported questionnaire (two different versions) of child's adaptive behavior in the school context. |
at 7 years of age
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parenting
Time Frame: at 7 years of age
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The parental outcome was measured with the quality of parenting.
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at 7 years of age
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Child health condition
Time Frame: at 7 years of age
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Child health condition were measured by a parent report questionnaire and chart review.
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at 7 years of age
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Child neurophysiological functions
Time Frame: at 7 years of age
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Child's neurophysiological functions were measured by the electroencephalogram (EEG)/event-related potential (ERP) technique for the participating children.
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at 7 years of age
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Child educational resources
Time Frame: at 7 years of age
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The utility of special education and resource classes and the receiving of other educational support from any institution were also be recorded in this study.
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at 7 years of age
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Child growth-weight
Time Frame: at 7 years of age
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Child's weight was measured by electronic weighting scale in kilogram
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at 7 years of age
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Child growth-height
Time Frame: at 7 years of age
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Child's weight was measured by Kidmeasure in centimeter
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at 7 years of age
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Suh-Fang Jeng, Sc.D, School of Physical Therapy, National Taiwan University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 201112106RIB
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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