- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04062513
Olfactive Stimulation Interventions With Mothers' Milk on Preterm Pain Response
August 16, 2019 updated by: De Clifford-Faugère Gwenaelle, St. Justine's Hospital
Effectiveness of Olfactive Stimulation Interventions With Mothers' Milk on Preterm Pain Response: a Randomized Controlled Trial
Repeated and untreated pain can lead to long-term consequences in preterm infants, such as pain hypersensitivity and impaired motor and intellectual development.
Studies on the pharmacological and non-pharmacological interventions for pain management in preterm infants are limited.
Thus, we investigated an intervention based on olfactive stimulation with mothers' milk.
The aims of this study are: a) Evaluate the effectiveness of an olfactive stimulation intervention with mothers' milk odor on preterm procedural pain; b) Evaluate the effectiveness of adding a period of familiarization previous to the olfactive stimulation intervention with mothers' milk odor on preterm procedural pain.
Preterm infants will be recruited and randomly assigned to three groups 1) mothers' milk odor during the nine hours before and during heel-prick, 2) mothers' milk odor during heel-prick, 3) standard care.
Pain will be measured using a scale of pain adapted for preterm infants.
This procedure with mothers'milk odor is inexpensive and easily performed.This study will significantly contribute to the advancement of knowledge on preterm infants pain management.
Study Overview
Status
Unknown
Conditions
Study Type
Interventional
Enrollment (Anticipated)
96
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
6 months to 8 months (Child)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria for mothers
- 18 years or older,
- speak, understand and write French or English
- express their milk
Exclusion Criteria for mothers
- pathology or condition that contraindicates the use of their breast milk (HIV, drugs...)
Inclusion Criteria for preterm
- 29 to 36 weeks of gestation
- APGAR > 6 at 5 minutes
- less than 21 days
Exclusion Criteria for preterm
- intubated, under Continuous Positive Airway Pressure or nasal oxygen,
- surgery in the first day of life
- congenital disease
- intraventricular hemorrhage > grade II
- leukomalacia
- sedation within 48 hours prior to heel prick
- pharmacologic treatment for pain within 12 hours prior to heel prick
- being under phototherapy treatment during the familiarization stage
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Olfactive stimulation intervention with familiarization
Participants will receive the olfactive stimulation intervention with mothers' milk odor during a previous period of nine hours and during heel prick.
Sucrose will be also administered during heel prick.
|
The intervention consists of placing a pad immersed with breast milk near the preterm infant's nose during heel prick.
For the familiarization stage, infants were familiarized with the odor of their mothers' milk for 9 hours before heel prick.
|
Experimental: Olfactive stimulation intervention
Participants will receive the olfactive stimulation intervention with mothers' milk odor during heel prick only.
Sucrose will be also administered during heel prick.
|
The intervention consists of placing a pad immersed with breast milk near the preterm infant's nose during heel prick.
|
Other: Standard care
In the control arm, participants will receive the standard care for pain which is sucrose administration.
|
Preterm infants will receive sucrose during heel prick.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain : Premature Infant Pain Profile-Revised
Time Frame: Change from baseline every 30 seconds until 120 seconds post heel lance and 30 seconds after the end of blood collection
|
Scores range from 0 to 21 where a higher score means more pain, a score less than 6 signifies an absence of pain, and a score greater than 12 indicates moderate to severe pain.
The PIPP-R contains four parts: gestational age, state of sleep-awake, physiological parameters, and behavioural parameters.
|
Change from baseline every 30 seconds until 120 seconds post heel lance and 30 seconds after the end of blood collection
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recovery
Time Frame: The time required for the preterm infant to return to baseline heart rate levels (should not exceed 5 minutes)
|
The time required for the preterm infant to return to baseline heart rate levels (should not exceed 5 minutes)
|
|
Maternal acceptability of the olfactive stimulation intervention : questionnaire
Time Frame: Immediately post-procedure
|
After the intervention, mothers will be asked to complete a questionnaire focusing on maternal acceptability of the olfactive stimulation intervention with mothers' milk to manage procedural pain (demographic questions and Likert scale).
|
Immediately post-procedure
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Marilyn Aita, PhD, Université de Montréal
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- De Clifford-Faugere G, Lavallee A, Aita M. Olfactive stimulation interventions for managing procedural pain in preterm and full-term neonates: a systematic review protocol. Syst Rev. 2017 Oct 17;6(1):203. doi: 10.1186/s13643-017-0589-1.
- De Clifford-Faugère G, Aita M, Héon M, Le May S. Management of procedural pain in preterm infants through olfactive stimulation with mothers' milk: A pilot study. Science of Nursing and Health Practices - Science infirmière et pratiques en santé. 2(1), Article 3, 2019. Available at: https://doi.org/10.31770/2561-7516.1042
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Anticipated)
September 1, 2019
Primary Completion (Anticipated)
December 1, 2020
Study Completion (Anticipated)
December 1, 2020
Study Registration Dates
First Submitted
August 12, 2019
First Submitted That Met QC Criteria
August 16, 2019
First Posted (Actual)
August 20, 2019
Study Record Updates
Last Update Posted (Actual)
August 20, 2019
Last Update Submitted That Met QC Criteria
August 16, 2019
Last Verified
August 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MP-21-2020-2309
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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