- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04593095
Nurturing and Quiet Intervention: NeuroN-QI (NeuroN-QI)
February 23, 2022 updated by: Marilyn Aita, St. Justine's Hospital
Nurturing and Quiet Intervention (NeuroN-QI) on Preterm Infants' Neurodevelopment and Maternal Stress and Anxiety: Protocol of a Pilot Randomized Clinical Trial
The current state of knowledge reveals that the development of the brain of preterm infants is influenced by specific neonatal experiences during hospitalization, such as environmental sensory stimulation (light and noise), as well as physical and emotional proximity to mothers.
However, there is a lack of evidence regarding the benefits that could be associated with the combination of care interventions to improve the health outcomes of preterm infants and their mothers, and in particular the development of the brain of infants during their hospitalization in the neonatal unit.
The aim of this pilot study is to assess the feasibility and acceptability of a developmental care intervention including periods of nurturing between mothers and their infant (skin-to-skin contact and auditory stimulation) to promote physical and emotional proximity and a quiet period (controlled light and noise levels and olfactory stimulation in incubators) and to estimate the effect of this intervention on infants' neurodevelopment as well as on maternal stress and anxiety.
Study Overview
Study Type
Interventional
Enrollment (Anticipated)
30
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.
Study Contact
- Name: Marilyn Aita, PhD
- Phone Number: 51473 5143436111
- Email: marilyn.aita@umontreal.ca
Study Locations
-
-
Quebec
-
Montréal, Quebec, Canada, H3T 1C5
- Recruiting
- CHU Sainte-Justine
-
Contact:
- Marilyn Aita
- Phone Number: 51473 514-343-6111
- Email: marilyn.aita@umontreal.ca
-
-
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
5 months to 7 months (CHILD)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
Infants:
- born between 26 and 316/7 WGA.
Mothers
- agree to do 4 SSC sessions/week with a 15-minutes period of auditory (reading) stimulation;
- express breast milk for their infant;
- speak, read, or write French or English.
Nurses:
- have at least 6 months of work experience in a NICU;
- speak and read French or English.
Exclusion Criteria:
Infants:
- have birth defects or genetic disorders;
- have an intraventricular hemorrhage > grade II;
- receive nasal respiratory support;
- have been transferred from another hospital.
Mothers:
- are <18 years of age;
- had a multiparous birth;
- have a physical condition that does not allow SSC;
- abuse substances or alcohol;
- do not intend to breastfeed or give breastmilk.
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: OTHER
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Experimental
Each SSC session will last 2-hr during the day including a 15-min of auditory stimulation with maternal voice and controlled levels of NICU light and noise.
The 2-hr SSC will be followed by a 1-hr quiet period where infants will rest in their incubator/crib with a pad immersed with their mother breast milk for olfactory stimulation and where the control of light and noise levels will be continued.
The NeuroN-QI will be done 4 times/wk for each dyad.
|
SSC session lasting 2-hr during the day 4 times/wk including a 15-min of auditory stimulation with maternal voice and controlled levels of NICU light and noise followed by a 1-hr quiet period where infants will rest in their incubator/crib with olfactory stimulation and where the control of light and noise levels will be continued.
|
NO_INTERVENTION: Control
Mothers-infant dyads will do 4 SSC/wk.
During these sessions, no attempt will be made by the RA to control the light and noise levels nor to encourage auditory stimulation.
The SSC periods will not be followed by a quiet period nor olfactory stimulation.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Feasibility and acceptability of the NeuroN-QI and the study procedures as assessed by a self-completed questionnaire (mothers) and a logbook (RA)
Time Frame: 1 year
|
questionnaire completed by mothers - each question treated separately (no total score) Log book completed by a research assistant
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Estimated effects of NeuroN-QI on infants' neurodevelopment as assessed using the Assessment of Preterm Infants Behavior (APIB)
Time Frame: 1 year
|
Observation scale by videos
|
1 year
|
Estimated effects of NeuroN-QI on infants' neurodevelopment as assessed using the General Movements Assessment (GMA)
Time Frame: 1 year
|
Observation by videos
|
1 year
|
Estimated effects of NeuroN-QI on maternal stress as assessed by PSS:NICU
Time Frame: 1 year
|
1 year
|
|
Estimated effects of NeuroN-QI on maternal anxiety as assessed by STAI-Y
Time Frame: 1 year
|
1 year
|
|
Nurses' training needs about the NeuroN-QI as assessed by a self-completed questionnaire
Time Frame: 1 year
|
Questionnaire completed by nurses - each question treated separately from strongly disagree to totally strongly agree (no total score)
|
1 year
|
Acceptability of the NeuroN-QI as assessed by a self-completed questionnaire
Time Frame: 1 year
|
questionnaire completed by nurses - each question treated separately from totally acceptable to totally unacceptable (no total score)
|
1 year
|
Feasibility of the NeuroN-QI as assessed by a self-completed questionnaire
Time Frame: 1 year
|
questionnaire completed by nurses - each question treated separately from totally feasible to totally unfeasible (no total score)
|
1 year
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Confounding variables
Time Frame: 1 year
|
birth weight, WGA at birth, postnatal age at the beginning of the intervention, APGAR score, mothers' use of psychological health care resources, other SSC sessions, SNAPPE-II, and light and noise levels with soundmeter and light meter
|
1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Marilyn Aita, PhD, St. Justine's Hospital
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.
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 (ACTUAL)
June 1, 2021
Primary Completion (ANTICIPATED)
August 30, 2022
Study Completion (ANTICIPATED)
August 30, 2022
Study Registration Dates
First Submitted
August 25, 2020
First Submitted That Met QC Criteria
October 13, 2020
First Posted (ACTUAL)
October 19, 2020
Study Record Updates
Last Update Posted (ACTUAL)
March 2, 2022
Last Update Submitted That Met QC Criteria
February 23, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- MP-21-2020-2587 (MP)
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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