- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05483231
The Effect of Family Integrated Care on Melatonin Level in Very Low Birth Weight Infants
August 9, 2023 updated by: Children's Hospital of Fudan University
The Effect of Family Integrated Care on Melatonin Level in Very Low Birth Weight Infants in Neonatal Intensive Care Unit: A Multicenter Randomized Controlled Trial
This study will explore the effect of Family integrated care (FICare) on the level of melatonin and other clinical outcomes in very low birth weight infants (VLBWIs) by integrating families into the neonatal intensive care unit (NICU) care team and participating in the daily care of VLBWIs, as well as the influence of FIcare on parents' outcomes.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
This study is a multicenter randomized controlled trial which mainly explores the effect of Family integrated care (FICare) on melatonin levels in very low birth weight infants (VLBWIs) in neonatal intensive care unit (NICU).
The intervention group will use a FICare intervention program, mainly for families who have been fully trained by the NICU professional team and need to stay in the NICU to accompany and care for the VLBWIs for not less than 6 hours a day for at least 3 weeks.
All non-medical care measures and developmental supportive care will be provided by parents as much as possible.
The control group received routine nursing interventions in which all non-medical interventions are led by NICU staff and without parental involvement.
The level of melatonin, clinical and parental outcomes in VLBWIs are compared between the intervention group and the control group to evaluate the effect of FICare intervention program.
Study Type
Interventional
Enrollment (Estimated)
64
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: Yi Zhang, Master
- Phone Number: +8618071608186
- Email: 20211170025@fudan.edu.cn
Study Contact Backup
- Name: Xiaojing Hu, PhD
- Phone Number: +8618017590869
- Email: humama2015@126.com
Study Locations
-
-
Shanghai
-
Shanghai, Shanghai, China, 201102
- Children's Hospital of Fudan University
-
Contact:
- Yi Zhang, Master
- Phone Number: +8618071608186
- Email: 20211170025@fudan.edu.cn
-
Contact:
- Xiaojing Hu, PhD
- Phone Number: +8618017590869
- Email: humama2015@126.com
-
-
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
1 second to 1 day (Child)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Birth weight < 1500g;
- Gestational age < 32w;
- Admit within 24 hours of birth;
- The parents are conscious and able to cooperate, have certain learning and reading comprehension skills, and are capable of caring for their babies. They are committed to receiving training and caring for their babies for not less than 6 hours a day for at least 21 days;
- Voluntarily participate in this study and sign informed consent.
Exclusion Criteria
- Newborns who require palliative care or surgical intervention;
- OI (oxygenation index) <300 ;
- Newborns with severe congenital malformations;
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: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Family integrated care intervention group
Provide Family integrated care for very low birth weight infants in the NICU.
|
If the very low birth weight infants' vital signs are stable at 32 weeks of corrected gestational age, parents who have been fully trained will provide all non-medical care measures and developmental care for the VLBWIs in the NICU for not less than 6 hours per day for at least 3 weeks, and other medical practice and care measures will be the same as the routine group.
|
Other: Routine nursing care group
Perform routine nursing care for very low birth weight infants in the NICU.
|
Routine practice and in-hospital education will be given to the very low birth weight infants and parents.
All care measures will be led by the nursing staff, without the participation of parents.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes on the level of Melatonin in very low birth weight infants
Time Frame: From baseline to day 21 after the implementation of Family integrated care intervention
|
At 32 weeks of corrected gestational age (baseline) and day 21 after the implementation of FICare intervention, melatonin will be quantitatively measured by high performance liquid chromatography-mass spectrometry (HPLC-MS) with saliva samples collected by a specially-assigned person.
|
From baseline to day 21 after the implementation of Family integrated care intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Breast feeding rate
Time Frame: At the day 21 after the implementation of Family integrated care intervention
|
Data will be acquired at the day 21 after the implementation of FICare intervention by a specially-assigned person.
Breastfeeding rate = number of VLBWI fed from mother's milk/total number of VLBWI enrolled in each group *100%.
|
At the day 21 after the implementation of Family integrated care intervention
|
Changes in maternal milk volume
Time Frame: From baseline to day 21 after the implementation of Family integrated care intervention
|
At 32 weeks of corrected gestational age (baseline) and day 21 after the implementation of FICare intervention, maternal milk volume will be collected from lactation diary records issued before the intervention.
|
From baseline to day 21 after the implementation of Family integrated care intervention
|
Rate of weight gain
Time Frame: From baseline to day 21 after the implementation of Family integrated care intervention
|
Weight is measured by a parent or nurse.
Rate of weight gain = ( Weight measured at day 21 after the intervention - weight measured at 32 weeks of corrected gestational age)/total number of intervention days.
|
From baseline to day 21 after the implementation of Family integrated care intervention
|
Incidence of complications related to preterm birth
Time Frame: Through study completion, about an average of 21 days
|
Complications related to preterm birth include neonatal sepsis, bronchopulmonary dysplasia (BPD), intraventicular hemorrhage (IVH), periventricular leukinomalacia (PVL), and retinopathy of prematurity (ROP).
These complications are diagnosed by a neonatologist.
If any of these conditions occurred during the intervention, complications related to preterm birth would be considered.
Data will be obtained from the case system or data collection form.
|
Through study completion, about an average of 21 days
|
Length of hospitalization
Time Frame: Through study completion, about an average of 21 days
|
Length of hospitalization refers to the total number of days from 32 weeks of corrected gestational age (baseline) to the day of discharge.
Data will be obtained from the case system.
|
Through study completion, about an average of 21 days
|
Growth rate of head circumference
Time Frame: From baseline to day 21 after the implementation of Family integrated care intervention
|
Head circumference is measured by a parent or nurse.
Growth rate of head circumference = ( head circumference measured at day 21 after the intervention - head circumference measured at 32 weeks of corrected gestational age)/total number of intervention days.
|
From baseline to day 21 after the implementation of Family integrated care intervention
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Xiaojing Hu, PhD, Children's Hospital of Fudan University
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 (Estimated)
December 1, 2023
Primary Completion (Estimated)
April 30, 2024
Study Completion (Estimated)
April 30, 2024
Study Registration Dates
First Submitted
June 28, 2022
First Submitted That Met QC Criteria
August 1, 2022
First Posted (Actual)
August 2, 2022
Study Record Updates
Last Update Posted (Actual)
August 14, 2023
Last Update Submitted That Met QC Criteria
August 9, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2021-453
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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