- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT01433588
The Calmer Project
Calmer: A Novel Approach for Treating Infant Pain
The purpose of this study is to see if the Calmer is more effective at managing acute pain in preterm infants in the neonatal intensive care than the current standard of care in the unit.
Hypothesis: While receiving treatment with Calmer, infants will show lower behavioral pain scores and lower heart rates, and more stable autonomic regulation as measured by heart rate variability indices, than infants given a soother plus facilitated tucking (standard of care) during routine blood collection.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
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British Columbia
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Vancouver, British Columbia, Canadá, V6H3V4
- BC Children's and Women's Health Centre
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Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Stable infants admitted to the Neonatal Intensive Care Unit at Children's and Women's Health Centre of British Columbia (C&W)
- Preterm infants born at 27 to 36+6 completed weeks gestational age (GA) will be included
- GA is determined on the basis of the first day of the last menstrual period, early gestation ultrasonogram (in most cases) or best estimate based on neonatal examination
- Mothers must speak enough English to provide consent
Exclusion Criteria:
- Infants who have congenital anomalies, active, ongoing infection, or have undergone surgery
- Infants who have received pharmacological analgesics or sedatives within 72 hours of the assessment
- History of maternal abuse of controlled drugs and substances; blood collection that occurs beyond the 35th completed week (35 weeks + 6 days) GA
- Small for GA defined as a birth weight at least 2 standard deviations below mean for GA
- Higher order multiples (e.g. triplets)
- Infants in a cot
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Único
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Comparador activo: Calmer
This therapeutic platform, called the Calmer interacts with the infant to help reduce stress to help promote better outcomes.
It is being tested to see if it mimics Kangaroo care, maternal skin to skin, to help promote better health outcomes.
Infants would be placed on it prior, during and after bloodwork to see if it elicits a favorable response.
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This platform, called the Calmer, interacts with the infant to help reduce stress to help promote better outcomes.
Infants can be placed on it for care to mimic Kangaroo Care, maternal skin to skin.
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Comparador de placebos: Standard Care
Standard of care during bloodwork is receiving a soother and facilitated tucking.
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Infant would receive the standard of care for bloodwork, provided a soother and facilitated tucking.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Change in Behavioral Indicators of Infant Pain (BIIP) Score
Periodo de tiempo: During the assessment period in the study, estimated to occur around one hour.
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The Behavioral Indicators of Infant Pain (BIIP) is a reliable and valid scale for assessing acute procedural pain in preterm infants.
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During the assessment period in the study, estimated to occur around one hour.
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Secondary Outcome Measures: Heart Rate
Periodo de tiempo: During and after the assessment period in the study, estimated to be 6 hours.
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Heart rate will be recorded during the assessment period, one hour, to denote changes.
Additionally, the heart rate will be recorded after the assessment period, for approximately 5 hours.
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During and after the assessment period in the study, estimated to be 6 hours.
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Secondary Outcome Measures: Heart Rate Variability
Periodo de tiempo: During and after assessment period in the study, estimated to be 6 hours.
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Heart rate variability during the assessment period will be recorded, monitored and reviewed for changes, estimated to occur over the course of an hour.
Additionally, the heart rate variability will be recorded after the assessment period, for approximately 5 hours.
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During and after assessment period in the study, estimated to be 6 hours.
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Secondary Outcome Measures: NIRS
Periodo de tiempo: During the assessment period in the study, estimated to occur over less than an hour.
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Brain blood oxy- and de-oxyhemoglobin, TSI, total hemoglobin, using near infra-red spectroscopy.
During the assessment period in the study, estimated to occur around one hour.
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During the assessment period in the study, estimated to occur over less than an hour.
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Colaboradores e Investigadores
Investigadores
- Investigador principal: Liisa Holsti, PhD, Developmental Neurosciences and Child Health, Child and Family Research Institute and Dept. of Occupational Science and Occupational Therapy, UBC
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- CALMERP
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
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