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- Essai clinique NCT02528227
NICU Parent Education Program (NICU PEP)
Aperçu de l'étude
Statut
Intervention / Traitement
- Autre: Know Your Baby Language Curriculum
- Autre: Reading Aloud Language Curriculum
- Autre: Sing A Long Language Curriculum
- Autre: Mimicking First Sounds Language Curriculum
- Autre: Language Games and Narrating Your Day Language Curriculum
- Autre: Feeding Safety
- Autre: Car Seat Safety
- Autre: Bath Safety
- Autre: Back to Sleep/SIDS prevention
- Autre: Taking a Temperature and Signs of Infection
- Autre: Infection Control Measures and Vaccine Information
Description détaillée
The long term goal of this research is to determine the language environment necessary in the NICU for very preterm infants to optimize their long-term language and cognitive development. This study will pilot an early language intervention with parents of preterm infants in the NICU the purpose of which is to provide a structured curriculum for the family to guide their language interactions with their infant. The aim is to increase the adult word counts and conversational turns in the NICU and to improve Bayley III language and cognitive scores at 12 months and 24 months corrected age.
The hypotheses is that increasing early language exposure in the NICU will result in improved lanugage and cognitive scores. The investigators plan on testing the hypothesis by the following specific aims.
- Determine the effectiveness of a structured language curriculum with parents of preterm infants in the NICU on increasing the amount of early language exposure.
- Test the the hypothesis that increased early language exposure will result in higher Bayley III language and cognitive scores.
Type d'étude
Inscription (Réel)
Phase
- N'est pas applicable
Contacts et emplacements
Lieux d'étude
-
-
Rhode Island
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Providence, Rhode Island, États-Unis, 02903
- Women and Infants' Hospital
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-
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Receiving care at Women & Infants' Hospital NICU,
- Providence RI gestational age 23 - 32 weeks,
- RI resident
Exclusion Criteria:
- Unable to understand or speak English,
- congenital or chromosomal disorder likely to affect cognitive or speech development,
- parental loss of custody
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: La prévention
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: Language Curriculum
The Language Intervention group will receive some of the known methods for early language development.
Six lessons will include: Knowing your Baby, Reading Aloud, Sing-A-Long, Mimicking First Sounds, Language Game and Narrating Your Day.
Parents will receive feedback every 2 weeks from a Language Environment Analysis digital language processor (LENA).
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Early language activities that parents can do with their infants
Early language activity that parents can do with their infants
Early language activity that parents can do with their infants
Early language activity that parents can do with their infants
Early language activity that parents can do with their infants
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Comparateur placebo: Health and Safety Curriculum
Parents will receive six lessons on important infant safety topics including, feeding safety, care seat safety, bath safety, back to sleep/SIDS prevention, taking a temperature and signs of infection, infection control methods and vaccine information.
Parents will receive LENA feedback at discharge from NICU.
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Part of Health and Safety Curriculum
Part of Health and Safety Curriculum
Part of Health and Safety Curriculum
Part of Health and Safety Curriculum
Part of Health and Safety Curriculum
Part of Health and Safety Curriculum
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Bayley III cognitive composite score
Délai: 24 months
|
Bayley III cognitive score (mean 100, standard deviation 15)
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24 months
|
Bayley III language composite score
Délai: 24 months
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Bayley III Language score (mean 100, standard deviation 15)
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24 months
|
Bayley III Expressive Language Score
Délai: 24 months
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Bayley III Expressive Language (mean 10, standard deviation 3)
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24 months
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Bayley III Receptive Language Score
Délai: 24 months
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Bayley III Receptive Language (mean 10, standard deviation 3)
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24 months
|
Bayley III Motor Composite score
Délai: 24 months
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Bayley III Motor composite score (mean 100, standard deviation 15)
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24 months
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Infant vocalizations Count
Délai: 32 weeks post menstrual age
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LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).
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32 weeks post menstrual age
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Infant vocalizations Count
Délai: 34 weeks post menstrual age
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LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).
|
34 weeks post menstrual age
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Infant vocalizations Count
Délai: 36 weeks post menstrual age
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LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).
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36 weeks post menstrual age
|
Conversational turns Count
Délai: 32 weeks post menstrual age
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LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).
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32 weeks post menstrual age
|
Conversational turns Count
Délai: 34 weeks post menstrual age
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LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).
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34 weeks post menstrual age
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Conversational turns Count
Délai: 36 weeks post menstrual age
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LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).
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36 weeks post menstrual age
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Adult word count Count
Délai: 32 weeks post menstrual age
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LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
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32 weeks post menstrual age
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Adult word count
Délai: 34 weeks post menstrual age
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LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
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34 weeks post menstrual age
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Adult word count
Délai: 36 weeks post menstrual age
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LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
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36 weeks post menstrual age
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Bayley III cognitive composite score
Délai: 12 month
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Bayley III cognitive score (mean 100, standard deviation 15)
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12 month
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Bayley III motor composite score
Délai: 12 month
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Bayley III motor score (mean 100, standard deviation 15)
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12 month
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Bayley III expressive language score
Délai: 12 month (mean 10, standard deviation 3)
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Bayley III expressive language score (mean 100, standard deviation 15)
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12 month (mean 10, standard deviation 3)
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Bayley III receptive language score
Délai: 12 month (mean 10, standard deviation 3)
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Bayley III receptive language score (mean 100, standard deviation 15)
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12 month (mean 10, standard deviation 3)
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Collaborateurs et enquêteurs
Les enquêteurs
- Chercheur principal: Elisabeth C McGowan, MD, Women and Infants' Hospital Providence RI
Publications et liens utiles
Publications générales
- Caskey M, Stephens B, Tucker R, Vohr B. Importance of parent talk on the development of preterm infant vocalizations. Pediatrics. 2011 Nov;128(5):910-6. doi: 10.1542/peds.2011-0609. Epub 2011 Oct 17.
- Caskey M, Stephens B, Tucker R, Vohr B. Adult talk in the NICU with preterm infants and developmental outcomes. Pediatrics. 2014 Mar;133(3):e578-84. doi: 10.1542/peds.2013-0104. Epub 2014 Feb 10.
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude
Achèvement primaire (Réel)
Achèvement de l'étude (Réel)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Estimation)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Autres numéros d'identification d'étude
- 12-0074
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