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NICU Parent Education Program (NICU PEP)
Studie Overzicht
Toestand
Interventie / Behandeling
- Ander: Know Your Baby Language Curriculum
- Ander: Reading Aloud Language Curriculum
- Ander: Sing A Long Language Curriculum
- Ander: Mimicking First Sounds Language Curriculum
- Ander: Language Games and Narrating Your Day Language Curriculum
- Ander: Feeding Safety
- Ander: Car Seat Safety
- Ander: Bath Safety
- Ander: Back to Sleep/SIDS prevention
- Ander: Taking a Temperature and Signs of Infection
- Ander: Infection Control Measures and Vaccine Information
Gedetailleerde beschrijving
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.
Studietype
Inschrijving (Werkelijk)
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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Rhode Island
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Providence, Rhode Island, Verenigde Staten, 02903
- Women and Infants' Hospital
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Dubbele
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: 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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Placebo-vergelijker: 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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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Bayley III cognitive composite score
Tijdsspanne: 24 months
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Bayley III cognitive score (mean 100, standard deviation 15)
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24 months
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Bayley III language composite score
Tijdsspanne: 24 months
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Bayley III Language score (mean 100, standard deviation 15)
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24 months
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Bayley III Expressive Language Score
Tijdsspanne: 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
Tijdsspanne: 24 months
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Bayley III Receptive Language (mean 10, standard deviation 3)
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24 months
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Bayley III Motor Composite score
Tijdsspanne: 24 months
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Bayley III Motor composite score (mean 100, standard deviation 15)
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24 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Infant vocalizations Count
Tijdsspanne: 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
Tijdsspanne: 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).
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34 weeks post menstrual age
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Infant vocalizations Count
Tijdsspanne: 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
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Conversational turns Count
Tijdsspanne: 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
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Conversational turns Count
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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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Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Elisabeth C McGowan, MD, Women and Infants' Hospital Providence RI
Publicaties en nuttige links
Algemene publicaties
- 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.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- 12-0074
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