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- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT02528227
NICU Parent Education Program (NICU PEP)
Visão geral do estudo
Status
Intervenção / Tratamento
- Outro: Know Your Baby Language Curriculum
- Outro: Reading Aloud Language Curriculum
- Outro: Sing A Long Language Curriculum
- Outro: Mimicking First Sounds Language Curriculum
- Outro: Language Games and Narrating Your Day Language Curriculum
- Outro: Feeding Safety
- Outro: Car Seat Safety
- Outro: Bath Safety
- Outro: Back to Sleep/SIDS prevention
- Outro: Taking a Temperature and Signs of Infection
- Outro: Infection Control Measures and Vaccine Information
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
-
-
Rhode Island
-
Providence, Rhode Island, Estados Unidos, 02903
- Women and Infants' Hospital
-
-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Prevenção
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Dobro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: 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).
|
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
|
|
Comparador de 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.
|
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
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Bayley III cognitive composite score
Prazo: 24 months
|
Bayley III cognitive score (mean 100, standard deviation 15)
|
24 months
|
|
Bayley III language composite score
Prazo: 24 months
|
Bayley III Language score (mean 100, standard deviation 15)
|
24 months
|
|
Bayley III Expressive Language Score
Prazo: 24 months
|
Bayley III Expressive Language (mean 10, standard deviation 3)
|
24 months
|
|
Bayley III Receptive Language Score
Prazo: 24 months
|
Bayley III Receptive Language (mean 10, standard deviation 3)
|
24 months
|
|
Bayley III Motor Composite score
Prazo: 24 months
|
Bayley III Motor composite score (mean 100, standard deviation 15)
|
24 months
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Infant vocalizations Count
Prazo: 32 weeks post menstrual age
|
LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).
|
32 weeks post menstrual age
|
|
Infant vocalizations Count
Prazo: 34 weeks post menstrual age
|
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
|
|
Infant vocalizations Count
Prazo: 36 weeks post menstrual age
|
LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).
|
36 weeks post menstrual age
|
|
Conversational turns Count
Prazo: 32 weeks post menstrual age
|
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).
|
32 weeks post menstrual age
|
|
Conversational turns Count
Prazo: 34 weeks post menstrual age
|
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).
|
34 weeks post menstrual age
|
|
Conversational turns Count
Prazo: 36 weeks post menstrual age
|
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).
|
36 weeks post menstrual age
|
|
Adult word count Count
Prazo: 32 weeks post menstrual age
|
LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
|
32 weeks post menstrual age
|
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Adult word count
Prazo: 34 weeks post menstrual age
|
LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
|
34 weeks post menstrual age
|
|
Adult word count
Prazo: 36 weeks post menstrual age
|
LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).
|
36 weeks post menstrual age
|
|
Bayley III cognitive composite score
Prazo: 12 month
|
Bayley III cognitive score (mean 100, standard deviation 15)
|
12 month
|
|
Bayley III motor composite score
Prazo: 12 month
|
Bayley III motor score (mean 100, standard deviation 15)
|
12 month
|
|
Bayley III expressive language score
Prazo: 12 month (mean 10, standard deviation 3)
|
Bayley III expressive language score (mean 100, standard deviation 15)
|
12 month (mean 10, standard deviation 3)
|
|
Bayley III receptive language score
Prazo: 12 month (mean 10, standard deviation 3)
|
Bayley III receptive language score (mean 100, standard deviation 15)
|
12 month (mean 10, standard deviation 3)
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Elisabeth C McGowan, MD, Women and Infants' Hospital Providence RI
Publicações e links úteis
Publicações Gerais
- 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.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Outros números de identificação do estudo
- 12-0074
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