Measuring and Reducing Excessive Infant Crying (UTHealth THB)
Measuring and Reducing Excessive Infant Crying: A Randomized Trial
研究概览
详细说明
Hypotheses: The soothing techniques taught to study parents 2-3 wks after birth augment parental soothing skills and reduces infant crying at night (primary outcome) and parental sleep loss, distress, & depression assessed in the home by a masked nurse at 8 wks.
Methods: Term singleton infants with EIC (> 3 hrs/24h) recruited through a program offered to parents at our hospital (4,700 births/yr) will be seen in our clinic 2-3 wks after birth. Consenting families (n=178) will be randomized to standard colic counseling (American Academy of Pediatrics) or to the intervention (adding nurse instruction plus a video and pamphlets). At 8 wks a study nurse will assess parental sleep and distress (Brief Symptom Inventory-18), place dosimeters in rooms where the infant sleeps and spends most time, and apply the actigraph at the ankle. She will collect the devices 5 days later, perform a physical exam at a usual feeding time (when EIC is likely), record infant & maternal behaviors during crying/feeding for the next 15 minutes using unobtrusive, validated methods (Tyson, 1992), and provide maternal support if desired. Standard statistical tests will be used (alpha=0.05; beta = 0.20; effect size =0.5 SD, power = .90).
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Texas
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Houston、Texas、美国、77030
- University of Texas Health Science Center at Houston
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- term, singleton neonates
- otherwise healthy
- parent must have at least a 6th grade understanding of English or Spanish
- infant must have colic (greater than 3 hours of crying per day)
- OR the infant's crying causes excessive stress on the either parent
Exclusion Criteria:
- cannot have a condition which would reasonably impact alertness or behavior
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:四人间
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:The Happiest Baby on The Block
Those receiving the intervention will be trained in the infant soothing techniques outlined in "The Happiest Baby on the Block".
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Those receiving the intervention will be trained in the infant soothing techniques outlined in "The Happiest Baby on the Block".
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有源比较器:AAP Education
Those receiving the control group allocation will be counseled in the American Academy of Pediatrics guidelines regarding Infant Colic (AAP Infant Colic counseling).
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Those receiving the control group allocation will be counseled using the American Academy of Pediatrics material for Infant Colic.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Mean night-time crying
大体时间:2 weeks after enrollment. Appproximately 6-8 weeks of life.
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Objectively recording night-time duration of excessive crying
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2 weeks after enrollment. Appproximately 6-8 weeks of life.
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Mean sleep duration
大体时间:2 weeks after enrollment. Appproximately 6-8 weeks of life.
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objectively measuring infant sleep duration
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2 weeks after enrollment. Appproximately 6-8 weeks of life.
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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Maternal Depression, Anxiety and Somatization
大体时间:At study entry and conculsion (4 week interval); 2 weeks after enrollment. Appproximately 6-8 weeks of life.
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Using the BSI-18 at study enrollment and conclusion.
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At study entry and conculsion (4 week interval); 2 weeks after enrollment. Appproximately 6-8 weeks of life.
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Salivary Biomarkers
大体时间:At Study Entry and at 2 weeks after enrollment
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We are collecting maternal salivary cortisol and amylase at study entry and at study conclusion (within 2 weeks after enrollment)
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At Study Entry and at 2 weeks after enrollment
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合作者和调查者
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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The Happiest Baby on The Block的临床试验
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University of New BrunswickHorizon Health Network; Universite de Moncton; New Brunswick Health Research Foundation; Fitness...完全的
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University of British ColumbiaSocial Sciences and Humanities Research Council of Canada完全的
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University of British ColumbiaBill and Melinda Gates Foundation; Aga Khan University; Centro de Investigação em Saúde de Manhiça 和其他合作者完全的