Evaluation of a Parent-Infant Interaction Model

NCT ID: NCT02034617

Last Updated: 2024-06-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-01-01

Study Completion Date

2024-05-31

Brief Summary

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When becoming a parent of a preterm infant there is an increased risk of stress. There are a number of studies showing that parental stress has a negative impact on their engagement with their child. Other studies, on the other hand, show that different intervention programs with the aim to strengthen the relationship can decrease parental stress and hence affect the parent-infant interaction in a positive way. Structured intervention programs for preterm infants have also been successful in improving the infants' cognitive functions.

The investigators have developed a program with the aim to strengthen the parent-infant interaction for late preterm infants. The observational program is called LiMoNid. Our hypothesis is that LiMoNid will strengthen the parents' own parental abilities and give them a deeper understanding of their child. They will hopefully develop more skills on how to communicate with their child; to see, interpret, understand and approach the child, which can lead to an improved parent-child interaction. Parental stress may also be reduced by increased understanding and control. Regarding the child itself, we hypothesize that the psychological development will be affected depending on the communication with the caregiver and depending on the support it has received in expressing its feelings and needs. The emotional regulation should be strengthened by such an intervention.

The aim is to study if LiMoNid can have an impact on cognition, stress, parent-child interaction.

Detailed Description

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The Design is a randomised controlled study in two groups; intervention group versus standard care. Parents who meet the inclusion criteria are given oral and written information about the study aim and procedure and are asked for participation. If the parents consent they will be randomised to one of two groups. Follow-ups will be conducted at 1 month, 4 months, 10-12 months corrected age and when the child is 4 years.

Conditions

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Premature Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Standard care

The family receive standard care when enrolled in the Neonatal intensive care unit

Group Type NO_INTERVENTION

No interventions assigned to this group

Observation

The family receive standard care when enrolled in the Neonatal intensive care unit and are also included in an observational program called LiMoNid.

Group Type EXPERIMENTAL

LiMoNid

Intervention Type BEHAVIORAL

One LiMoNid observation will be performed on day 1-3 post birth, one in time of discharge, and one in the home when the infant has reached 40 weeks (+/- 2 week). All observations are performed in presence of and in collaboration with the parents with the outspoken aim to guide the parents to learn how to read and respond to their infant' signals

Interventions

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LiMoNid

One LiMoNid observation will be performed on day 1-3 post birth, one in time of discharge, and one in the home when the infant has reached 40 weeks (+/- 2 week). All observations are performed in presence of and in collaboration with the parents with the outspoken aim to guide the parents to learn how to read and respond to their infant' signals

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Preterm infants born 30-36 weeks gestational age without known major malformations or complications
* Families living in the county of Ostergotland, Sweden
* Swedish speaking parents
* Single or duplex birth

Exclusion Criteria

* Complications encountered during hospital stay that are known to affect cognition
Maximum Eligible Age

96 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Linkoeping University

OTHER_GOV

Sponsor Role lead

Responsible Party

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Evalotte Morelius

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Evalotte Morelius, PhD

Role: PRINCIPAL_INVESTIGATOR

Linkoeping University

Locations

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Linkoping University Hospital

Linköping, , Sweden

Site Status

Countries

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Sweden

References

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Helmer CS, Thornberg UB, Abrahamsson T, Morelius E. Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study. J Clin Nurs. 2023 Jun;32(11-12):2892-2902. doi: 10.1111/jocn.16412. Epub 2022 Jun 14.

Reference Type RESULT
PMID: 35702001 (View on PubMed)

Helmer CS, Thornberg UB, Morelius E. An Early Collaborative Intervention Focusing on Parent-Infant Interaction in the Neonatal Period. A Descriptive Study of the Developmental Framework. Int J Environ Res Public Health. 2021 Jun 21;18(12):6656. doi: 10.3390/ijerph18126656.

Reference Type RESULT
PMID: 34205660 (View on PubMed)

Birberg Thornberg U, Koch FS, Helmer CS, Tell J, Nyberg E, Abrahamsson T, Morelius E. Moderate-To-Late Preterm Infants Benefit From the Early Collaborative Intervention: Primary Outcomes of an RCT. Acta Paediatr. 2025 Jun 13. doi: 10.1111/apa.70173. Online ahead of print.

Reference Type DERIVED
PMID: 40511708 (View on PubMed)

Other Identifiers

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LinkoepingU

Identifier Type: -

Identifier Source: org_study_id

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