Affective Bonding in Mothers and Their Premature Newborn

NCT ID: NCT03070158

Last Updated: 2020-02-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-01

Study Completion Date

2020-12-30

Brief Summary

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This experimental study will determine the effectiveness of nursing intervention "the attachment promotion" to increase the affective bonds between mothers and their premature infants. The assignment of the mothers to the control group will receive usual care, the mothers will be assigned to intervention group will receive the intervention.

Detailed Description

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The premature newborn has a high need for positive interactions, which is a challenge for him, due to biological immaturity, and for his mother because of the level of stress that this situation generates. Behavioral and developmental interventions are needed to address the unique behaviors of preterm infants and the interactive capacities of the mother-newborn premature dyad. The project will be conducted in 18 months. The assignment of the mothers to each group will be like that: First at all, mother will be assignment to control group. They will received usual care when achieve the total of 74 mothers, the mothers will be assigned to intervention group.

Conditions

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Premature Infant

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

The assignment of the mothers to each group will be like that: First at all, mother will be assignment to control group. They will received usual care when achieve the total of 74 mothers, the mothers will be assigned to intervention group.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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Attachment Promotion Intervention

Mothers will receive the intervention which includes an education session about newborn care, training in multisensory stimulation with the intervention ATVV and two domiciliary visits to follow up the mother and her premature infant.

Group Type EXPERIMENTAL

Attachment Promotion

Intervention Type BEHAVIORAL

Attachment Promotion consists of:

1. Education session about newborn and mother care.
2. Training in multisensory stimulation using the ATVV Intervention (auditory, tactile, visual and vestibular)
3. Two domiciliary visits to follow up and to give education about newborn care and ATVV Intervention.
4. Daily Phone follows up.

Usual Care

Mothers will continue to receive usual which consist in education session about newborn care in home.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Attachment Promotion

Attachment Promotion consists of:

1. Education session about newborn and mother care.
2. Training in multisensory stimulation using the ATVV Intervention (auditory, tactile, visual and vestibular)
3. Two domiciliary visits to follow up and to give education about newborn care and ATVV Intervention.
4. Daily Phone follows up.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Premature Infant:

* Neonates who had been hospitalized in the neonatal care unit, with ages ranging from 29 - 36.6/7 weeks gestation at birth.
* Apgar to the minute and five minutes greater to 7/10

Mother:

* Mother with nursing diagnosis: Risk of impaired attachment.
* Mother with a neonate who had hospitalized in the neonatal care unit, with ages ranging from 29 - 36.6/7 weeks of gestation at birth
* Mother living in the metropolitan perimeter of the city of Bucaramanga

Exclusion Criteria

Newborn:

* Infants that underwent surgery
* Infants with neurological injury.
* Congenital cardiac abnormalities, severe deformities, grade III intraventricular hemorrhage.

Mother:

* Mother with limitations: hearing, motor and / or mental handicap-measured through the Abbreviated Mental Test (minimental), that prevent the intervention.
* Mother consuming psychoactive substances.
* With mental alterations, verified in the medical history.
Minimum Eligible Age

29 Weeks

Maximum Eligible Age

36 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad Industrial de Santander

OTHER

Sponsor Role lead

Responsible Party

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Beatriz Villamizar Carvajal

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beatriz Villamizar- Carvajal, PhD

Role: PRINCIPAL_INVESTIGATOR

Universidad Industrial de Santander

Carolina Vargas- Porras, Msc

Role: STUDY_CHAIR

Universidad Industrial de Santander

Mayut Delgado-Galeano, Msc

Role: STUDY_CHAIR

Universidad Industrial de Santander

Locations

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Nursing School, Universidad Industrial de Santander

Bucaramanga, Santander Department, Colombia

Site Status RECRUITING

Clinica Materno Infantil San Luis

Bucaramanga, Santander Department, Colombia

Site Status RECRUITING

Hospital Universitario de Santander

Bucaramanga, Santander Department, Colombia

Site Status RECRUITING

Countries

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Colombia

Central Contacts

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Beatriz Villamizar- carvajal, PhD

Role: CONTACT

5776345745

Mayut Delgado-Galeano, Msc

Role: CONTACT

573204790489

Facility Contacts

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Beatriz Villamizar- Carvajal, PhD

Role: primary

576345745

CRISTIAN ORDOƑEZ, Dr.

Role: primary

5776430026 ext. 495

Helda Amaya, RN.Director

Role: primary

577 6450102

References

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Femitha P, Bhat BV. Early neonatal outcome in late preterms. Indian J Pediatr. 2012 Aug;79(8):1019-24. doi: 10.1007/s12098-011-0620-9. Epub 2011 Dec 10.

Reference Type BACKGROUND
PMID: 22161578 (View on PubMed)

Kelly MM. Comparison of functional status of 8- to 12-year-old children born prematurely: an integrative review of literature. J Pediatr Nurs. 2012 Aug;27(4):299-309. doi: 10.1016/j.pedn.2011.03.010. Epub 2011 May 11.

Reference Type BACKGROUND
PMID: 22703676 (View on PubMed)

Pickler RH, McGrath JM, Reyna BA, McCain N, Lewis M, Cone S, Wetzel P, Best A. A model of neurodevelopmental risk and protection for preterm infants. J Perinat Neonatal Nurs. 2010 Oct-Dec;24(4):356-65. doi: 10.1097/JPN.0b013e3181fb1e70.

Reference Type BACKGROUND
PMID: 21045616 (View on PubMed)

Howland LC, Pickler RH, McCain NL, Glaser D, Lewis M. Exploring biobehavioral outcomes in mothers of preterm infants. MCN Am J Matern Child Nurs. 2011 Mar-Apr;36(2):91-7. doi: 10.1097/NMC.0b013e318205587e.

Reference Type BACKGROUND
PMID: 21350371 (View on PubMed)

Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller-Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Hum Dev. 2011 Jan;87(1):21-6. doi: 10.1016/j.earlhumdev.2010.09.006. Epub 2010 Oct 15.

Reference Type BACKGROUND
PMID: 20951514 (View on PubMed)

Other Identifiers

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1900

Identifier Type: -

Identifier Source: org_study_id

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