Use of a Tummy Time Intervention and Parent Education in Infants Born Preterm

NCT ID: NCT03759119

Last Updated: 2020-03-24

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

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-06

Study Completion Date

2020-03-23

Brief Summary

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The purpose of this research study is to see if tummy time and parent education helps motor development among infants born preterm. Participants will be recruited from Ann and Robert H. Lurie Children's Hospital of Chicago neonatal intensive care unit.

Detailed Description

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The purpose of this randomized control trial will be to investigate the effects of a tummy time intervention, as compared to standard care, on motor outcomes among premature infants over a four-week period. Additionally, the study will measure tummy time adherence rates between groups post intervention for an additional four weeks.

To meet this purpose, the following objectives will be addressed:

1. To determine if there will be a difference in motor outcome scores on the Test of Infant Motor Performance (TIMP) among infants born preterm and utilizing a tummy time intervention and parent education compared to those in the standard care group receiving parent education only.
2. To determine if there will be a difference in adherence rates (average minutes/day) between groups among infants born preterm utilizing a tummy time intervention and parent education compared to those in the standard care group receiving parent education only.

Conditions

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Premature Birth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This will be a randomized controlled trial using a pretest /posttest control group design to allow for comparison between an intervention group that receives tummy time and parent education and a standard of care group that receives parent education only
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators
Outcome assessor investigator will be masked to all medical diagnoses of the infant

Study Groups

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Tummy Time and Parent Education

This group will receive tummy time and parent education and be encouraged to perform tummy time on their own. They will utilize the PT Pal application to record their tummy time adherence. The primary investigator performs the intervention to the participants two times a day for 10 minutes for 4 weeks.

Group Type EXPERIMENTAL

Tummy time and parent education

Intervention Type BEHAVIORAL

Participants will receive tummy time positioning while awake for 10 minutes two times a day. Physiological monitoring will be maintained throughout the entire intervention and the intervention will be adjusted if needed to maintain stability. Participants will also receive parent education on tummy time prior to the tummy time intervention. The primary investigator will perform the tummy time intervention. Participants will be encouraged to continue performing tummy time on their own and record their adherence via the PT Pal application.

Parent education only

Intervention Type BEHAVIORAL

Participants will receive the same tummy time education as those in the intervention group and will be asked to continue the intervention on their own and record their adherence via the PT Pal application.

Steps of the intervention for group 2 (standard care).

* Complete educational session with primary investigator.
* Adherence during the four-week intervention period will be measured remotely through the PT PalĀ® application.

Parent education

This group will receive parent education only and utilize the PT Pal application to record their adherence. The primary caregiver will be encouraged to perform the same dosage of tummy time (2x/day, 10 minutes each, 4 weeks) and record their adherence on the PT Pal application.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Tummy time and parent education

Participants will receive tummy time positioning while awake for 10 minutes two times a day. Physiological monitoring will be maintained throughout the entire intervention and the intervention will be adjusted if needed to maintain stability. Participants will also receive parent education on tummy time prior to the tummy time intervention. The primary investigator will perform the tummy time intervention. Participants will be encouraged to continue performing tummy time on their own and record their adherence via the PT Pal application.

Intervention Type BEHAVIORAL

Parent education only

Participants will receive the same tummy time education as those in the intervention group and will be asked to continue the intervention on their own and record their adherence via the PT Pal application.

Steps of the intervention for group 2 (standard care).

* Complete educational session with primary investigator.
* Adherence during the four-week intervention period will be measured remotely through the PT PalĀ® application.

Intervention Type BEHAVIORAL

Other Intervention Names

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Group 1 Group 2

Eligibility Criteria

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Inclusion Criteria

* born premature (\< 37 weeks' gestation),
* require medical care within Lurie Children's NICU, be between 35 and 44 weeks postmenstrual age.
* Primary parent must have a working mobile device.
* Participants must be English or Spanish speaking as primary language.

Exclusion Criteria

* primary parent does not having a working mobile device and
* Speaking a language other than English or Spanish.
* Unable to be placed in the prone position,
* Physiologically unstable for handling
* Orally intubated or have a tracheostomy
Minimum Eligible Age

35 Weeks

Maximum Eligible Age

44 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ann & Robert H Lurie Children's Hospital of Chicago

OTHER

Sponsor Role collaborator

University of Indianapolis

OTHER

Sponsor Role lead

Responsible Party

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Kathryn Martin

Dawn Drumm, PT Physical Therapist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kathy Martin, DHSc

Role: STUDY_CHAIR

University of Indianapolis

Locations

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Ann and Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States

Site Status

Countries

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United States

References

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Bentzley JP, Coker-Bolt P, Moreau NG, Hope K, Ramakrishnan V, Brown T, Mulvihill D, Jenkins D. Kinematic measurement of 12-week head control correlates with 12-month neurodevelopment in preterm infants. Early Hum Dev. 2015 Feb;91(2):159-64. doi: 10.1016/j.earlhumdev.2015.01.001. Epub 2015 Jan 23.

Reference Type BACKGROUND
PMID: 25621433 (View on PubMed)

Campbell SK, Hedeker D. Validity of the Test of Infant Motor Performance for discriminating among infants with varying risk for poor motor outcome. J Pediatr. 2001 Oct;139(4):546-51. doi: 10.1067/mpd.2001.117581.

Reference Type BACKGROUND
PMID: 11598602 (View on PubMed)

Lekskulchai R, Cole J. Effect of a developmental program on motor performance in infants born preterm. Aust J Physiother. 2001;47(3):169-76. doi: 10.1016/s0004-9514(14)60264-6.

Reference Type BACKGROUND
PMID: 11552873 (View on PubMed)

Oberg GK, Campbell SK, Girolami GL, Ustad T, Jorgensen L, Kaaresen PI. Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences. BMC Pediatr. 2012 Feb 15;12:15. doi: 10.1186/1471-2431-12-15.

Reference Type BACKGROUND
PMID: 22336194 (View on PubMed)

Other Identifiers

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2018-2239

Identifier Type: -

Identifier Source: org_study_id

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