A Parent Administered Sensorimotor Intervention and Developmental Outcome of Preterm Infants

NCT ID: NCT03836326

Last Updated: 2024-05-30

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

94 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-01

Study Completion Date

2024-05-01

Brief Summary

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Advances in medical technologies over the last three decades have increased survival rates in infants born preterm . Preterm infants are at high risk of developing developmental delays. Implementation of effective strategies aimed at improving the developmental outcome of preterm born children is critical.

The proposed study is designed to evaluate the addition of a parent administered sensorimotor program on the developmental outcome of infants who are born preterm.

Detailed Description

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Children who are born prematurely are at a higher risk of developing developmental delays than children born at term. Early experiences in the neonatal intensive care unit (NICU) can influence developmental outcomes. Sensorimotor interventions as well as parental engagement have been designed with the aim of improving the development of children born preterm. Substantial evidence supports the benefits of each intervention on improving developmental outcomes. However, there remains a significant gap in the literature on the efficacy of a parent administered sensorimotor intervention (PASI) program in the NICU on infant's development. The proposed study is designed to evaluate the potential benefits of such a program on infant's development. A randomized block clinical trial will be performed.

A total of 84 preterm infants (\< 34 weeks gestation) will be recruited and randomized. Infants in the experimental group will receive the sensorimotor program,consisting of tactile (whole body) and oral input for 15 minutes, one time per day, for 10 days. Infants in the control group will receive standard care. The following outcomes will be monitored time to attainment of complete oral feeds (primary outcome), rate of weight gain, length of hospitalization, and developmental outcomes at 36 weeks corrected gestational age and at 4, 8, 12, 18 and 24 months corrected age. Results from this study will provide us with further knowledge on the impact of sensorimotor intervention on infants' developmental outcome as well as the effect of active parental involvement on infants' development. Provision of a PASI program is a safe and low cost effective intervention that may increase the development and quality of life of preterm born children and their family.

Conditions

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Premature Infant Developmental Delay

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Randomized clinical trail
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

A prospective randomized block clinical trial will be conducted. Infants will be randomized into experimental (PASI program) and control (standard care program) groups using a block size of four per arm, where the first set of four participants will be in the experimental group and once they have completed the intervention, the subsequent set of four participants will be in the control group. A randomized block design was selected because the treatment assignment cannot be masked. The block randomization procedure will reduce the potential for contamination between groups.

Study Groups

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Sensorimotor intervention

Is a 15-minute intervention consisting of tactile (i.e., stroking the whole body) and oral input (i.e., stroking the oral structures) for 15 minutes duration. The program will start 24 hours after nasal continuous positive airway pressure (NCPAP) is discontinued and 24 hours after 80 ml/kg/day of enteral feeds are tolerated. The program will be administered once a day for 10 days, within a 14-day period. The parents will perform all the interventions in the NICU. The infants will remain in the isolette for the duration of the program. This intervention does not involve any drugs or medical procedures. It is an intervention commonly used by occupational and physical therapists in the neonatal intensive care unit.

Group Type EXPERIMENTAL

Sensorimotor intervention

Intervention Type OTHER

Sensorimotor intervention involves, stroking of the whole body including the oral structures, trunk and limbs. This intervention does not involve any drugs or medical procedure.

Story telling attention refocusing intervention

Intervention Type OTHER

A contact-free intervention where parents share stories with their infant for 10 minutes 3 times per week.

Control

Infants in the control group will receive standard care only.

Group Type OTHER

Control

Intervention Type OTHER

Routine care provided by health professionals in the NICU

Interventions

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Sensorimotor intervention

Sensorimotor intervention involves, stroking of the whole body including the oral structures, trunk and limbs. This intervention does not involve any drugs or medical procedure.

Intervention Type OTHER

Control

Routine care provided by health professionals in the NICU

Intervention Type OTHER

Story telling attention refocusing intervention

A contact-free intervention where parents share stories with their infant for 10 minutes 3 times per week.

Intervention Type OTHER

Other Intervention Names

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Supplemental stimulation Sensory input Tactile input Oral input STAR

Eligibility Criteria

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Inclusion Criteria

* Infants born \< 34 weeks gestation
* Infants whose parent (s) intend on visiting regularly (\> 5 days)

Exclusion Criteria

* Infants born with a metabolic disorder or congenital abnormality
* Infants whose parents are unable to participate due to cognitive, physical or social issues.
Maximum Eligible Age

34 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dr. Sandra Fucile

OTHER

Sponsor Role lead

Responsible Party

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Dr. Sandra Fucile

PI

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sandra Fucile, PhD

Role: PRINCIPAL_INVESTIGATOR

Queen's University

Locations

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Kingston Health Sciences Center

Kingston, Ontario, Canada

Site Status

Countries

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Canada

Other Identifiers

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6023834

Identifier Type: -

Identifier Source: org_study_id

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