The Effect of Incubator Covers on the Sleep-wake Cycles of Newborn Babies: A Randomized Controlled Study
NCT ID: NCT07128173
Last Updated: 2025-08-17
Study Results
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Basic Information
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COMPLETED
NA
64 participants
INTERVENTIONAL
2023-10-15
2024-03-30
Brief Summary
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Detailed Description
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Materials and Methods: The study was conducted using a randomised controlled experimental design. The study population consisted of premature in the 30-37 gestational week range who were admitted to the NICU of a hospital located in the Central Anatolia Region. The sample comprised 64 premature infants, who were divided into an incubator cover group (n = 32) and a control group (n = 32). Data were collected using a neonatal follow-up form and actigraphy. The incubator cover group received a 24-hour covers application. The control group received routine nursing care without any additional interventions. Pre-test and post-test assessments were conducted in both groups, and the 24-hour sleep patterns of the newborns were evaluated using actigraphy.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Incubator Cover Group
Neonatal information form was filled and consent was obtained. Actigraphy and 24-hour sleep duration were recorded before incubator cover application.
The incubators were covered with incubator covers for 24 hours.24-hour sleep durations were recorded again by actigraphy.
Incubator Cover Group
Incubator Cover Group: Neonatal information form was filled and consent was obtained.
Actigraphy and 24-hour sleep duration were recorded before incubator cover application.The incubators were covered with incubator covers for 24 hours.24-hour sleep durations were recorded again by actigraphy.
Control Group
Neonatal information form was filled and consent was obtained. Actigraphy and 24-hour sleep duration were recorded.No practice other than routine medical treatment follow-up and nursing care was performed.24-hour sleep durations were recorded again by actigraphy.
Control Group
Control Group:Neonatal information form was filled and consent was obtained. Actigraphy and 24-hour sleep duration were recorded. No practice other than routine medical treatment follow-up and nursing care was performed.24-hour sleep durations were recorded again by actigraphy.
Interventions
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Incubator Cover Group
Incubator Cover Group: Neonatal information form was filled and consent was obtained.
Actigraphy and 24-hour sleep duration were recorded before incubator cover application.The incubators were covered with incubator covers for 24 hours.24-hour sleep durations were recorded again by actigraphy.
Control Group
Control Group:Neonatal information form was filled and consent was obtained. Actigraphy and 24-hour sleep duration were recorded. No practice other than routine medical treatment follow-up and nursing care was performed.24-hour sleep durations were recorded again by actigraphy.
Eligibility Criteria
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Inclusion Criteria
* A birth weight of 1500 grams or more. Stable vital signs
* Corrected gestational age of 30-37 weeks (plus 7-10 days). Those between 7 and 10 days old
Exclusion Criteria
* Those receiving sedative treatment.
* Those with hyperbilirubinemia
* Infants with hypoglycaemia or hyperglycaemia
30 Weeks
37 Weeks
ALL
Yes
Sponsors
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Bozok University
OTHER
Responsible Party
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Ayşe Belpınar
Lecturer
Principal Investigators
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Ayşe Belpınar, pHD
Role: PRINCIPAL_INVESTIGATOR
Bozok University
Locations
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Yozgat Bozok University
Yozgat, , Turkey (Türkiye)
Countries
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References
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Kok EY, Kaur S, Mohd Shukri NH, Abdul Razak N, Takahashi M, Teoh SC, Tay JEF, Shibata S. The role of light exposure in infant circadian rhythm establishment: A scoping review perspective. Eur J Pediatr. 2024 Dec 30;184(1):112. doi: 10.1007/s00431-024-05951-3.
Kuhn P, Zores C, Langlet C, Escande B, Astruc D, Dufour A. Moderate acoustic changes can disrupt the sleep of very preterm infants in their incubators. Acta Paediatr. 2013 Oct;102(10):949-54. doi: 10.1111/apa.12330. Epub 2013 Jul 19.
Lewis P, Wild U, Pillow JJ, Foster RG, Erren TC. A systematic review of chronobiology for neonatal care units: What we know and what we should consider. Sleep Med Rev. 2024 Feb;73:101872. doi: 10.1016/j.smrv.2023.101872. Epub 2023 Nov 8.
Neukamm AC, Quante M, Poets CF, Shellhaas RA; "Neonatal Sleep Talks (NEST)" group. The impact of sleep in high-risk infants. Pediatr Res. 2025 Apr 10. doi: 10.1038/s41390-025-04049-2. Online ahead of print.
Orsi KC, Avena MJ, Lurdes de Cacia Pradella-Hallinan M, da Luz Goncalves Pedreira M, Tsunemi MH, Machado Avelar AF, Pinheiro EM. Effects of Handling and Environment on Preterm Newborns Sleeping in Incubators. J Obstet Gynecol Neonatal Nurs. 2017 Mar-Apr;46(2):238-247. doi: 10.1016/j.jogn.2016.09.005. Epub 2017 Jan 3.
Zores C, Dufour A, Pebayle T, Dahan I, Astruc D, Kuhn P. Observational study found that even small variations in light can wake up very preterm infants in a neonatal intensive care unit. Acta Paediatr. 2018 Jul;107(7):1191-1197. doi: 10.1111/apa.14261. Epub 2018 Feb 27.
Other Identifiers
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YBozokU
Identifier Type: -
Identifier Source: org_study_id
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