NICU PEP: NICU Parent Education Program

Sponsor
Women and Infants Hospital of Rhode Island (Other)
Overall Status
Completed
CT.gov ID
NCT02528227
Collaborator
(none)
95
1
2
96
1

Study Details

Study Description

Brief Summary

The purpose of this study is to adminster one of two education programs to parents of preterm infants in the NICU to evaluate language and cognitive outcomes of their infants.

Condition or Disease Intervention/Treatment Phase
  • Other: Know Your Baby Language Curriculum
  • Other: Reading Aloud Language Curriculum
  • Other: Sing A Long Language Curriculum
  • Other: Mimicking First Sounds Language Curriculum
  • Other: Language Games and Narrating Your Day Language Curriculum
  • Other: Feeding Safety
  • Other: Car Seat Safety
  • Other: Bath Safety
  • Other: Back to Sleep/SIDS prevention
  • Other: Taking a Temperature and Signs of Infection
  • Other: Infection Control Measures and Vaccine Information
N/A

Detailed Description

The long term goal of this research is to determine the language environment necessary in the NICU for very preterm infants to optimize their long-term language and cognitive development. This study will pilot an early language intervention with parents of preterm infants in the NICU the purpose of which is to provide a structured curriculum for the family to guide their language interactions with their infant. The aim is to increase the adult word counts and conversational turns in the NICU and to improve Bayley III language and cognitive scores at 12 months and 24 months corrected age.

The hypotheses is that increasing early language exposure in the NICU will result in improved lanugage and cognitive scores. The investigators plan on testing the hypothesis by the following specific aims.

  1. Determine the effectiveness of a structured language curriculum with parents of preterm infants in the NICU on increasing the amount of early language exposure.

  2. Test the the hypothesis that increased early language exposure will result in higher Bayley III language and cognitive scores.

Study Design

Study Type:
Interventional
Actual Enrollment :
95 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
NICU Parent Education Program
Study Start Date :
Jan 1, 2013
Actual Primary Completion Date :
Dec 31, 2020
Actual Study Completion Date :
Dec 31, 2020

Arms and Interventions

Arm Intervention/Treatment
Experimental: Language Curriculum

The Language Intervention group will receive some of the known methods for early language development. Six lessons will include: Knowing your Baby, Reading Aloud, Sing-A-Long, Mimicking First Sounds, Language Game and Narrating Your Day. Parents will receive feedback every 2 weeks from a Language Environment Analysis digital language processor (LENA).

Other: Know Your Baby Language Curriculum
Early language activities that parents can do with their infants

Other: Reading Aloud Language Curriculum
Early language activity that parents can do with their infants

Other: Sing A Long Language Curriculum
Early language activity that parents can do with their infants

Other: Mimicking First Sounds Language Curriculum
Early language activity that parents can do with their infants

Other: Language Games and Narrating Your Day Language Curriculum
Early language activity that parents can do with their infants

Placebo Comparator: Health and Safety Curriculum

Parents will receive six lessons on important infant safety topics including, feeding safety, care seat safety, bath safety, back to sleep/SIDS prevention, taking a temperature and signs of infection, infection control methods and vaccine information. Parents will receive LENA feedback at discharge from NICU.

Other: Feeding Safety
Part of Health and Safety Curriculum

Other: Car Seat Safety
Part of Health and Safety Curriculum

Other: Bath Safety
Part of Health and Safety Curriculum

Other: Back to Sleep/SIDS prevention
Part of Health and Safety Curriculum

Other: Taking a Temperature and Signs of Infection
Part of Health and Safety Curriculum

Other: Infection Control Measures and Vaccine Information
Part of Health and Safety Curriculum

Outcome Measures

Primary Outcome Measures

  1. Bayley III cognitive composite score [24 months]

    Bayley III cognitive score (mean 100, standard deviation 15)

  2. Bayley III language composite score [24 months]

    Bayley III Language score (mean 100, standard deviation 15)

  3. Bayley III Expressive Language Score [24 months]

    Bayley III Expressive Language (mean 10, standard deviation 3)

  4. Bayley III Receptive Language Score [24 months]

    Bayley III Receptive Language (mean 10, standard deviation 3)

  5. Bayley III Motor Composite score [24 months]

    Bayley III Motor composite score (mean 100, standard deviation 15)

Secondary Outcome Measures

  1. Infant vocalizations Count [32 weeks post menstrual age]

    LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

  2. Infant vocalizations Count [34 weeks post menstrual age]

    LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

  3. Infant vocalizations Count [36 weeks post menstrual age]

    LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

  4. Conversational turns Count [32 weeks post menstrual age]

    LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).

  5. Conversational turns Count [34 weeks post menstrual age]

    LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).

  6. Conversational turns Count [36 weeks post menstrual age]

    LENA recordings of infant-parent conversational turns (softward derived recording of adult-child interactions that estimates the number of reciprocal vocalizations between infant and adult within 5 seconds, and recorded for a 16 hour time period).

  7. Adult word count Count [32 weeks post menstrual age]

    LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).

  8. Adult word count [34 weeks post menstrual age]

    LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).

  9. Adult word count [36 weeks post menstrual age]

    LENA recordings of adult word count (softward derived number of adult words spoken during a 16 hour period).

  10. Bayley III cognitive composite score [12 month]

    Bayley III cognitive score (mean 100, standard deviation 15)

  11. Bayley III motor composite score [12 month]

    Bayley III motor score (mean 100, standard deviation 15)

  12. Bayley III expressive language score [12 month (mean 10, standard deviation 3)]

    Bayley III expressive language score (mean 100, standard deviation 15)

  13. Bayley III receptive language score [12 month (mean 10, standard deviation 3)]

    Bayley III receptive language score (mean 100, standard deviation 15)

Eligibility Criteria

Criteria

Ages Eligible for Study:
23 Weeks to 32 Weeks
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Receiving care at Women & Infants' Hospital NICU,

  • Providence RI gestational age 23 - 32 weeks,

  • RI resident

Exclusion Criteria:
  • Unable to understand or speak English,

  • congenital or chromosomal disorder likely to affect cognitive or speech development,

  • parental loss of custody

Contacts and Locations

Locations

Site City State Country Postal Code
1 Women and Infants' Hospital Providence Rhode Island United States 02903

Sponsors and Collaborators

  • Women and Infants Hospital of Rhode Island

Investigators

  • Principal Investigator: Elisabeth C McGowan, MD, Women and Infants' Hospital Providence RI

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Elisabeth McGowan, Assistant Professor of Pediatrics, Women and Infants Hospital of Rhode Island
ClinicalTrials.gov Identifier:
NCT02528227
Other Study ID Numbers:
  • 12-0074
First Posted:
Aug 19, 2015
Last Update Posted:
May 3, 2022
Last Verified:
May 1, 2022

Study Results

No Results Posted as of May 3, 2022