Overview

This trial is active, not recruiting.

Condition premature birth
Treatment mother infant transaction program (mitp)
Sponsor Ullevaal University Hospital
Collaborator The Royal Norwegian Ministry of Health
Start date January 2005
End date February 2008
Trial size 170 participants
Trial identifier NCT00245843, Vermont

Summary

The purpose of this study is to investigate if the effects of the Vermont intervention, implemented by nurses in a Neonatal Intensive Care Unit (NICU), can influence social interaction and joint attention skills between parents and preterm babies in the second half of the first year of life.

United States No locations recruiting
Other Countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (investigator)

Primary Outcomes

Measure
Social interaction and joint attention skills between parents and moderate/late preterm infants within first year of life
time frame: 1, 4, 6, 9 and 12 months
Child outcome: child's quality and social capacity for joint attention/social interaction
time frame: 1,4, 9 and 12 months
Parenting outcome: parents' sensitivity/responsitivity to children's behaviour/signals, parental stress
time frame: 1, 4, 6, 9 and 12 months

Secondary Outcomes

Measure
Child outcomes: child development, child temperament, growth
time frame: 1, 4, 6, 9 and 12 months
Parenting outcome: depression, stress, maternal confidence
time frame: 1, 6 and 12 months

Eligibility Criteria

Male or female participants at least 30 weeks old.

Inclusion Criteria: - Preterm newborns with gestational age > 29.6 and < 36.0 weeks at birth. - Full term newborns with gestational age > 36.9 weeks at birth and birth weight equal to or more than 2500 grams - Admitted to Ullevål University Hospital - Families are recruited to the study before infants are discharged from the hospital Exclusion Criteria: - Congenital or chromosomal abnormality, and/or severe neonatal diseases - History of maternal substance or psychiatric disorders.

Additional Information

Official title Vermont Intervention: Effect on Joint Attention Skills Between Parents and Moderate/Late Preterm Infants Int the First Year of Life
Description The bases of parental sensitivity and infants' joint attention skills are probably established during the child's first year of life. Research suggests that the quality of early social interaction is related to children's later development and mental health. Preterm infants are at risk for developing interaction disturbances in the first year of life, and such aberrancies often lay the foundation for later problems of adaptation. Following preterm birth the infant is exposed to an atypical extra uterine environment. In such an environment it is hard for an immature brain to modulate the infant's behaviour properly. Under such circumstances there are several factors to consider. The disturbances that may be seen later may be mediated and moderated by the infant's state, parental circumstances and conditions in the hospital environment. Parents of preterm infants experience interruption of normal pregnancy and may be in a difficult emotional state after preterm birth, and often they are not prepared for their role as parents. They are also vulnerable to stress and worries concerning survival of their baby. These conditions are assumed to have a negative influence on the social interaction between preterm infant and parents, and can make it difficult for the caretakers to adapt to their low birth weight infant and to engage in social interaction with their baby. The purpose of this study is to evaluate the effects of a neonatal intervention program (Vermont-intervention) on parental sensitivity and the interaction skills between parents and preterm babies in the first year of life. The intervention is based on a transactional model of development, which emphasizes the mutual regulation and interaction going on between a child and its caretakers over time. The study is a randomized controlled trial in a NICU environment. 100 preterm children born between 30 and 36 weeks of gestation are randomly assigned to a control group and an experimental group. The intervention is the Mother Infant Transaction Program (MITP) called the Vermont intervention. In addition, 50 full term normal-weight infants are recruited into a full term control group. The work of recruitment and randomizing of the 150 families to the three groups is carried out by a paediatric research assistant who will also be responsible for the organization and implementation of the interventions at hospital and at home after discharge from hospital. To the extent it is possible, the nurse researcher is not supposed to recognize the group identity of the participants in the three groups when administering questionnaires and scoring video recordings of social interaction and joint attention between mother and child at ages 6, 9 and 12 months.
Trial information was received from ClinicalTrials.gov and was last updated in March 2009.
Information provided to ClinicalTrials.gov by Ullevaal University Hospital.