An interventional study of Sensorimotor intervention and Control in Premature Infant and Developmental Delay, sponsored by Dr. Sandra Fucile. Completed at 1 site in Canada. Open to participants aged Up to 34 Weeks. Per ClinicalTrials.gov, last updated 2024-05-30.
Sponsored by Dr. Sandra Fucile · Not applicable, Interventional, and Prevention
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.
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.
Dr. Sandra Fucile is the lead sponsor of 2 studies on the registry; none are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
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.
Other: Sensorimotor intervention · Other: Story telling attention refocusing intervention
Infants in the control group will receive standard care only.
Other: Control
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.
Also known as: Supplemental stimulation, Sensory input, Tactile input, Oral input
Routine care provided by health professionals in the NICU
A contact-free intervention where parents share stories with their infant for 10 minutes 3 times per week.
Also known as: STAR
Attainment of independent oral feeds
Number of days to transition from complete tube to complete oral feeds.
Time frame: 3 years
Weight gain
Weight gain velocity from start of study until hospital discharge
Time frame: 3 years
Length of hospital stay
Number of days from birth to discharge home
Time frame: 3 years
Test of infant motor performance
A standardized assessment measuring postural control and motor function in infants from 32 weeks gestation to 4 months corrected gestational age. Total raw scores range from 0-142, higher scores represent better motor function.
Time frame: 3 years
Acute stress of parents
The PSS: NICU assessment was used to assess acute stress of parents
Time frame: 3 years
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.
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Dr. Sandra Fucile