Nursing and Nurturing Premature Infants

Study Overview
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Brief Summary
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The purpose of this study is to determine whether systematic use of the Newborn Individualized Developmental Care Assessment Program (NIDCAP®) improves the neurologic development of children and the parental competence of mothers.

Detailed Description
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Background: The unborn infant's brain is growing from the fifth month of fetal life which makes preterm babies sensitive to environmental influence. Therefore, to prevent developmental brain injury is an essential goal for neonatal nurses. Purpose: The study investigates whether systematic use of Newborn Individualized Developmental Care Assessment Program (NIDCAP®) improves the neurological development of preterm babies and the parental competence of mothers. Design: This study compares postnatal care of preterm babies in two neonatal units. Participants: Preterm infants born before 32 weeks' gestational age and their mothers. Instruments: Preterm babies' behaviour in intervention and control groups is observed every 7-12 days using scoring sheets. Questionnaires focusing on maternal self esteem when the baby is 4 weeks and again at 3 and 18 months and 5 years. Expected outcomes: Infants: less time with treatment using CPAP and oxygen, growth, time of discharge and pattern of motor behaviour. Mothers: self reported experiences of self esteem. Analysis: t-test Expected implications: In a health promotion perspective the systematic NIDCAP program hopefully will constitute a more competent mother, knowledgeable in child care and parental management. The intervention NIDCAP®-care infant group is expected to increase in growth compared to the control group, their motor system will be more mature, and there will be an earlier discharge, all factors contributing positively to health economy.

Official Title
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Nursing and Nurturing Premature Infants. An Intervention Study Investigating Systematic Use of Newborn Individualized Developmental Care Assessment Program NIDCAP® Improves Development of Infants and the Mothers' Parental Competence

Conditions
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Infant Growth, Mothers' Parental Competence

Intervention / Treatment
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* Behavioral: NIDCAP


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Premature infants The infants' biological mothers Exclusion Criteria: Premature infants with chromosomal anomaly Mothers who cannot read and understand Danish

Ages Eligible for Study
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Minimum Age: 7 Days
Maximum Age: 32 Weeks

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: NIDCAP<br>In the intervention NIDCAP group the staff has been introduced and trained in the principles of the NIDCAP-care, where main core is to see, organize and conduct the care of the preterm infant on behalf of the childs actually resources and competences | Behavioral: NIDCAP<br>* Systematic care, where the mother and the nurses organize the caring on behalf of the preterm infants' ressources and developmental capacity such as the infant avoid over stimulation and distress<br>* Other names: Induvidualized Neonatal Care;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The mothers' self reported experiences of self esteem and social support |  | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Infant growth |  | 18 months | 
| Time of discharge |  | 18 months | 
| Days of needing oxygen and respiratory support |  | 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Preterm Infant;, NIDCAP;, Neonatal Care,, Intervention Study;, Growth and Development;, Maternal Self-esteem., Maternal Social support, NICU