Clinical trial NCT05003661: The Effects of the Parents' Voice to Reduce the Heel Puncture Pain in High-Risk Neonates
Official title: The Effects of the Parents' Voice to Reduce the Heel Puncture Pain in High-Risk Neonates
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pain
Keywords: Parents voice
Heel Puncture
Neonatal pain
Lead sponsor: National Yang Ming Chiao Tung University
Sponsor class: OTHER
First posted: 2021-08-12
Enrollment: 105
Sex: ALL
Minimum age (years): 32
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: High-risk neonates are forced to be separated from their parents due to hospitalization, and clinical medical treatment often causes pain and physical stress in high-risk newborns. Many literatures have confirmed that the mother's voice is positively helpful to the physiology of high-risk newborns, but few studies have been conducted on the father's voice. However, the parenting process is not only a link between the mother-child relationship, but also the impact of parental voice on high-risk newborns infants. Parent roles are expecting. The purpose of this study is to explore the effectiveness of parental voice intervention in high-risk newborns' heel puncture in reducing pain, and to further compare the mother and father's voice characteristics to the analysis of the pain degree of high-risk newborns.

Detailed description: This study is a kind of experimental research design. The subjects are 105 infants with gestational weeks of more than 32 weeks. Randomly allocated are divided into one group of 35 in control group and 35 in each experimental group. On the third day after the birth of the high-risk newborns infant, the heel puncture times is lasted three minutes before the heel puncture to ten minutes after the puncture. The control groups only received general routine care, while the two parental experimental groups received the intervention that recording of parents voice of reading children's book. In the three groups, the pain of high-risk newborns was measured with the Heartbeat, Respiration and Neonatal Infant Pain Scale (NIPS) in three minutes before the heel puncture, during the puncture, and the first, fifth and tenth minutes after the puncture. It is hoped that the results of this study can help high-risk newborns to reduce pain with non-drug measures, and understand the influence of different voice characteristics on the development of infants, so as to provide future care personnel assisting parental role expectation and reference of clinical care.

Eligibility criteria: Inclusion Criteria:

* High-risk newborns over 32 weeks of age.
* Those who want to receive blood film collection for newborn screening on the third day of birth.
* The incubator is used for care during the hospitalization.
* The mother or father of the research subject can participate in the test all the way.
* After explaining and reading the consent form, the parents of the research subjects agree to participate in the research and obtain written consent.

Exclusion Criteria:

* Apgar Score is still below 7 in the fifth minute.
* Being treated with a high-frequency positive pressure respirator.
* Suffering from congenital diseases including: ear canal malformation, cerebral palsy, Down's syndrome, congenital cyanotic heart disease.
* After the doctor's assessment, the patient should continue fasting due to the condition or restrict breastfeeding on demand.
* Instability of blood glucose after birth requires close monitoring of blood glucose, and has received more than three (including) heel puncture experiences.
* Birth injuries of the body due to the birth process, such as broken fetal head and broken collarbone.
* Are receiving medical treatment with sedatives.

Primary outcomes:
measure: Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the heart rate at 3rd minute before the heel puncture
measure: Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the heart rate during the heel puncture
measure: Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the heart rate at 1st minute after the heel puncture
measure: Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the heart rate at 5th minute after the heel puncture
measure: Change in heart rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the heart rate at 10th minute after the heel puncture
measure: Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the respiratory rate at 3rd minute before the heel puncture
measure: Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the respiratory rate during the heel puncture
measure: Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the respiratory rate at 1st minute after the heel puncture
measure: Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the respiratory rate at 5th minute after the heel puncture
measure: Change in respiratory rate from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the respiratory rate at 10th minute after the heel puncture
measure: Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the oxygen saturation at 3rd minute before the heel puncture
measure: Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the oxygen saturation during the heel puncture
measure: Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the oxygen saturation at 1st minute after the heel puncture
measure: Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the oxygen saturation at 5th minute after the heel puncture
measure: Change in oxygen saturation from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the oxygen saturation at 10th minute after the heel puncture
Secondary outcomes:
measure: Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the NIPS at 3rd minute before the heel puncture
measure: Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the NIPS during the heel puncture
measure: Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the NIPS at 1st minute after the heel puncture
measure: Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the NIPS at 5th minute after the heel puncture
measure: Change in respond of pain from 3rd minute before the heel puncture to 10th minute after the heel puncture
timeFrame: Measure the NIPS at 10th minute after the heel puncture
Other outcomes:
Locations:
city: Taipei
country: Taiwan
facility: National Yang-Ming University
Study officials:
References:
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citation: Carvalho MES, Justo JMRM, Gratier M, Tome T, Pereira E, Rodrigues H. Vocal responsiveness of preterm infants to maternal infant-directed speaking and singing during skin-to-skin contact (Kangaroo Care) in the NICU. Infant Behav Dev. 2019 Nov;57:101332. doi: 10.1016/j.infbeh.2019.101332. Epub 2019 Aug 14.
citation: Chirico G, Cabano R, Villa G, Bigogno A, Ardesi M, Dioni E. Randomised study showed that recorded maternal voices reduced pain in preterm infants undergoing heel lance procedures in a neonatal intensive care unit. Acta Paediatr. 2017 Oct;106(10):1564-1568. doi: 10.1111/apa.13944. Epub 2017 Jul 5.
citation: Flacking R, Breili C, Eriksson M. Facilities for presence and provision of support to parents and significant others in neonatal units. Acta Paediatr. 2019 Dec;108(12):2186-2191. doi: 10.1111/apa.14948. Epub 2019 Sep 2.