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A Home Visiting Program for Pregnant Youth to Promote Early Brain Development

Not Applicable
Conditions
Child Development
Interventions
Behavioral: Home visiting Program for Young Pregnant Women
Registration Number
NCT02807818
Lead Sponsor
University of Sao Paulo
Brief Summary

Home visiting programs for pregnant women aiming to improve mother-infant relationship has received worldwide attention in the past 30 years. These programs are considered an important strategy to improve women's health during pregnancy, aside from improving child's birthing conditions and allowing parents access to tools which will nurture and properly stimulate their baby, thus promoting emotional and cognitive development. Objectives: The "Nurse home visitation program for pregnant youth" aims to promote infant´s healthy development, from pregnancy to the first months of life, in a high-risk population. Methods: Eighty young pregnant women aged between 14 and 20 years were randomly allocated to the intervention or to usual prenatal care program. The "Nurse home visitation program for pregnant youth" was developed based on Albert Bandura's theory of self-efficacy, on Urie Bronfenbrenner´s bioecological model, which recognizes the importance of individual and family inclusion in various contexts of social life, on John Bowlby and Mary Ainsworth evolutionary theories of attachment, which involves the care practitioner addressing issues such as environmental health, life course and parenting, bond between mother and infant, and infant´s social and cognitive development. Neuropsychomotor development will be assessed at 3, 6 and 12 months using the Bayley Scale of Infant Development. Brain development will be assessed via electroencephalography at 6 and 12 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
80
Inclusion Criteria
  • Low socioeconomic status
  • Mother's age between 14-19
  • Mother being a primapara
  • Gestation between the 8th and 16th week
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Exclusion Criteria
  • High-risk gestation
  • Mother's Intellectual, visual or auditory disability
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nurse home visitsHome visiting Program for Young Pregnant WomenNurse biweekly home visit.
Primary Outcome Measures
NameTimeMethod
Change in neuropsychomotor development during first year of lifeFrom 3 to 12 months of age

Complete child assessment with the Bayley Scale of Infant Development at 3, 6 and 12 months of age.

Secondary Outcome Measures
NameTimeMethod
Change in child brain maturationAt 6 and 12 months

Assessment of brain wave patterns (alpha, gamma and theta frequencies) via electroencephalography (EEG).

Mother-child attachment biomarkerAt 6 and 12 months

Assessment of event-related potential associated with child face recognition of the mother via electroencephalography (EEG).

Trial Locations

Locations (1)

Faculdade de Medicina da Universidade de São Paulo

🇧🇷

São Paulo, Brazil

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