Developmental Intervention for Infants of Adolescent Mothers
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 108
- 主要终点
- MacArthur CDI
研究概览
简要总结
This is a randomized control trial to evaluate a simple language intervention curriculum that utilizes LENA recordings, linguistic feedback and text-message review of content to improve language environments and outcomes for infants with adolescent mothers.
详细描述
Mother-infant pairs are enrolled while in the hospital after birth. Enrolled participants are randomized into a language (intervention) or motor (control) group. All participants have a baseline LENA (device that captures 16 hour recording and associated computer analysis generates a report of numbers of adult words spoken, infant vocalization and conversational turns). Interventions after the baseline recording by group are as follows:
Intervention:
- Review language curriculum and motor curriculum with study personnel
- Direct linguistic feedback of baseline LENA recording
- 2nd LENA recording completed and analyzed
- Direct or mailed linguistic feedback of 2nd LENA recording
- 16- Weekly text messages
- 4 month LENA recording with mailed linguistic feedback
- 12 month LENA recording with mailed linguistic feedback
Control:
- Review motor curriculum with study personnel
- 2nd LENA recording completed and analyzed
- 4- monthly text messages
- 4 month LENA recording
- 12 month LENA recording with mailed linguistic feedback of all recordings
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Infants ≥30 weeks born to 15-20 year old mothers
排除标准
- •Congenital anomalies associated with adverse developmental outcomes
- •Non-English speaking mothers
- •No cell phone
- •Mother not available for follow-up
- •State custody of mother or infant.
研究组 & 干预措施
Language Intervention
- Baseline LENA recording 2. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 4. 2nd LENA recording completed and analyzed 5. Direct or mailed linguistic feedback of 2nd LENA recording 6. 16- Weekly text messages 7. 4 month LENA recording with mailed linguistic feedback 8. 12 month LENA recording with mailed linguistic feedback
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a book at each interaction.
干预措施: Teaching Talking (Behavioral)
Language Intervention
- Baseline LENA recording 2. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 4. 2nd LENA recording completed and analyzed 5. Direct or mailed linguistic feedback of 2nd LENA recording 6. 16- Weekly text messages 7. 4 month LENA recording with mailed linguistic feedback 8. 12 month LENA recording with mailed linguistic feedback
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a book at each interaction.
干预措施: LENA recordings-language (Behavioral)
Language Intervention
- Baseline LENA recording 2. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 4. 2nd LENA recording completed and analyzed 5. Direct or mailed linguistic feedback of 2nd LENA recording 6. 16- Weekly text messages 7. 4 month LENA recording with mailed linguistic feedback 8. 12 month LENA recording with mailed linguistic feedback
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a book at each interaction.
干预措施: Mastering Movement (Behavioral)
Language Intervention
- Baseline LENA recording 2. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 4. 2nd LENA recording completed and analyzed 5. Direct or mailed linguistic feedback of 2nd LENA recording 6. 16- Weekly text messages 7. 4 month LENA recording with mailed linguistic feedback 8. 12 month LENA recording with mailed linguistic feedback
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a book at each interaction.
干预措施: Language text messages (Behavioral)
Language Intervention
- Baseline LENA recording 2. Review language curriculum and motor curriculum with study personnel 2. Direct linguistic feedback of baseline LENA recording 4. 2nd LENA recording completed and analyzed 5. Direct or mailed linguistic feedback of 2nd LENA recording 6. 16- Weekly text messages 7. 4 month LENA recording with mailed linguistic feedback 8. 12 month LENA recording with mailed linguistic feedback
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a book at each interaction.
干预措施: Motor text messages (Behavioral)
Motor Control
- Baseline LENA recording
- Review motor curriculum with study personnel
- 2nd LENA recording completed and analyzed
- 4- monthly text messages
- 4 month LENA recording
- 12 month LENA recording with mailed linguistic feedback of all recordings
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a toy at each interaction.
干预措施: LENA recordings-motor (Behavioral)
Motor Control
- Baseline LENA recording
- Review motor curriculum with study personnel
- 2nd LENA recording completed and analyzed
- 4- monthly text messages
- 4 month LENA recording
- 12 month LENA recording with mailed linguistic feedback of all recordings
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a toy at each interaction.
干预措施: Mastering Movement (Behavioral)
Motor Control
- Baseline LENA recording
- Review motor curriculum with study personnel
- 2nd LENA recording completed and analyzed
- 4- monthly text messages
- 4 month LENA recording
- 12 month LENA recording with mailed linguistic feedback of all recordings
Assessments:
- Ages and Stages Questionnaire at 4 and 12 months
- Maternal Peabody Picture Vocabulary test at 4 months
- Edinburgh Post-partum Depression Scale at 4 months
- MacArthur Bates Communicative Developmental Inventory: Words and Gestures at 12
Participants receive a toy at each interaction.
干预措施: Motor text messages (Behavioral)
结局指标
主要结局
MacArthur CDI
时间窗: 12 months
MacArthur Bates Communicative Developmental Inventory: Words and Gestures scores
次要结局
- LENA Counts(birth, 4 months, 12 months)
- Ages & Stages Questionnaire(4 months, 12 months)
