Developmental Promotion in the Neonatal Intensive Care Unit; A New Shared Reading Program
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Catherine Caruso
- Enrollment
- 101
- Locations
- 1
- Primary Endpoint
- Rate of regular reading
Overview
Brief Summary
This is a pre/post quasi-interventional study with two arms. First, a baseline cohort of parent-infant dyads admitted to the Neonatal Intensive Care Unit (NICU) were enrolled and surveyed at three timepoints (admission, discharge, and one-month post-discharge) to characterize baseline habits, attitudes, and barriers toward shared reading in the NICU in the absence of a shared reading program. Reach Out and Read (ROR) in the NICU, a shared reading program modified from the national ROR outpatient program to the NICU setting was then implemented. Following program implementation, a subsequent cohort of parent-infant dyads admitted to the NICU were enrolled (the "ROR" cohort) and surveyed at the same three timepoints. Feasibility, acceptability, and preliminary efficacy of ROR NICU to promote shared reading in the NICU were evaluated.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Sequential
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Parent-infant dyads were recruited with the following criteria:
- •Inclusion Criteria:
- •New neonatal admission to the NICU at less than or equal to 14 days old
- •Estimated length of stay 2 weeks or longer
- •English or Spanish speaking
Exclusion Criteria
- •Nonviable neonates or those with uncertain viability
- •Families with discontinuous social situations or parent/infant separation
Arms & Interventions
Baseline, Pre-ROR (before Reach Out and Read) Cohort
Baseline cohort of parent-infant dyads not exposed to the shared reading program Reach Out and Read in the NICU
ROR (Reach Out and Read) Cohort
Parent-infant dyads in this group received children's books paired with anticipatory guidance on shared reading every two weeks during the infant's NICU stay.
Intervention: Shared reading program (Other)
Outcomes
Primary Outcomes
Rate of regular reading
Time Frame: Time point 1: baseline. Time point 2: average 6 weeks after baseline. Time point 3: 4 weeks after time point 2
Parent-reported frequency of shared reading (days/week) in the last week with "regular reading" defined as at least 3 times per week.
Secondary Outcomes
- Proportion of eligible infants who received the intervention(After infant discharge, average of 6 weeks from baseline.)
- Program acceptability(Time point 1: baseline. Time point 2: average 6 weeks after baseline. Time point 3: 4 weeks after time point 2)
- Frequency of intervention per patient (fidelity to the model)(After infant discharge, average of 6 weeks from baseline)
Investigators
Catherine Caruso
Assistant Professor of Pediatrics
Oregon Health and Science University