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临床试验/NCT04452201
NCT04452201已完成不适用

Parent Communication for Feeding an Infant With a Heart Defect - Pilot Intervention Study

University of Wisconsin, Madison4 个研究点 分布在 1 个国家目标入组 35 人开始时间: 2015年2月25日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
35
试验地点
4
主要终点
Iowa Family Interaction Rating Scales (IFIRS) scores to measure family dynamics

研究概览

简要总结

The purpose of this study is to pilot test an innovative, guided participation (GP) intervention to help parents develop competencies in communication for parenting an infant with a complex congenital heart defect (CCHD) through the first six months of age.

详细描述

Study aims are to:

  • Investigate the intervention feasibility (capability of being done, carried out, and objectives accomplished), accessibility, acceptability, usefulness, safety, and cost.
  • Explore the effect of the GP intervention on outcomes within and between groups and over time.

Sample and Groups:

Parents will be recruited to the study either following a prenatal or postnatal diagnosis of a complex congenital heart defect. 36 families will be recruited and then computer randomized to either the GP or usual care (UC) groups in a 2:1 ratio, with a goal of 30 families completing the study (20 GP families, 10, UC families). Six of the families will be enrolled at American Family Children's Hospital (Madison, WI) (AFCH), with the rest enrolled at CHW. Each participating parent couple will receive an electronic tablet that will be the couple's to keep. A library of published materials from the UW-Health Sciences Library about infant care has been installed on the Tablets for both groups.

GP couples' participation together in development of communication competencies in the context of infant care will be supported by a handbook that is installed on the tablet as well as being given to parents in hard copy, and by telephone guidance, structured for collaboration with the nurse/research assistant beginning at approximately 2 weeks of age. Two face-to-face sessions are expected prior to hospital discharge, followed by 5 or 6 monthly phone sessions. If the baby is inpatient at the time an intervention session is to take place, the session may be done face-to-face, if more convenient than a phone session for the parents.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Parent couples will be married or partnered (living together),
  • English speaking and reading
  • Infants will have a CCHD diagnosed by the first week of life, requiring palliative or reparative surgery within the baby's first year

排除标准

  • Families will be excluded if either parent is not willing to participate, or is unable to participate due to a communication barrier
  • Families will be excluded if either parent is known to have a mental illness that interferes with day-to-day functions or a substance use problem

结局指标

主要结局

Iowa Family Interaction Rating Scales (IFIRS) scores to measure family dynamics

时间窗: month 6

The IFIRS is an Observational macrocoding system where recorded interviews are coded and each code is given a single score upon review. Scores are 1-9 where 1 indicates that the behavior did not occur and 9 indicates the behavior almost always occurs. Families were scored on the following codes at 2 and 6 months: goal setting, problem solving, negotiating issues, and emotion regulating during problem solving.

次要结局

  • Infant Heart Rate Variability(up to 6 weeks)
  • Parent-Child Early Relational Assessment (ERA) Scores(6 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (4)

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