The Ontogeny of Fidgety Movements in Infants At High-Risk of Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 入组人数
- 350
- 试验地点
- 2
- 主要终点
- Fidgety Movements in children with a range of medical complexities
研究概览
简要总结
The study objective is to improve accuracy in the early detection of neurodevelopmental impairment, especially CP, by evaluating the timepoint (in weeks post term age) that the Prechtl GMA is most useful for prediction of neurodevelopmental impairment at two years of age in children with and without medical complexity. The study team plans to recruit 100 healthy, term-born infants and 250 infants at risk of developing CP for a total of 350 enrolled infants.
详细描述
Research teams at Northwestern (Prentice), University of Sydney, Fondazione IRCCS Stella Maris, Cerebral Palsy Alliance (CPA) and Murdoch Children's Research Institute (MCRI) will be collecting data in the same manner using the Baby Moves app with the inclusion and exclusion criteria above. The data from the Baby Moves app will be temporarily stored in a common REDcap database at the Murdoch Children's Research Institute (MCRI) with all sites included. The MCRI has all necessary approvals in place to host the videos. Video files from Prentice and Lurie will be transferred to a common REDCap Database at Northwestern. Other sites (University of Sydney, MCRI, Stella Maris, CPA), will have their own REDCap databases where the data is stored and managed. The research teams at these sites will be responsible for recruiting and consenting subjects. All sites (except Prentice) will seek IRB approval from their respective sites.
Study design: Prospectively recruited cohort study.
Study procedures:
Eligible families will be identified using the Electronic Data Warehouse (Prentice), through Data Analytics and Reporting (DAR) Lurie, the electronic medical record platform EPIC, or through recruitment on social media websites and family advocacy websites. Families will be contacted via email and/or text message and will have the option to enroll through electronic consent (econsent) in order to minimize in-person contact. Participating families will be able to enroll online using REDCap. If the family has questions about enrollment or the consent form, they will be able to notify a member of the study team, using a survey form on REDCap. A member of the research team can contact the family by phone to provide information and answer questions about participating in the study. Participating families will then receive directions on the phone on how to use and download the Baby Moves app on their smartphones.
Participating families will download the Baby Moves app on their smartphones after enrollment. A member of the research team will register the infant into the study database, using a study ID, infant birth date, and infant due date. The participating families may watch a 3-minute demonstration video on use of the app and proper filming technique.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 10 Weeks 至 20 Weeks(Child)
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Infants born full-term with typical development, bithweight >2500g
- •Infants with a history of brochopulmonary dysplasia, defined as having a preterm birth (<33 weeks gestational age) and requiring supplemental oxygen beyond 36 weeks gestational age
- •Infants with neonatal encephalopathy, who required hypothermic cooling treatment
- •Infants born <36 weeks gestational age
- •Infants born in a multiple gestation pregnancy
- •Infants with a diagnosis of Trisomy 21
- •Infants born and diagnosed with SMA prenatally, via newborn screening assessment or prior to 10 weeks corrected age
- •Infants are less than 10 weeks corrected age at time of enrollment
排除标准
- •Children who are enrolled in DCFS custody
- •Parent or infant guardian does not have a smartphone
研究组 & 干预措施
Congenital anomalies
Congenital anomalies of any kind eg cardiac, musculoskeletal, gastrointestinal
干预措施: Observational (Other)
Preterm birth
Preterm birth <36 weeks gestational age
干预措施: Observational (Other)
Multiple gestation
One of a multiple gestation pregnancy
干预措施: Observational (Other)
Neonatal encephalopathy
term born infants who required hypothermic cooling treatment or had a diagnosis of hypoxic ischemic encephalopathy
干预措施: Observational (Other)
Conrols - health term infants
Infants, less than 10 weeks of age at enrolment who were born full-term with typical development, birthweight >2500g
干预措施: Observational (Other)
Bronchopulmonary dysplaspia
A history of bronchopulmonary dysplasia, defined as having a preterm birth (<33 weeks' gestational age) and requiring supplemental oxygen beyond 36 weeks' gestational age
干预措施: Observational (Other)
结局指标
主要结局
Fidgety Movements in children with a range of medical complexities
时间窗: 4 months
Identify the time frame in which fidgety movements are consistently present in children with a range of medical complexities
Fidgety Movements and two-year Neurodevelopmental outcomes in health, term born infants
时间窗: 2 years
Identify the timeframe in which fidgety movements are most accurate in prediction of two-year neurodevelopmental outcomes in healthy, term born infants
Fidgety Movements in healthy, term born infants
时间窗: 4 months
Identify the timeframe in which fidgety movements are consistently present in healthy, term born infants
Fidgety Movements and two-year Neurodevelopmental outcomes in children with a range of medical complexities
时间窗: 2 years
Identify the timeframe in which fidgety movements are most accurate in prediction of two-year neurodevelopmental outcomes in children with a range of medical complexities
次要结局
未报告次要终点
研究者
Colleen Peyton
Assistant Professor of Physical Therapy and Human Movement Sciences and Pediatrics
Northwestern University
