NICU Parent Education Program

Women and Infants Hospital of Rhode Island95 enrolled

Overview

The purpose of this study is to adminster one of two education programs to parents of preterm infants in the NICU to evaluate language and cognitive outcomes of their infants.

The long term goal of this research is to determine the language environment necessary in the NICU for very preterm infants to optimize their long-term language and cognitive development. This study will pilot an early language intervention with parents of preterm infants in the NICU the purpose of which is to provide a structured curriculum for the family to guide their language interactions with their infant. The aim is to increase the adult word counts and conversational turns in the NICU and to improve Bayley III language and cognitive scores at 12 months and 24 months corrected age. The hypotheses is that increasing early language exposure in the NICU will result in improved lanugage and cognitive scores. The investigators plan on testing the hypothesis by the following specific aims. 1. Determine the effectiveness of a structured language curriculum with parents of preterm infants in the NICU on increasing the amount of early language exposure. 2. Test the the hypothesis that increased early language exposure will result in higher Bayley III language and cognitive scores.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Language Development Premature Infant Neurodevelopmental Outcomes

Interventions

Know Your Baby Language CurriculumOTHER

Early language activities that parents can do with their infants

Reading Aloud Language CurriculumOTHER

Early language activity that parents can do with their infants

Sing A Long Language CurriculumOTHER

Early language activity that parents can do with their infants

Eligibility

Sex: ALLMin age: 23 WeeksMax age: 32 Weeks

Medical Language ↔ Plain English

Inclusion Criteria: * Receiving care at Women \& Infants' Hospital NICU, * Providence RI gestational age 23 - 32 weeks, * RI resident Exclusion Criteria: * Unable to understand or speak English, * congenital or chromosomal disorder likely to affect cognitive or speech development, * parental loss of custody

Locations (1)

Women and Infants' Hospital

Providence, Rhode Island, United States

Outcomes

Primary Outcomes

Bayley III cognitive composite score

Bayley III cognitive score (mean 100, standard deviation 15)

Time frame: 24 months

Bayley III language composite score

Bayley III Language score (mean 100, standard deviation 15)

Time frame: 24 months

Bayley III Expressive Language Score

Bayley III Expressive Language (mean 10, standard deviation 3)

Time frame: 24 months

Bayley III Receptive Language Score

Bayley III Receptive Language (mean 10, standard deviation 3)

Time frame: 24 months

Bayley III Motor Composite score

Bayley III Motor composite score (mean 100, standard deviation 15)

Time frame: 24 months

Secondary Outcomes

Infant vocalizations Count

LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

Time frame: 32 weeks post menstrual age

Infant vocalizations Count

LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

Time frame: 34 weeks post menstrual age

Infant vocalizations Count

LENA recordings of infant vocalizations (software derived recording of all speech related sounds recorded in a 16 hour time period).

Data from ClinicalTrials.gov

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Early language activity that parents can do with their infants

Language Games and Narrating Your Day Language CurriculumOTHER

Early language activity that parents can do with their infants

Feeding SafetyOTHER