Very Preterm Birth
Conditions
Brief summary
Attachment is built primarily on the first interactions of the first 9 months of a baby's life. These first interactions and their effects of stress, pleasure and displeasure are retained to establish some of the baby's attachment behaviours and future relationships with others. Extreme prematurity strongly modify these first interactions between parents and child. Very preterm child is separated from his parents and is placed in a stressful, technical and potentially painful environment. Early interventions stimulate neuroplasticity and can positively affect the neurological development of very preterm infant. Tactile stimuli such as skin-to-skin contact and massages carried out by parents can be pleasant experiences that can support early interactions between parents and child.
Detailed description
The aim of the study is to evaluate impact of a sensory-tonic stimulation on development of parent-infant interaction and on social cognition in very premature children.
Interventions
BEHAVIORALsensory-tonic stimulation
sensory-tonic stimulation done by the parents to the child, five times a week during 15 minutes at each time
BEHAVIORALskin-to-skin contact
skin-to-skin contact left free for parents
Sponsors
CHU de Reims
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
participants are assigned to one of two or more groups in parallel for the duration of the study
Eligibility
Sex/Gender
ALL
Age
No minimum to 1 Days
Healthy volunteers
No
Inclusion criteria
: * very preterm child (born before 32 weeks of amenorrhoea) * parents agreeing to participate to the study
Exclusion criteria
: * child born before 25 weeks of amenorrhoea * child with a birth weight less than 600 grams * child with congenital malformation * child with hemodynamic instability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| interactions between parents and child | 12 months | Two free play sequences of 15 minutes will be filmed. The Coding Interactive Behavior (CIB; Feldman, 1998) contains 43 items (22 relating to parents, 16 relating to child and 5 related to parent-child dyad. Each item is rated from 1 (a little) to 5 (a lot). The Coding Interactive Behavior has 6 dimensions. The dimension "social commitment of the child" will be the primary outcome for this study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Social cognition / Theory of mind | 6 years | small stories involving the thinking and feelings of character |
Countries
France
Contacts
CONTACTGauthier Loron
Outcome results
None listed