Association Between Mother-Infant Attunement During Interaction and the Quality of General Movements

NCT01764958 | Completed DMC

• 1 other identifier: sponsor
• Study Type: observational
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

The proposed research has the potential of contributing to the limited empirical literature on the relationship between maternal sensitivity and motor development of preterm infants. If indeed maternal attuned behaviors will be found to be associated with the quality of motor development, such a finding will support the effectiveness of physical therapy in guiding caregivers to attune their holding and touch of preterm infants. We hypothesize that mothers and infants' attunement during observed interaction will be related to the quality of preterm infants' spontaneous movements in the following ways: First, better maternal attunement to the infants needs, and in particular attunement of holding and touch will be associated with better quality of spontaneous movements of the infants. Second, more initiations and/or involvement of infants in interaction will be associated with better maternal attunement to the infant. Third, more initiations and/or involvement of infants in interaction will be associated with better quality of spontaneous movements and better achievements in developmental milestone. All hypotheses will be examined while controlling for maternal use of SSC method during hospitalization after birth and family demographic backgrounds.

Conditions

Premature Birth

Keywords

mother-infant interaction; general movements; preterm infants

Outcome Measures

Primary Outcomes (1)

• Better maternal attunement of holding and touch will be associated with better quality of spontaneous movements of the infants.

  Infants are videotapes for General Movements Mothers and infants are videotapes for 10 minutes of free interaction

  Assesed at 3-4 months corrected age of the infants

Secondary Outcomes (1)

• More initiations and/or involvement of infants during the interaction will be associated with better quality of spontaneous movements of the infants and better achievement in developmental milestones.

  3-4 months corrected age of the infants

Study Arms (1)

preterm infants and their mothers

Inclusion criteria are: preterm infants born between 26-34 weeks of gestation, whose mothers speak and write Hebrew fluently. Exclusion criteria are: preterm infants who suffer from perinatal asphyxia, genetic or metabolic diseases, necrotizing colitis that requires operation, intra uterine growth retardation, deafness, retinopathy of prematurity (ROP) or major congenital defects. Infants and their mothers will be recruited from child developmental centers and Pediatric Clinics of Maccabi. No intervention is included in the research.

Eligibility Criteria

• Age: 4 Months - 8 Months
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Preterm infants at a corrected age of 3-4 months and their mothers

Sponsors & Collaborators

• Assuta Hospital Systems: lead

Study Sites (1)

Maccabi Healthcare services

Naẕerat ‘Illit, Israel

Location

MeSH Terms

Conditions

Premature Birth

Condition Hierarchy (Ancestors)

Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases

Study Officials

• Orna Lev enacab, BPT

  Assuta Hospital, Tel Aviv

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 7, 2013
• First Posted: January 10, 2013
• Study Start: April 1, 2012
• Primary Completion: June 1, 2015
• Study Completion: June 1, 2015
• Last Updated: July 8, 2015

Record last verified: 2012-04

Locations

IL (1)