NCT03421158

Brief Summary

The purpose of this study is to compare the analgesic effects of four non-pharmacological interventions: skin-to-skin contact, breastfeeding, oral sucrose and nonnutritive sucking in newborns receiving a heel lance procedure.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
236

participants targeted

Target at P75+ for not_applicable pain

Timeline
Completed

Started Nov 2014

Longer than P75 for not_applicable pain

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

November 7, 2014

Completed
11 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 30, 2015

Completed
1.9 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2017

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

January 29, 2018

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 5, 2018

Completed
Last Updated

February 5, 2018

Status Verified

December 1, 2017

Enrollment Period

11 months

First QC Date

January 29, 2018

Last Update Submit

January 29, 2018

Conditions

Keywords

neonatesNon-pharmacological

Outcome Measures

Primary Outcomes (1)

  • Decrease in Neonatal Pain, Agitation and Sedation Scale (NPASS) scores for newborns receiving non-pharmacologic interventions

    Neonatal Pain, Agitation and Sedation Scale (NPASS) measures both behavioral and physiological components of pain by evaluating five key elements, and scores pain from 0-10 (Patricia A. Hummel, 2004). The assessment criteria are crying irritability, behavior state, facial expression, extremities tone, and vital signs.

    12 month

Study Arms (5)

Control

NO INTERVENTION

Newborns received no pain interventions during the procedure

Breastfeeding

EXPERIMENTAL

Newborns were breastfed during the procedure

Behavioral: breastfeeding

Oral Sucrose

EXPERIMENTAL

Newborns were given oral sucrose during the procedure

Dietary Supplement: oral sucrose

Skin to skin contact

EXPERIMENTAL

Newborns were placed in direct contact with their mothers during the procedure

Behavioral: Skin-to-Skin contact

Non-nutritive sucking

EXPERIMENTAL

Newborns were given a pacifier to suck on during the procedure

Behavioral: Non-nutritive sucking

Interventions

breastfeedingBEHAVIORAL

Newborns were breastfed during the procedure

Breastfeeding
oral sucroseDIETARY_SUPPLEMENT

Newborns were given oral sucrose during the procedure

Oral Sucrose

Newborns were placed in direct contact with their mothers during the procedure

Skin to skin contact

newborns were given a pacifier to suck on during the procedure

Also known as: Pacifier
Non-nutritive sucking

Eligibility Criteria

Age24 Hours - 48 Hours
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Gestational Age 38-40
  • hours of age
  • Receiving heel lance procedure
  • Apgar\>7 at birth
  • NPASS\<3 at time of heel lance

You may not qualify if:

  • Prior heel lance procedure
  • birth trauma
  • forceps or vacuum delivery
  • maternal drug abuse during delivery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

PainBreast Feeding

Interventions

LactationSucrosePacifiers

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsFeeding BehaviorBehavior

Intervention Hierarchy (Ancestors)

Reproductive Physiological PhenomenaReproductive and Urinary Physiological PhenomenaPostpartum PeriodDisaccharidesOligosaccharidesPolysaccharidesCarbohydratesSugarsInfant EquipmentEquipment and Supplies

Study Officials

  • Jie Chang, BSN,MD

    Stanford University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Assistant Professor, Pediatrics

Study Record Dates

First Submitted

January 29, 2018

First Posted

February 5, 2018

Study Start

November 7, 2014

Primary Completion

September 30, 2015

Study Completion

August 31, 2017

Last Updated

February 5, 2018

Record last verified: 2017-12

Data Sharing

IPD Sharing
Will share