NCT04452201

Brief Summary

The purpose of this study is to pilot test an innovative, guided participation (GP) intervention to help parents develop competencies in communication for parenting an infant with a complex congenital heart defect (CCHD) through the first six months of age.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
35

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Feb 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

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

February 25, 2015

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 2, 2019

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 24, 2019

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

June 25, 2020

Completed
5 days until next milestone

First Posted

Study publicly available on registry

June 30, 2020

Completed
Last Updated

July 1, 2020

Status Verified

June 1, 2020

Enrollment Period

4.2 years

First QC Date

June 25, 2020

Last Update Submit

June 30, 2020

Conditions

Keywords

CommunicationParentsInfantsCongenital Heart DiseaseFeedingCaregivingGuided Participation

Outcome Measures

Primary Outcomes (2)

  • Iowa Family Interaction Rating Scales (IFIRS) scores to measure family dynamics

    The IFIRS is an Observational macrocoding system where recorded interviews are coded and each code is given a single score upon review. Scores are 1-9 where 1 indicates that the behavior did not occur and 9 indicates the behavior almost always occurs. Families were scored on the following codes at 2 and 6 months: goal setting, problem solving, negotiating issues, and emotion regulating during problem solving.

    month 2

  • Iowa Family Interaction Rating Scales (IFIRS) scores to measure family dynamics

    The IFIRS is an Observational macrocoding system where recorded interviews are coded and each code is given a single score upon review. Scores are 1-9 where 1 indicates that the behavior did not occur and 9 indicates the behavior almost always occurs. Families were scored on the following codes at 2 and 6 months: goal setting, problem solving, negotiating issues, and emotion regulating during problem solving.

    month 6

Secondary Outcomes (4)

  • Parent-Child Early Relational Assessment (ERA) Scores

    up to one week

  • Parent-Child Early Relational Assessment (ERA) Scores

    2 months

  • Parent-Child Early Relational Assessment (ERA) Scores

    6 months

  • Infant Heart Rate Variability

    up to 6 weeks

Other Outcomes (12)

  • Infant Length

    up to 6 weeks

  • Infant Weight

    up to 6 weeks

  • Infant Head Circumference

    up to 6 weeks

  • +9 more other outcomes

Study Arms (2)

Guided Participation (GP)

EXPERIMENTAL

A GP intervention is participatory formal and informal education to support learning of a practice beyond what could occur as efficiently and effectively without guidance. GP uses strategies for teaching-learning that make best use of the family's situation and opportunities, tailored to the parents' needs. The overall goal of the GP intervention is to support parent couples in effectively communicating for parenting work, including care-giving and maintaining the couple's relationship

Behavioral: Guided Participation

Usual Care (UC)

NO INTERVENTION

The UC group will receive standard of care

Interventions

GP couples' participation together in development of communication competencies in the context of infant care will be supported by a handbook and telephone guidance structured for collaboration with the nurse/research assistant beginning at approximately 2 weeks of age. Two face-to-face sessions are expected prior to hospital discharge, followed by 5 or 6 monthly phone sessions. If the baby is inpatient at the time an intervention session is to take place, the session may be done face-to-face, if more convenient than a phone session for the parents.

Also known as: GP
Guided Participation (GP)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Parent couples will be married or partnered (living together),
  • English speaking and reading
  • Infants will have a CCHD diagnosed by the first week of life, requiring palliative or reparative surgery within the baby's first year

You may not qualify if:

  • Families will be excluded if either parent is not willing to participate, or is unable to participate due to a communication barrier
  • Families will be excluded if either parent is known to have a mental illness that interferes with day-to-day functions or a substance use problem

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

American Family Children's Hospital

Madison, Wisconsin, 53792, United States

Location

Children's Hospital of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Related Publications (2)

  • Pridham K, Brown R, Clark R, Limbo RK, Schroeder M, Henriques J, Bohne E. Effect of guided participation on feeding competencies of mothers and their premature infants. Res Nurs Health. 2005 Jun;28(3):252-67. doi: 10.1002/nur.20073.

    PMID: 15884024BACKGROUND
  • Pridham KF, Limbo R, Schroeder M. (Eds.). (2018). Guided participation in pediatric nursing practice: Relationship-based teaching and learning with parents, children, and adolescents. New York: Springer.

    BACKGROUND

MeSH Terms

Conditions

CommunicationHeart Defects, Congenital

Condition Hierarchy (Ancestors)

BehaviorCardiovascular AbnormalitiesCardiovascular DiseasesHeart DiseasesCongenital AbnormalitiesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

  • Karen Pridham, PhD, RN

    University of Wisconsin, Madison

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 25, 2020

First Posted

June 30, 2020

Study Start

February 25, 2015

Primary Completion

May 2, 2019

Study Completion

June 24, 2019

Last Updated

July 1, 2020

Record last verified: 2020-06

Data Sharing

IPD Sharing
Will share

De-identified data collected during the trial, including parents' interview data; coded infant feeding skills; growth and development data; summary measures for heart-rate variability, and parent-child relationship assessment item scores. Researchers, including doctoral students in nursing, whose proposed use of the data for subsequent clinical research has been approved by an independent review committee identified for this purpose.

Shared Documents
STUDY PROTOCOL, SAP, ICF, CSR
Time Frame
Beginning 3 months after publication of primary outcomes, and ending 5 years after that date.
Access Criteria
Proposals should be directed to kpridham@wisc.edu. If approved after review by regulatory counsel, requestors will enter into a formal data sharing agreement. Data will be shared via encrypted single-user file transmission protocol.

Locations