Kangaroo Care with Father's protocol: an intervention to reduce pain response in preterm neonates (28 - 36 weeks gestation)

ISRCTN ISRCTN51481987
DOI https://doi.org/10.1186/ISRCTN51481987
Secondary identifying numbers 2580; MOP-64307
Submission date
16/02/2009
Registration date
31/03/2009
Last edited
02/11/2011
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Signs and Symptoms
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Celeste Johnston
Scientific

3506 University, room 226
Montreal, QC
H3A 2A7
Montreal
H3A 2A7
Canada

Phone +1 514 398 4157
Email celeste.johnston@mcgill.ca

Study information

Study designRandomised controlled crossover trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleKangaroo Care with Father's protocol: an intervention to reduce pain response in preterm neonates (28 - 36 weeks gestation): a randomised controlled crossover trial
Study acronymFKC
Study objectivesThere will be a difference in pain response, time to recovery and heart rate variability (HRV) from heel lance in 28 - 36 weeks gestational age Neonatal Intensive Care Unit (NICU) preterm neonates when they are engaged in maternal kangaroo care (KC) compared to when they are engaged in father's KC.
Ethics approval(s)CHU St-Justine Research Ethics Board (REB) gave approval on the 16th July 2007 (ref: 2580)
Health condition(s) or problem(s) studiedPain response during heel lancing
InterventionAfter obtained informed consent from the mother and the father, the neonate will be randomised to intervention (father first mother second) or control (mother first father second). Kangaroo care involves placing a diaper-clad neonate at an angle of sixty degrees between the breasts or on the chest providing maximal skin-to-skin contact between the infant and the caregiver. The neonate is placed in KC 15 minutes before the painful procedure (heel lance) performed by a hospital technician assigned to the study. The heel lance procedure is relatively standardised across staff and timing and is an aspect of routine care for hospitalised preterm neonates. Each neonate will have two KC sessions filmed; one with the mother and the other one with the father. The measures will be taken for the entire heel lance procedure (one minute of baseline isolette, one minute of baseline kangaroo, one minute of warming, extraction of the blood and return to baseline kangaroo and isolette.
Intervention typeOther
Primary outcome measure1. Pain measured with Premature Infant Pain Profile (PIPP), repeated over 30 second blocks
2. Facial actions of the PIPP scored according to Neonatal Facial Coding System (NFCS)
Secondary outcome measuresTiming for return to physiologic baseline measured as the preterm neonate's return to baseline HR after the heel lance procedure procured via an oximeter placed on the unaffected foot of the neonate.
Overall study start date01/10/2007
Completion date01/04/2009

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participants80
Key inclusion criteria1. Born between 28 0/7 and 35 6/7 weeks of gestation, either sex
2. Obtained consent
3. Receiving at least two heel lances prior to discharge
4. Within 10 days of hospitalisation
5. Stable according to Neonatal Intensive Care Unit criteria
Key exclusion criteria1. Genetic or major congenital disorders
2. Requiring surgery before or during the study period
3. Receiving analgesics or paralysing agents
4. Intra-ventricular haemorrhage (IVH) grade III+ or periventricular leukomalacia (PVL) as confirmed by ultrasound
Date of first enrolment01/10/2007
Date of final enrolment01/04/2009

Locations

Countries of recruitment

  • Canada

Study participating centre

3506 University, room 226
Montreal
H3A 2A7
Canada

Sponsor information

McGill University (Canada)
University/education

c/o Dr Celeste Johnston
School of Nursing
3506 University, Room 226
Montreal
H3A 2A7
Canada

Phone +1 514 398 4157
Email celeste.johnston@mcgill.ca
Website http://www.mcgill.ca
ROR logo "ROR" https://ror.org/01pxwe438

Funders

Funder type

Research organisation

Canadian Institutes of Health Research (Canada) - http://www.cihr-irsc.gc.ca (ref: MOP-64307)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/09/2011 Yes No