A Study of Applying Prechtl's Assessment of General Movements for Preterm Infants Through Telemedicine

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Age: -1 to -1 years old
Gender:
Any
Healthy Volunteers: No
Keywords: preterm infants, early intervention, developmental delay
Type: Other study
Target:
55 Participants
Investigator:
Description
Preterm babies are more likely to have developmental challenges. Your baby qualifies for developmental screening to identify any concerns. Your doctor may refer you and your baby for early intervention developmental therapy. The first developmental screening visit is between 6 and 9 months corrected gestational age.

Prechtl’s assessment of general movements (GMA) is a method of observing and characterizing babies' movements. If a baby has abnormal patterns of movement they are at higher risk for developmental delay. This may help in identifying infants that would benefit from early intervention services sooner. Traditionally, GMA assessment is done by creating video recordings of babies moving at different ages. Experts review those recordings separately from a clinic visit.

The goal of our research study is to see if it is possible to do general movements assessment via telemedicine. We will study whether watching the baby move during a telemedicine visit has the same conclusion as watching the same video as a recording. If this assessment can be done via telemedicine, it may be able to be completed faster, on more babies, especially those that live far away.
This study requires

• Your baby will have three telemedicine visits (see table below) that are also recorded to assess his/her movements.

Age 32-34 weeks corrected age 40-44 weeks corrected age 51-54 weeks corrected age Duration of recording 30 – 60 minutes 3 – 5 minutes 3 – 5 minutes Location In NICU In NICU or from home In NICU or from home

• The telemedicine visits will use Zoom, a secure video conferencing software. For the visit(s) in the NICU, a member of the study team will bring a telemedicine cart to your child’s bedside at a time that works for your baby. • For the visit(s) at home, a member of the study team will coordinate time(s) that work well for you and your family for the 3-5 minute sessions. We will send you a link for the Zoom meeting to your e-mail, and you will join the visit. During the visit, your device will be pointed at your child, and a physician will discuss with you about how your baby is doing at home. • Whether or not your baby is part of this research study, your baby will be seen in the BabySteps infant follow-up clinic at about 9 months corrected gestational age. This is the standard time for the first visit for all babies cared for at UC Davis Medical Center who are born less than 32 weeks or who weigh less than 1500 grams at birth.

• Videos obtained for the study may be used for educational purposes. Only the gestational age and the age during which the video is taken will be stored along with the video information.

Who can participate

Inclusion criteria:

  • All preterm infants who meet the High-Risk Infant Follow Up (HRIF) Criteria (less than 32 weeks gestational age or birth weight less than 1500 grams) who are cared for at UC Davis Medical Center

Exclusion criteria:

  • Families who are non-English speakers requiring a translator
  • Families who are unable to access data-capable wireless service to participate in telemedicine visits through Zoom.
Benefits and risks of participating
BENEFITS:

We cannot promise any benefits to you as a result of taking part in this research study.


RISKS:

The study doctor will discuss the risks associated with taking part in this research study.
Compensation
You will not be paid to take part in this research study.
Resources
Schedule
Study duration and period
We expect that you will be in this research study for about 12 months, until your baby is about 9 months corrected gestational age.
Recruitment period
From Jan. 7, 2019
Location
UC Davis Medical Center
2315 Stockton Boulevard
Sacramento, CA 95817
Contact
Hadley Sauers-Ford
Research Topic
Conditions:
  • Infant, Premature

Have any questions or want to learn more? Leave your contact details below and the research team will reach out to you.


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