Vulnerable Baby Scale: development and piloting of a questionnaire to measure maternal perceptions of their baby's vulnerability.
Nicola J Kerruish, Kerryn Settle, Priscilla Campbell-Stokes...
https://pubmed.ncbi.nlm.nih.gov/16101975Actively Recruiting
Led by University of Texas Southwestern Medical Center · Updated on 2025-06-13
100
Participants Needed
1
Research Sites
N/A
Total Duration
U
University of Texas Southwestern Medical Center
Lead Sponsor
S
Stanford University
Collaborating Sponsor
Researchers are evaluating whether cognitive behavioral therapy (CBT) sessions can improve outcomes for premature infants born at 30.6 weeks gestation or less and their parents who have spent time in the neonatal intensive care unit (NICU). This study focuses on reducing parental stress, anxiety, depression, and post-traumatic stress disorder (PTSD) that can affect parenting styles and infant development, a phenomenon known as Vulnerable Child Syndrome (VCS) or Parent Perceived Child Vulnerability (PPCV). Participants will be randomly assigned to either a control group receiving standard NICU and follow-up care information or an intervention group receiving the same standard care plus five CBT sessions. Three CBT sessions are given before NICU discharge and two sessions after discharge during outpatient clinic visits, delivered either in person or via telehealth. These sessions aim to address past NICU trauma, emotional coping, and parental perceptions of child vulnerability, following a standardized manual. Throughout the study, parents will complete assessment scales at enrollment and after completing CBT sessions to measure changes in perceptions and mental health. Researchers will track infant length of NICU stay, medical system usage, and developmental milestones using tools like the Vulnerable Baby Scale and Capute Scales. The study includes follow-up assessments up to six to nine months post-birth to evaluate long-term effects on both parents and infants.
CONDITIONS
Preventing Vulnerable Child Syndrome in the NICU With Cognitive Behavioral Therapy (PreVNT Trial)
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - From 33 weeks gestational age until after NICU discharge and follow-up visits
Participants in the intervention group receive 5 Cognitive Behavioral Therapy (CBT) sessions focused on parental perceptions of child vulnerability and parenting skills. Three sessions occur in the NICU before discharge and two sessions take place at the outpatient follow-up clinic after discharge. Participants in the control group receive standard NICU and follow-up care information only.
3 visits in the NICU and 2 outpatient clinic visits
Duration - Up to 6 to 9 months post-birth
Participants are assessed for parent and child outcomes including parental perceptions, depression, anxiety, and child development up to six to nine months post-birth.
Assessments at baseline and at 6 to 9 months
Total: 1 location
1
Parkland Health & Hospital System
Dallas, Texas, United States, 75235
Actively Recruiting
M
Margaret K Hoge, MD
R
Roy Heyne, MD
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Nicola J Kerruish, Kerryn Settle, Priscilla Campbell-Stokes...
https://pubmed.ncbi.nlm.nih.gov/16101975B W Forsyth, S M Horwitz, J M Leventhal...
https://pubmed.ncbi.nlm.nih.gov/8820075Margaret K Hoge, Elizabeth Heyne, Steven Brown...
https://pubmed.ncbi.nlm.nih.gov/40374965