Best Practices Fo Early Diagnosis of Cerebral Palsy

MI-összefoglaló

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The trial is looking for babies born very early, before 29 weeks of pregnancy, and their parents. The babies must have stayed in a newborn intensive care unit that is part of the Canadian Neonatal Network.

Életkor

2 Months to 30 Months

Nem

All

A betegség stádiuma

Babies born preterm at less than 29 weeks' GA (weeks of pregnancy).

Korábbi kezelés

Must have been admitted to a Neonatal Intensive Care Unit (NICU) in the Canadian Neonatal Network (CNN).

A részvétel fő kizáró okai

• The child died before the first clinic visit.
• A major birth defect or serious chromosome problem that affects development beyond the early birth.
• The child moved outside Canada before the first clinic visit.

A regiszter feltételei, szó szerint

Mit akar kideríteni a vizsgálat

In this research, the investigators are using an implementation science approach to enhance the uptake of a clinical practice guideline for earlier diagnosis of cerebral palsy (i.e. what is being implemented) in neonatal follow-up clinics across Canada. This clinical practice guideline should be part of what neonatal follow-up specialists do in their routine clinical work with children born preterm. However, there is a wide variability in practice. The goal of this project is to harmonize practices in the neonatal follow-up community in agreement with international recommendations for earlier diagnosis of cerebral palsy. This research will measure if clinicians are truly following the clinical practice guideline. If not, implementation strategies that address barriers and leverage on facilitators will be deployed for successful uptake of the clinical practice guideline. This research will also assess whether implementation of the clinical practice guideline is associated with better patient outcomes.

A vizsgálat 2 csoportja

• Intervention aimEgyéb csoport

  To assess the effectiveness of the clinical practice guideline - cerebral palsy detecting early signs of CP at a younger age. More specifically, to reduce the age at detecting early signs of CP from an estimated CA of 11 months (prior to CPG-CP implementation) to 8 months. To determine whether using both the general movement assessment and Hammersmith infant neurological examination is more performant than the HINE alone in identifying early signs of CP. To examine if CPG-CP implementation is associated with better developmental functioning at 18-24 months CA.

  Kezelés: Implementation group

• Implementation aimEgyéb csoport

  Using the RE-AIM framework : To assess REAch of the intervention strategies to the target audience of clinicians in CNFUN programs.To assess Implementation fidelity to the CPG-CP and the implementation strategies. To assess Maintenance of the CPG-CP over time.

  Kezelés: Standard of care