Coached, Coordinated, Enhanced Neonatal Transition (CCENT)

Summary

This study will evaluate a new neonatal follow-up model that offers additional support and coping resources for parents during their child's NICU admission as well as during their transition home. The Coached, Coordinated, Enhanced Neonatal Transition (CCENT) model involves a key worker who will be the primary support for families during the first year of their child's life. The key worker's role involves 1) parental coaching using an Acceptance and Commitment Therapy approach, 2) coordinating care across various levels of care as well as supporting families in system and resource navigation, and 3) provided proactive education targeting normal challenges in caring for a child who required intensive care support. The goal is to improve the psychosocial support and medical care coordination beyond the neonatal intensive care unit as many of the medical and social concerns do not end at the time of discharge. Primary objective is parent stress at 12 months.

Conditions

• Prematurity

Interventions

OTHER

CCENT Intervention

1. Acceptance and Commitment Therapy approach: engaging families through structured individual or group sessions within the NICU and continue this support once discharged. 2. Care coordination: supporting providers in clear communication when liaising across various levels of care as well as supporting families in system and resource navigation. 3. Anticipatory guidance: proactive education targeting normal challenges in caring for a child who required intensive care support.

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre

  collaborator OTHER

• Children's Hospital of Eastern Ontario

  collaborator OTHER

• MOUNT SINAI HOSPITAL

  collaborator OTHER

• The Ottawa Hospital

  collaborator OTHER

• Montreal Children's Hospital of the MUHC

  collaborator OTHER

• Provincial Health Services Authority

  collaborator OTHER

• The Hospital for Sick Children

  lead OTHER

Principal Investigators

• Julia Orkin, MD · The Hospital for Sick Children

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

0 Months

Max Age

4 Months

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-01-31

Primary Completion

2022-03-31

Completion

2022-10-31

Countries

• Canada

Study Locations