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CTRI Number  CTRI/2025/11/097095 [Registered on: 07/11/2025] Trial Registered Prospectively
Last Modified On: 28/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Testing Practicality and Acceptance of Early Stimulation Activities for Preterm Babies in Neonatal Intensive Care Units in Tamil Nadu 
Scientific Title of Study   Multimodal Early Stimulation for Preterm Infants Admitted in Neonatal Intensive Care Unit: A Pilot Feasibility Non-Randomized Trial In Tamil Nadu Context 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vadivelan Kanniappan  
Designation  Professor 
Affiliation  SRM College of Physiotherapy, SRM Institute of Science and Technology 
Address  Room No.PT 16 SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu
Kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  09841298555  
Fax    
Email  vadivelk@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vadivelan Kanniappan  
Designation  Professor 
Affiliation  SRM College of Physiotherapy, SRM Institute of Science and Technology 
Address  Room No.PT 16 SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu
Kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  09841298555  
Fax    
Email  vadivelk@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Vadivelan Kanniappan  
Designation  Professor 
Affiliation  SRM College of Physiotherapy, SRM Institute of Science and Technology 
Address  Room No.PT 16 SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu
Kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  09841298555  
Fax    
Email  vadivelk@srmist.edu.in  
 
Source of Monetary or Material Support  
SRM College of Physiotherapy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu. 
 
Primary Sponsor  
Name  SRM Institute of Science and Technology 
Address  Kattankulathur, Chengalpattu, Tamil Nadu - 60302, India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr K Vadivelan  SRM Medical College Hospital and Research Centre  Neonatal Intensive Care Unit, SRM Medical College Hospital andResearch Centre, SRM Institute of Science and Technology,Kattankulathur, Chengalpattu
Kancheepuram
TAMIL NADU 
09841298555

vadivelk@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P073||Preterm [premature] newborn [other],  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Kangaroo Mother Care  Kangaroo Mother Care in NICU 
Intervention  Multimodal Early Stimulation Program  Includes a parent delivered gestational week specific multimodal; early stimulation program, that will be designed by triangulated the existing evidence and the practice patterns of therapists in NICU, which will further be content validated for safety and feasibility by a panel of experts in neonatal care  
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  90.00 Day(s)
Gender  Both 
Details  Preterm infants born between the gestational age of 26 weeks and 35 weeks
APGAR score greater than 7 at birth
Haemodynamically stable preterm infants 
 
ExclusionCriteria 
Details  Congenital anomalies
Invasive ventilation
Parents not willing to participate in the study
Retinopathy of prematurity
Bone fracture
Intraventricular haemorrhage 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary Feasibility Outcomes:
• Recruitment and retention rates:
• Descriptive statistics, which include percentages, means, and medians will be applied to summarize recruitment rates, participant retention, and attrition.
• Therapy fidelity:
Calculate adherence rates to the intervention protocol and assess deviations using proportions and confidence intervals. 
The test for feasibility will be assessed at the time of admission, every week after that, till the point of discharge.
Retention rates will be assessed at the time of discharge
Recruitment rate will be assessed at the time of admission 
 
Secondary Outcome  
Outcome  TimePoints 
Neurodevelopmental Outcomes:
Analyze Premie-Neuro Scale scores for pre- and post-intervention data.
• Feeding Skills:
Apply the Early Feeding Skill Scale.
• Respiratory Status:
Silverman Anderson Scores for changes 
At the time of admission and at the time of discharge 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   10/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study will evaluate the feasibility of applying a gestational week-specific comprehensive early stimulation protocol in settings, especially in low and middle-income countries with motherr a the primary care provider and it will also evaluate the efficacy of the developed protocol in improving neurodevelopmental outcomes. 
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