Evidence map›Paper›PMID 40410582›Full record

Trial reportPediatric research2026

Efficacy of stochastic vibro-tactile stimulation for newborns at risk of neonatal opioid withdrawal syndrome.

Rachana Singh, Ludovic Trinquart, Benjamin Koethe, Mario Cordova, Lawrence Rhein, Shawana Bibi, Jamie Fey, Ariana Anderson, Jonathan M Davis

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04834297 (Prapela™ SVS), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04834297 nacompletednot on this map

Prapela™ SVS: A Cost-effective Stochastic Vibro-tactile Stimulation Device to Improve the Clinical Course of Infants With Neonatal Opioid Withdrawal Syndrome.

TypeinterventionalSponsorTufts Medical CenterRan2021 to 2025Enrolled120ConditionsNeonatal Opioid Withdrawal SyndromeArmsPrapela SVS mattress
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rachana SinghDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA. rachana.singh1@tuftsmedicine.org.
Ludovic TrinquartTufts Clinical and Translational Sciences Institute, Tufts University, Boston, MA, USA.
Benjamin KoetheTufts Clinical and Translational Sciences Institute, Tufts University, Boston, MA, USA.
Mario CordovaDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.
Lawrence RheinDepartment of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Shawana BibiDepartment of Pediatrics, Cleveland Clinic, Cleveland, OH, USA.
Jamie FeyDepartment of Pediatrics, Maine Medical Center, Portland, ME, USA.
Ariana AndersonDepartment of Psychiatry and Behavioral Sciences, UCLA School of Medicine, Los Angeles, CA, USA.
Jonathan M DavisDepartment of Pediatrics, Tufts University School of Medicine, Boston, MA, USA.

Funding

Prapela™ SVS: A cost-effective stochastic vibrotactile stimulation device toimprove the clinical course of infants with neonatal abstinence syndrome.R44DA049300 · NIDA · PRAPELA, INC. · PI KONSIN, JOHN PHILLIP, SINGH, RACHANA · 2021 to 2023
$2.6M
NIDA NIH HHS R44 DA049300
6 · The paper itself

Abstract

backgroundNeonatal Opioid Withdrawal Syndrome (NOWS) continues to be a major public health burden. Our objective was to assess the efficacy of a stochastic vibro-tactile stimulation (SVS) mattress in reducing initiation of pharmacotherapy in neonates at risk for NOWS.

methodsA multicenter, prospective, non-blinded, randomized clinical trial of neonates born ≥ 35 weeks gestation. Neonates randomized to either SVS mattress or standard crib mattress The outcomes examined were initiation of pharmacotherapy, readiness for discharge, NOWS monitoring scores, cry quality and mattress acceptability surveys.

resultsOf 62 infants enrolled, 4 infants (10.0%) in the SVS group and 4 infants (18.2%) in the standard group were initiated on pharmacotherapy. Infants in SVS group demonstrated early readiness for discharge, with no differences between the two groups for NOWS scoring or cry quality. Overall, 60% of nurses and 80% of parents found the SVS mattress helped calm the neonate.

conclusionAlthough the SVS mattress demonstrated a trend towards lower initiation of pharmacotherapy and earlier readiness for discharge, the results were not statistically significant due to fewer neonates being enrolled than expected. The mattress was highly acceptable to parents and nurses. CLINICAL TRIAL: Registered at ClinicalTrials.gov ID # NCT04834297; https://clinicaltrials.gov/study/NCT04834297 IMPACT: Improving on current non-pharmacologic interventions for the prevention and treatment of Neonatal Opioid Withdrawal Syndrome (NOWS) is critically important. Our study focused on assessing the efficacy of a stochastic vibro-tactile stimulation (SVS) mattress in reducing the use of pharmacotherapy in neonates at risk for NOWS within the first 5 days after birth. In neonates at risk for NOWS, the SVS mattress may reduce the need for pharmacotherapy and improve readiness for discharge while being acceptable to parents and nurses.

Indexed as

Analgesics, OpioidNeonatal Abstinence SyndromeOpioid-Related DisordersTouchVibrationFemaleHumansInfant, NewbornMaleProspective StudiesStochastic ProcessesTreatment OutcomeAnalgesics, Opioid

Identifiers

PMID40410582
PMCPMC13134440

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.