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Hwu LJ, Tzeng YL, Teng YK, Liu SJ. Effects of massage intervention on discharged premature infants' weight, parental stress, and parent-child attachment: A randomized controlled trial. Infant Behav Dev 2023; 72:101867. [PMID: 37515904 DOI: 10.1016/j.infbeh.2023.101867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 07/08/2023] [Accepted: 07/22/2023] [Indexed: 07/31/2023]
Abstract
Infant massage enhances the growth and development of premature infants and promotes parent-child bonding. However, its effects on parental stress and parent-child attachment in premature infants, as well as gender differences thereof, remain unclear. In this randomized controlled trial, we used a repeated-measures design and included 61 premature infants (mean gestational age: 35.1 ± 1.5 weeks). Weight, parental stress, and parent-child attachment were measured at multiple time points: before massage and 1, 4, 8, and 12 weeks after commencing infant massage. The results revealed that the massage group infants had significantly higher weight gain than the control (no massage) group infants at all four time points. Moreover, parents in the massage group reported notably lower levels of stress than those in the control group, particularly in the parental distress and difficult children subscales. No significant between-group differences were observed in parent-child attachment. Furthermore, no significant differences were observed between fathers and mothers in parental stress and parent-child attachment. However, fathers reported higher levels of distress than mothers at 4 and 12 weeks. In conclusion, infant massage led to increased infant weight and reduced parental stress over time, and differences between fathers and mothers were not significant, except fathers exhibiting higher levels of distress than mothers over time. Healthcare professionals should educate and support parents on infant massage before discharge of premature infants.
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Affiliation(s)
- Lien-Jen Hwu
- School of Nursing, Chung Shan Medical University, Taichung City 402306, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung City 402306, Taiwan
| | - Ya-Ling Tzeng
- School of Nursing, China Medical University, Taichung City 406040, Taiwan; Department of Nursing, China Medical University Hospital, Taichung City 406040, Taiwan.
| | - Yu-Kuei Teng
- School of Nursing, China Medical University, Taichung City 406040, Taiwan
| | - Shu-Juan Liu
- School of Nursing, Chung Shan Medical University, Taichung City 402306, Taiwan; Department of Nursing, Chung Shan Medical University Hospital, Taichung City 402306, Taiwan
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Windhorst DA, Klein Velderman M, van der Pal S, de Weerth C. The effects and process of the intervention "Individual Shantala Infant Massage" in preventive child healthcare to improve parent-child interaction: study protocol for a quasi-experimental study. BMC Complement Med Ther 2023; 23:231. [PMID: 37434181 DOI: 10.1186/s12906-023-04039-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 06/14/2023] [Indexed: 07/13/2023] Open
Abstract
BACKGROUND Individual Shantala Infant Massage is an intervention that is offered by several Dutch Preventive Child Healthcare (PCH) organizations as optional preventive support, in addition to basic care as offered to all children. It targets vulnerable families and aims to enhance sensitive parenting and to reduce (effects of) parental stress. The intervention is carried out by a certified nurse. It consists of three structured home visits. Parents learn to massage their infant and receive parenting support. This study aims to investigate the effectiveness and the process of the intervention. The main hypothesis is that Individual Shantala Infant Massage leads to increased parental sensitive responsiveness, lower perceived and physiological parental stress, and improved child growth and development in the intervention group, compared to a control group where this intervention is not offered by PCH. Secondary research questions address effects on parenting confidence and parental concerns regarding the infant, the influence of background characteristics and the intervention process. METHODS The study is a quasi-experimental non-randomized trial. The aim is to include 150 infant-parent dyads in both the intervention and the control group. This takes into account possible attrition and missing data as 105 dyads with complete data per group are sufficient for analysis. All participants complete questionnaires at T0 (pre-test, child age between six-sixteen weeks), T1 (post-intervention, or ± four weeks after T0), and T2 (follow-up at five months). At T2, a hair tuft is cut from the parents' head to measure hair cortisol levels. Data on infant growth and development is obtained from PCH files. In the intervention group, additional data is collected to evaluate the intervention process: parents complete an evaluation questionnaire at T1, nurses keep semi-structured logbooks of intervention sessions and interviews are conducted with parents and professionals. DISCUSSION Study results can contribute to the evidence base of infant massage as applied in Dutch PCH, and can inform parents, PCH practitioners, policy makers and researchers both inside and outside the Netherlands on feasibility and effectiveness of the infant massage intervention as applied in this format and setting. TRIAL REGISTRATION ISRCTN registry: ISRCTN16929184. Date (retrospectively) registered: 29/03/2022.
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Affiliation(s)
- Dafna A Windhorst
- Department of Child Health, Netherlands Organization for Applied Scientific Research TNO, Leiden, the Netherlands.
- Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.
| | - Mariska Klein Velderman
- Department of Child Health, Netherlands Organization for Applied Scientific Research TNO, Leiden, the Netherlands
| | - Sylvia van der Pal
- Department of Child Health, Netherlands Organization for Applied Scientific Research TNO, Leiden, the Netherlands
| | - Carolina de Weerth
- Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
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Rezaei R, Sharifnia H, Nazari R, Saatsaz S. The efficacy of massage as a nightly bedtime routine on infant sleep condition and mother sleep quality: A randomized controlled trial. J Neonatal Perinatal Med 2023:NPM210964. [PMID: 37248915 DOI: 10.3233/npm-210964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND AND PURPOSE Infants' sleep disorders and parents' insufficient sleep are common problems in the infant care. The current study was conducted to assess the effectiveness of infant massage on infants' night-time sleep condition and mothers' sleep quality. PROCEDURES 140 infants were randomly put into two different groups, experimental group with fifteen-minute bedtime messages for two weeks and the control group with normal infant routine care. The Brief Infant Sleep Questionnaire, a personal information submission form, and Pittsburgh Sleep Quality Index for the mothers were the tools used to gather data in this study. RESULTS Infants in experimental group showed meaningful differences in variables such as, sleep latency (P < 0001, eta = 0.099), number of night waking (P = 0.03, eta = 0.027) and longest continuous sleep period (P = 0.03, eta = 0.026). As for other variables no meaningful differences were observed. There wasn't meaningful difference in the mother's overall night-time sleep quality between the two groups (P = 0.184, eta = 0.012) except for the duration of the mother's night-time sleep (P = 0.028, eta = 0.026) and the reduction of maternal sleep disorder (P = 0.020 eta = 0.029). CONCLUSION The findings indicated that infants' bedtime massages would improve some of the sleep markers of mothers and infants, and therefore, can be suggested as a practical, harmless, and cost-free method to improve sleep.
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Affiliation(s)
- R Rezaei
- Faculty of Nursing and Midwifery Department of Mazandaran University of Medical Sciences, Sari, Iran
| | - H Sharifnia
- Faculty of Nursing and Midwifery Department of Mazandaran University of Medical Sciences, Sari, Iran
| | - R Nazari
- Faculty of Nursing and Midwifery Department of Mazandaran University of Medical Sciences, Sari, Iran
| | - S Saatsaz
- Faculty of Nursing and Midwifery Department of Mazandaran University of Medical Sciences, Sari, Iran
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McCarty DB, Willett S, Kimmel M, Dusing SC. Benefits of maternally-administered infant massage for mothers of hospitalized preterm infants: a scoping review. Matern Health Neonatol Perinatol 2023; 9:6. [PMID: 37131260 PMCID: PMC10155384 DOI: 10.1186/s40748-023-00151-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 04/07/2023] [Indexed: 05/04/2023] Open
Abstract
OBJECTIVES Infant massage (IM) is a well-studied, safe intervention known to benefit infants born preterm. Less is known about the benefits of maternally-administrated infant massage for mothers of preterm infants who often experience increased rates of anxiety and depression in their infants' first year of life. This scoping review summarizes the extent, nature, and type of evidence linking IM and parent-centered outcomes. METHODS The Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for scoping reviews (PRISMA-ScR) protocol was followed using three databases: PubMed, Embase, and CINAHL. Thirteen manuscripts evaluating 11 separate study cohorts met pre-specified inclusion criteria. RESULTS Six primary topics related to the influence of infant massage on parent outcomes emerged: 1) anxiety, 2) perceived stress, 3) depressive symptoms, 4) maternal-infant interaction, 5) maternal satisfaction, and 6) maternal competence. Emerging evidence supports that infant massage, when administered by mothers, benefits mothers of preterm infants by reducing anxiety, stress, and depressive symptoms and improving maternal-infant interactions in the short-term, but there is limited evidence to support its effectiveness on these outcomes in longer periods of follow-up. Based on effect size calculations in small study cohorts, maternally-administered IM may have a moderate to large effect size on maternal perceived stress and depressive symptoms. CONCLUSIONS Maternally-administered IM may benefit mothers of preterm infants by reducing anxiety, stress, depressive symptoms, and by improving maternal-infant interactions in the short-term. Additional research with larger cohorts and robust design is needed to understand the potential relationship between IM and parental outcomes.
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Affiliation(s)
- Dana B McCarty
- Department of Health Sciences, University of North Carolina at Chapel Hill, 3024 Bondurant Hall, CB#7135, Chapel Hill, NC, 27599-7135, USA.
| | - Sandra Willett
- Department of Physical Therapy, Munroe-Meyer Institute, University of Nebraska Medical Center, Omaha, USA
| | - Mary Kimmel
- Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, USA
| | - Stacey C Dusing
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, USA
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Pinero‐Pinto E, Romero‐Galisteo RP, Jiménez‐Rejano J, Escobio‐Prieto I, Peña‐Salinas M, Luque‐Moreno C, Palomo‐Carrión R. A pilot randomised controlled trial on the effectiveness of infant massage on the acceptance, commitment and awareness of influence in parents of babies with Down syndrome. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2023; 67:35-48. [PMID: 36253339 PMCID: PMC10091933 DOI: 10.1111/jir.12983] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 09/13/2022] [Accepted: 09/14/2022] [Indexed: 06/01/2023]
Abstract
BACKGROUND The emotional state of parents of babies with Down syndrome affects their babies' development and their parent-child bonding. The aim for this study was to conduct a pilot randomised controlled evaluation of the effect of infant massage on parents of babies with Down syndrome. METHODS This pilot study compared two groups (intervention and control), each with 16 parents of babies with Down syndrome. Indices of acceptance, engagement and awareness of influence were measured at two different time points (pre-test and after 5 weeks) using the 'This Is My Baby' Interview. The allocation of families to each group was randomised. The experimental group performed infant massage, applied by the parents, for 5 weeks, every day for at least 10 min. The massage protocol was based on the methodology created by Vimala McClure. Parents in the control group received the intervention after completion of the study. RESULTS The indices of acceptance, commitment and awareness of influence improved in the experimental group and in the control group. The 2 × 2 mixed-model analysis of variance indicates a statistically significant group-by-time interaction for all indices (P < 0.001), which was significantly higher in the experimental group than in the control group. CONCLUSIONS The application of infant massage, by parents to their babies, improves the rates of acceptance, commitment and awareness of influence of parents of babies with Down syndrome in the short term.
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Affiliation(s)
- E. Pinero‐Pinto
- Physiotherapy Department, Faculty of Nursing, Physiotherapy and PodiatryUniversity of SevilleSevilleSpain
| | - R. P. Romero‐Galisteo
- Physiotherapy Department, Faculty of Health SciencesUniversity of MálagaMálagaSpain
- Institute of Biomedicine of Málaga (IBIMA)MálagaSpain
| | - J.‐J. Jiménez‐Rejano
- Physiotherapy Department, Faculty of Nursing, Physiotherapy and PodiatryUniversity of SevilleSevilleSpain
| | - I. Escobio‐Prieto
- Physiotherapy Department, Faculty of Nursing, Physiotherapy and PodiatryUniversity of SevilleSevilleSpain
| | - M. Peña‐Salinas
- Physiotherapy Department, Faculty of Nursing, Physiotherapy and PodiatryUniversity of SevilleSevilleSpain
| | - C. Luque‐Moreno
- Physiotherapy Department, Faculty of Nursing, Physiotherapy and PodiatryUniversity of SevilleSevilleSpain
| | - R. Palomo‐Carrión
- Nursing, Physiotherapy and Occupational Therapy Department, Faculty of Physiotherapy and NursingUniversity of Castilla‐La ManchaToledoSpain
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This Is My Baby Interview: An Adaptation to the Spanish Language and Culture. CHILDREN 2022; 9:children9020235. [PMID: 35204955 PMCID: PMC8869909 DOI: 10.3390/children9020235] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 02/07/2022] [Accepted: 02/09/2022] [Indexed: 12/18/2022]
Abstract
Evaluating the emotional state of parents is important for determining the intervention in the context of a family with a baby with Down syndrome. “This is my baby” is an interview that measures the acceptance, commitment and awareness of influence of parents towards their baby. The Spanish adaptation of this instrument helps to better understand the emotional state of parents of children with developmental disorders. A cross-cultural adaptation and reliability analysis was carried out. The results suggest that the Spanish version of the This Is My Baby interview is a reliable instrument to measure the levels of acceptance, commitment and awareness of influence of parents of an infant with Down syndrome.
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Harun A, Salmah AU, Hidayanty H, Suriah S, Syafar M, Hadju V, Abdullah MT. Mother’s Ability to Massage her Baby with Technical Guidance from Medical Personnel: A Systematic Review. Open Access Maced J Med Sci 2021. [DOI: 10.3889/oamjms.2021.7650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Baby spa is useful for baby’s growth and development. The previous research has shown that when the baby is massaged by the mother, a bond is formed between the mother and the baby compared to other people who do the massage. However, in its implementation, baby spas are often carried out by health workers.
AIM: The purpose of this research is to determine the mother’s ability to do baby massage with the guidance of medical personnel.
METHODS: This method of writing systematic reviews refers to the Preferred Reporting Items for Systematic Reviews guidelines. Articles were searched in several databases ; ScienceDirect, EBSCO, PubMed, Scinapse, Google Scholar from 2011-2021. The search strategy uses the keywords Infant OR Infant Preterm OR Very Low Birth Weight infants AND Massage OR Oil Massage AND Attachment AND Growth.
RESULTS: The results show the chances of success of mothers doing baby massage with the help of medical personnel, the baby massage learning media used were baby phantoms, brochures, pamphlets, and baby massage videos, and the frequency of massage for 10–15 min each time the massage. The results obtained after the mother did the baby massage were the increase in body weight, body length, arm circumference of the baby, better bonding between mother and baby, improvement in mother’s mood, and increase in mother’s positive attitude in caring for the baby.
CONCLUSION: This study proves that the role of medical personnel in training baby massage to mothers is proven to be effective in increasing the ability of mothers to do baby massage.
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Etowa J, Babatunde S, Hannan J, Etowa EB, Mkandawire P, Loemba H, Phillips JC. Motherhood among Black women living with HIV: A "north-south" comparison of sociocultural and psychological factors. Health Care Women Int 2021; 42:304-322. [PMID: 33600277 DOI: 10.1080/07399332.2020.1867858] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
We compared factors mediating motherhood experiences among Black nursing mothers living with HIV in two North American cities to one African city. Motherhood was measured with the Being a Mother Scale, and we compared their predictors between the two continents using difference in difference estimation within hierarchical linear modeling. Cultural beliefs congruent with infant feeding guidelines and social support had significant positive but differing effects on motherhood in the two continents. Perceived stress had significant negative impact on motherhood in the two continents. Due considerations to sociocultural contexts in policy development, HIV interventions and education of health care providers were recommended.
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Affiliation(s)
- Josephine Etowa
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
| | - Seye Babatunde
- Centre for Health and Development, College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria
| | - Jean Hannan
- Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, Florida, USA
| | - Egbe B Etowa
- Department of Sociology, Anthropology and Criminology, University of Windsor, Windsor, Ontario, Canada
| | - Paul Mkandawire
- Institute of Interdisciplinary Studies, Carleton University, Ottawa, Ontario, Canada
| | | | - J Craig Phillips
- School of Nursing, University of Ottawa, Ottawa, Ontario, Canada
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Pados BF, McGlothen-Bell K. Benefits of Infant Massage for Infants and Parents in the NICU. Nurs Womens Health 2019; 23:265-271. [PMID: 31059673 DOI: 10.1016/j.nwh.2019.03.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 01/07/2019] [Accepted: 03/01/2019] [Indexed: 05/20/2023]
Abstract
Infant massage is an ancient therapeutic technique used around the world. For infants who experience painful procedures, are exposed to the stressful NICU environment, and are separated from their parents, infant massage has been promoted as a method to reduce stress and promote bonding. In this article, we review the current literature on infant massage in the NICU. There is evidence that infant massage has beneficial effects on preterm infants in the NICU, including shorter length of stay; reduced pain; and improved weight gain, feeding tolerance, and neurodevelopment. Parents who performed massage with their infants in the NICU reported experiencing less stress, anxiety, and depression. Neonatal nurses can obtain education and certification in infant massage and can teach parents infant massage techniques, thereby promoting the health and well-being of parent-infant dyads.
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