- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04908332
Effect of Kangaroo Baby Massage on Mother-infant Interaction at Home (KBM)
Effect of a Nursing Intervention on the Mother-baby Kangaroo Interaction at Home in Bogotá
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Participants and methods: 68 dyads mother-infant will randomize, 34 in intervention KBM group and 34 in control group KP, previous they meet inclusion criteria and accept their participation through informed consent. weight gain and Kangaroo position days at home will be the primaries outcomes. The Alert states, Types of BC feeding, Perceived maternal parental self-efficacy and Postnatal depression. Will be secondary outcomes.
Barnard's mother-child interaction theory supports the study
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Bogotá, Colombia, 111321
- Programa canguro ambulatorio
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- Prematures and low birth weight infants in Kangaroo position with a chronological age less than 3 months
- The mothers take care the infant at home
- Baby with a weight equal to or greater than 1800 grams at the time of entry to the study.
- Baby whose birth was institutional or extra-institutional.
- Mothers with training in the Kangaroo Mother Program
- Children controlled in the Ambulatory Kangaroo Mother Program
Exclusion Criteria
- Children diagnosed with intraventricular hemorrhages grade III and IV or congenital malformations
- Children who have more than one ambulatory kangaroo control
- Children who have been at home for more than 3 days without starting the ambulatory kangaroo control
- Babies with infections and other pathologies that require hospitalization during the study
- Presence of infectious diseases and other pathologies in the mother that require hospitalization
- Mother confirmed with positive test for covid 19 at the moment of the randomization
- Mothers with cognitive problems or mental disorders.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: Kangaroo baby Massage
The mother will apply the massage.
The baby kangaroo will be exposed to the KBM for 10 minutes once a day during the time that the infant need to stay in kangaroo position at home.
If the baby wakes up and wants to eat the KBM will be interrupted immediately and the baby will be fed, The temperature will be measured before and after the intervention.
The massage will begin 60 minutes after the feed.
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The Kangaroo Baby Massage is an intervention that arose from nursing practice in 1996.
It is a therapy that does not require an incubator, fuses massage, kangaroo position and music.
KBM is available on video
Other Names:
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Active Comparator: Kangaroo position
The infant must be in Kangaroo position with the mother semi sitting on bed with elevation of at least 30 degrees during 10 minutes every day until the infant doesn´t need to stay in kangaroo position at home.The temperature will be measured 60 minutes after the feed and 10 minutes after KP.
If the baby wakes up and wants to eat the KP will be interrupted immediately and the baby will be fed, then the KP will be completed of time ( 10 minutes) to measure the temperature.
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The Kangaroo Baby Massage is an intervention that arose from nursing practice in 1996.
It is a therapy that does not require an incubator, fuses massage, kangaroo position and music.
KBM is available on video
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
weight
Time Frame: Through study completion, an average of 20 days
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Weight gain after randomization up to infant doesn´t need to stay in kangaroo position at home.
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Through study completion, an average of 20 days
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Kangaroo position days at home
Time Frame: Through study completion, an average of 20 days
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Number days that the infant needs to stay in kangaroo position at home
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Through study completion, an average of 20 days
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Alert states
Time Frame: Through study completion, an average of 20 days
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The mother will observe and record YES OR NO the baby woke up during the intervention
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Through study completion, an average of 20 days
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Types of feeding
Time Frame: Through study completion, an average of 20 days
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The mother will report whether or not the baby fed during the intervention and will identify the type of feeding (exclusive breast milk, formula or mixed)
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Through study completion, an average of 20 days
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Perceived maternal parental self-efficacy
Time Frame: Given by a self-report provided by the mother of the perceived maternal parental self-efficacy questionnaire on day 1 before randomization and day 7 and 14 after randomization
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The questionnaire contains 20 items with a Likert scale (1.
Totally disagree, 2. disagree, 3. agree and 4. totally agree) the minimum value is 20 and the maximum is 80 and the higher scores means a better outcome.
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Given by a self-report provided by the mother of the perceived maternal parental self-efficacy questionnaire on day 1 before randomization and day 7 and 14 after randomization
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Postnatal depression
Time Frame: Given by a self-report provided by the mother of the Edinburgh Postnatal Depression Scale on day 1 before randomization and day 7 and 14 after randomization
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. This scale contains 10 points of 0, 1, 2 and 3 are given according to the increase in the severity of the symptom.
The points for questions 3, 5, 6, 7, 8, 9, 10 are scored in reverse order (3, 2, 1, 0).
All points are added together to give the total score.
A score of 10+ means worse outcome and shows the probability of depression
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Given by a self-report provided by the mother of the Edinburgh Postnatal Depression Scale on day 1 before randomization and day 7 and 14 after randomization
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Lucy Vesga Gualdron, Professor, Universidad Nacional de Colombia
- Study Director: Fred Manrique Abril, Professor, Universidad Nacional de Colombia
- Principal Investigator: Nubia Castiblanco Lopez, PhD student, Universidad Nacional de Colombia
Publications and helpful links
General Publications
- Chan GJ, Labar AS, Wall S, Atun R. Kangaroo mother care: a systematic review of barriers and enablers. Bull World Health Organ. 2016 Feb 1;94(2):130-141J. doi: 10.2471/BLT.15.157818. Epub 2015 Dec 3.
- Premji SS, Currie G, Reilly S, Dosani A, Oliver LM, Lodha AK, Young M. A qualitative study: Mothers of late preterm infants relate their experiences of community-based care. PLoS One. 2017 Mar 23;12(3):e0174419. doi: 10.1371/journal.pone.0174419. eCollection 2017.
- Rangey PS, Sheth M. Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants. Int J Pediatr. 2014;2014:434060. doi: 10.1155/2014/434060. Epub 2014 May 25.
- Holditch-Davis D, White-Traut R, Levy J, Williams KL, Ryan D, Vonderheid S. Maternal satisfaction with administering infant interventions in the neonatal intensive care unit. J Obstet Gynecol Neonatal Nurs. 2013 Nov-Dec;42(6):641-54. doi: 10.1111/1552-6909.12255.
- Pados BF, McGlothen-Bell K. Benefits of Infant Massage for Infants and Parents in the NICU. Nurs Womens Health. 2019 Jun;23(3):265-271. doi: 10.1016/j.nwh.2019.03.004. Epub 2019 May 3.
- Vargas-Porras C, Roa-Diaz ZM, Barnes C, Adamson-Macedo EN, Ferre-Grau C, De Molina-Fernandez MI. Psychometric Properties of the Spanish Version of the Perceived Maternal Parenting Self-efficacy (PMP S-E) Tool for Primiparous Women. Matern Child Health J. 2020 May;24(5):537-545. doi: 10.1007/s10995-019-02860-y.
- Stuebe A. Should Infants Be Separated from Mothers with COVID-19? First, Do No Harm. Breastfeed Med. 2020 May;15(5):351-352. doi: 10.1089/bfm.2020.29153.ams. Epub 2020 Apr 9. No abstract available.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- UNColombia KBM
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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