School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China.
School of Nursing, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
BMC Complement Med Ther. 2024 Sep 28;24(1):342. doi: 10.1186/s12906-024-04636-6.
To investigate the effectiveness and the experience of infant abdominal massage on reducing the parental stress level.
A clustered RCT was conducted, 160 parents were recruited from 10 mother groups. An infant abdominal massage class was given to those in the intervention group by a certified International Association of Infant Massage instructor. The Chinese Parenting Stress Index (PSI-SF) was used to measure parental stress levels at baseline and 4 weeks after the intervention. 8 parents from the intervention group were invited for an online interview to understand the experience of parents in participating the infant abdominal massage class. Thematic analysis was applied.
The parental stress level was significantly decreased among intervention group with a mean difference of -5.46 (95% CI = 0.72 to 10.2, p = .049). ITT analysis was adopted for compliance analysis. The overall compliance for the intervention was 66% and found to have a significant effect on parental stress level (p < .01). The total PSI-SF among fathers was slightly higher than that among mothers. Furthermore, no moderating factors were found to have a significant interaction effect on PSI-SF (p < .05).For qualitative data, an overarching theme was generated that infant abdominal massage brought a positive experience despite the uncertainties affecting the compliance. Four themes and nine sub-themes were identified. Which were: (1) receiving clear and informative infant abdominal massage classes; (2) The influence of uncertain conditions on compliance; (3) Improving parental satisfaction; and (4) feeling it was a worthwhile experience.
This study provides a cost-effective method for parents to tackle their parental stress, the findings aid in the planning or adjustment of current postpartum depression screening while also helping to lower the risk of postpartum mood disorders.
Clinical Trial Number (NCT05650424 || http://clinicaltrials.gov/study/NCT05650424 ), registered on December 1, 2022. and HKU Clinical Trails Registry (HKUCTR3008), registered on November 3, 2022.
研究婴儿腹部按摩对降低父母压力水平的效果和经验。
采用整群随机对照试验，从 10 个母婴群体中招募了 160 名父母。对干预组的父母进行了由国际婴儿按摩协会认证的婴儿腹部按摩课程。采用中文版父母压力指数（PSI-SF）在干预前和干预后 4 周测量父母压力水平。邀请干预组的 8 位家长进行在线访谈，了解家长参加婴儿腹部按摩课程的体验。采用主题分析法进行分析。
干预组父母的压力水平显著降低，平均差异为-5.46（95%置信区间=0.72 至 10.2，p=0.049）。采用意向治疗分析进行依从性分析。干预的总体依从率为 66%，对父母压力水平有显著影响（p<0.01）。父亲的总体 PSI-SF 略高于母亲。此外，未发现调节因素对 PSI-SF 有显著的交互作用（p<0.05）。对于定性数据，生成了一个总体主题，即婴儿腹部按摩带来了积极的体验，尽管存在影响依从性的不确定性。确定了四个主题和九个子主题：（1）接受清晰和信息丰富的婴儿腹部按摩课程；（2）不确定条件对依从性的影响；（3）提高父母满意度；（4）感觉这是一次值得的体验。
本研究为父母应对父母压力提供了一种具有成本效益的方法，研究结果有助于规划或调整当前产后抑郁筛查，同时有助于降低产后情绪障碍的风险。
临床试验编号（NCT05650424 || http://clinicaltrials.gov/study/NCT05650424 ），于 2022 年 12 月 1 日注册；香港大学临床试验注册处（HKUCTR3008），于 2022 年 11 月 3 日注册。
