About this trial
This study is designed to compare the effects of four relaxation interventions on both physiological and psychological outcomes in lactating mothers of preterm infants. The interventions being tested include:
* Guided Imagery Meditation (GIM) * Religious Recitation (RR) * Infant Video with Music * Distraction with News and Media * A Control session
The primary objectives of the study are to evaluate and compare how these different relaxation techniques influence the physiological and psychological well-being of mothers and identify which intervention is most effective for lactating mothers who deliver prematurely.
The main research questions are:
1. How do different interventions (GIM, RR, Infant Video with Music, Distraction with Media, and Control) affect physiological and psychological outcomes when measured within the same participants? 2. Are there significant differences in physiological and psychological outcomes when participants are exposed to different interventions (GIM, RR, Infant Video with Music, Distraction with Media, and Control) within the same group? 3. Among the interventions, which one demonstrates the most beneficial effects on physiological and psychological outcomes within the same participants?
Study Design:
Each participant will be exposed to five different sessions (one for each intervention), with a gap of 1-2 days between sessions. The interventions will be administered as follows:
* Guided Imagery Meditation (GIM) * Religious Recitation (RR) * Infant Video with Music * Distraction with News and Media * A Control session
Expected Outcomes:
This study will assess the following physiological and psychological outcomes:
Physiological changes:
* Heart Rate (HR) * Systolic Blood Pressure (SBP) * Diastolic Blood Pressure (DBP) * Fingertip Temperature (FT) * Breast milk cortisol concentration
Psychological changes:
•. Perceived Relaxation
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Malaysian women of reproductive age (18-49 years)
Muslim
Non-smoker
Understand English or Malay
Disqualifiers
Taking psychiatric medication and being diagnosed with mental illness.
Mothers are on medication that contradicts breastfeeding (eg: under medication HIV/AIDS)
Plan to formula feed or mix feeding their infants.
Mothers of infants with illness that could affect breastfeeding and growth (respiratory issues, gastrointestinal issues, feeding difficulties, neurological disorder, etc)
Trial design
Crossover
Treatments tested in this trial
Guided Imagery Meditation
BehavioralAudio meditation by Sheri Menelli, for 10-14minutes
Religious Recitation
Behaviorallisten to Surah Ar-Rahman for 14 minutes
Infant Video with Music
Behavioral10 minutes of slides show of infant's image and video
Distraction with News and Media
Behavioral10 minutes of phone use
Control
BehavioralAll participants will ask to sit for 10minutes . Minimum distraction will be applied such as minimal or no chatting.
Treatment groups
Trial outcomes
Primary outcomes
Heart Rate (BPM)
Pre- and post-measurement of heart rate in beats per minute (BPM).
Systolic Blood Pressure (SBP)
Pre- and post-measurement of systolic blood pressure in millimeters of mercury (mmHg).
Diastolic Blood Pressure (DBP)
Pre- and post- measurement of diastolic blood pressure in millimeters of mercury (mmHg).
Fingertip Temperature (FT)
Pre- and post-measurement of fingertip temperature in degrees Celsius (°C).
Secondary outcomes
Fat
Pre- and post- measurement of milk fat content in grams per 100 milliliters (g/100 mL)
Carbohydrate
Pre- and post- measurement of milk carbohydrate content in grams per 100 milliliters (g/100 mL).
Total energy
Pre- and post-measurement of total energy content in kilocalories per 100 milliliters (kcal/100 mL)
Sponsors and contacts
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Universiti Putra Malaysia
Lead sponsor
European Society of Pediatric Gastroenterology, Hepatology and Nutrition
Collaborator