The Experts below are selected from a list of 1200 Experts worldwide ranked by ideXlab platform
Angela Underdown - One of the best experts on this subject based on the ideXlab platform.
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A REALIST EVALUATION OF THE PROCESSES AND OUTCOMES OF Infant Massage PROGRAMS
Infant Mental Health Journal, 2013Co-Authors: Angela Underdown, Rhonda Norwood, Jane BarlowAbstract:The sensitivity of early interactions conveyed through eye contact, voice tone, facial expression, and gentle touch plays a crucial role in healthy development. Recognition of the importance of parent–Infant interaction for later attachment has underpinned the search for innovative ways of promoting sensitive parent–Infant interaction. One such early intervention is Infant Massage, but a recent review found no evidence of its effectiveness in population samples. This points to the need to identify which parent–Infant dyads are potentially able to benefit from such an intervention. This study aimed to identify the contextual factors and program mechanisms that were associated with different outcomes for a group of mother–Infant dyads who attended Infant Massage programs. A Realist mixed-methods research design was used to identify the context, mechanism, and outcome (CMO) patterns across a sample of 39 mother–Infant dyads attending Infant Massage programs. A range of quantitative measures (Working Model of the Child Interview, Edinburgh Postnatal Depression Scale, and video recordings of mother–Infant interaction coded with the CARE-Index) were administered pre- and post-intervention, alongside qualitative observations and interviews with a range of stakeholders. Three key CMO patterns were identified. Women categorized as “low” risk on the whole showed no change in parent–Infant interaction (i.e., because they were already in the adequate range) and limited change in levels of depression, irrespective of the quality of the program attended. Mothers who were categorized as being at “moderate” risk (i.e., they had one to two risk factors over and above their demographic risk) appeared to require “good” quality programs (seven or more program mechanisms) for change to occur. Mothers categorized as being at “high risk” showed no benefits irrespective of the quality of the program, and there was evidence of unresponsive mothers becoming more intrusive. These findings suggest that Infant Massage programs should be targeted at parents experiencing moderate problems in terms of parent–Infant interaction, and that primary care professionals working in a range of settings need the skills to identify such compromised parenting to do this. High-risk mothers appear unlikely to benefit from Infant Massage alone. Rigorous randomized controlled trial (RCT) evidence is needed to test the hypotheses raised by this study.
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Interventions to support early relationships: mechanisms identified within Infant Massage programmes
2011Co-Authors: Angela Underdown, Jane BarlowAbstract:The sensitivity of early interactions conveyed through eye contact, voice tone, facial expression and gentle touch plays a crucial role in healthy Infant development. Infant Massage has been adopted as an early intervention because touch offers a unique opportunity to support early interaction. This evaluation used a mixed-methods research design and a range of quantitative and qualitative data to identify the context, mechanisms and outcomes of eight Infant Massage programmes being delivered in socio-economically deprived communities. This paper reports the findings with regard to the mechanisms that were identified to be necessary for the successful delivery of Infant Massage programmes. From these findings, 14 mechanisms were identified as important in influencing the uptake and success of Infant Massage programmes, but there was considerable variability in the extent to which these were realised across programmes. Women and Infants with a high level of need were offered Infant Massage programmes that were lacking in terms of the key mechanisms identified to bring about change.
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Interventions to support early relationships: mechanisms identified within Infant Massage programmes PROFESSIONAL AND RESEARCH: PEER REVIEWED
2011Co-Authors: Angela UnderdownAbstract:The sensitivity of early interactions conveyed through eye contact, voice tone, facial expres- sion and gentle touch plays a crucial role in healthy Infant development. Infant Massage has been adopted as an early intervention because touch offers a unique opportunity to support early interaction. This evaluation used a mixed-methods research design and a range of quantitative and qualitative data to identify the context, mechanisms and outcomes of eight Infant Massage programmes being delivered in socio-economically deprived communities. This paper reports the findings with regard to the mechanisms that were identified to be necessary for the successful delivery of Infant Massage programmes. From these findings, 14 mechanisms were identi- fied as important in influencing the uptake and success of Infant Massage programmes, but there was considerable variability in the extent to which these were realised across programmes. Women and Infants with a high level of need were offered Infant Massage programmes that were lacking in terms of the key mechanisms identified to bring about change.
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The Cochrane Library - Massage intervention for promoting mental and physical health in Infants aged under six months
The Cochrane database of systematic reviews, 2006Co-Authors: Angela Underdown, Jane Barlow, Vincent C.h. Chung, Sarah Stewart-brownAbstract:Infant Massage is increasingly being used in the community for low-risk babies and their primary care givers. Anecdotal claims suggest benefits for sleep, respiration, elimination and the reduction of colic and wind. Infant Massage is also thought to reduce Infant stress and promote positive parent-Infant interaction. Objectives The aim of this review was to assess the effectiveness of Infant Massage in promoting Infant physical and mental health in population samples. Studies in which babies under the age of six months were randomised to an Infant Massage or a no-treatment control group, and utlising a standardised outcome measuring Infant mental or physical development were used. Twenty-three studies were included in the review. One was a follow-up study and thirteen were included in a separate analysis due to concerns about the uniformly significant results and the lack of dropout. The results of nine studies providing primary data suggest that Infant Massage has no effect on growth, but provides some evidence suggestive of improved mother-Infant interaction, sleep and relaxation, reduced crying and a beneficial impact on a number of hormones controlling stress. Results showing a significant impact on number of illnesses and clinic visits were limited to a study of Korean orphanage Infants. There was no evidence of effects on cognitive and behavioural outcomes, Infant attachment or temperament. The data from the 13 studies regarded to be at high risk of bias show uniformly significant benefits on growth, sleep, crying and bilirubin levels.
Heikki Korvenranta - One of the best experts on this subject based on the ideXlab platform.
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Infant Massage Compared With Crib Vibrator in the Treatment of Colicky Infants
Pediatrics, 2000Co-Authors: Virpi Huhtala, Liisa Lehtonen, Riitta Heinonen, Heikki KorvenrantaAbstract:Objective. To evaluate the effectiveness of Infant Massage compared with that of a crib vibrator in the treatment of Infantile colic. Methods. Infants
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Infant Massage compared with crib vibrator in the treatment of colicky Infants
Pediatrics, 2000Co-Authors: Virpi Huhtala, Liisa Lehtonen, Riitta Heinonen, Heikki KorvenrantaAbstract:Objective. To evaluate the effectiveness of Infant Massage compared with that of a crib vibrator in the treatment of Infantile colic. Methods. Infants <7 weeks of age and perceived as colicky by their parents were randomly assigned to an Infant Massage group (n 5 28) or a crib vibrator group (n 5 30). Three daily intervention periods were recom- mended in both groups. Parents recorded Infant crying and given interventions in a structured cry diary that was kept for 1 week before (baseline) and for 3 weeks during the intervention. Parents were interviewed after the first and third weeks of intervention to obtain their evalua- tion of the effectiveness of the given Massage or crib vibration. Results. At baseline, the mean amount of total crying was 3.6 (standard deviation: 1.4) hours/day in the mas- sage group Infants and 4.2 (2.0) hours/day in the vibrator group Infants. The mean amount of colicky crying was 2.1 (standard deviation: 1.1) hours/day and 2.9 (1.5) hours/ day, respectively. The mean number of daily interven- tion periods was 2.2 in both groups. Over the 4-week study, the amount of total and colicky crying decreased significantly in both intervention groups. The reduction in crying was similar in the study groups: total crying decreased by a mean 48% in the Massage group and by 47% in the vibrator group, and colicky crying decreased by 64% and 52%, respectively. The amount of other cry- ing (total crying minus colicky crying) remained stable in both groups over the intervention. Ninety-three percent of the parents in both groups reported that colic symp- toms decreased over the 3-week intervention, and 61% of the parents in the Massage group and 63% of the parents in the crib vibrator group perceived the 3-week interven- tion as colic reducing. Conclusions. Infant Massage was comparable to the use of a crib vibrator in reducing crying in colicky in- fants. We suggest that the decrease of total and colicky crying in the present study reflects more the natural course of early Infant crying and colic than a specific effect of the interventions. Pediatrics 2000;105(6). URL: http://www.pediatrics.org/cgi/content/full/105/6/e84; in- fantile colic, Massage, crib vibrator, treatment, sensory stimulation.
Jane Barlow - One of the best experts on this subject based on the ideXlab platform.
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A REALIST EVALUATION OF THE PROCESSES AND OUTCOMES OF Infant Massage PROGRAMS
Infant Mental Health Journal, 2013Co-Authors: Angela Underdown, Rhonda Norwood, Jane BarlowAbstract:The sensitivity of early interactions conveyed through eye contact, voice tone, facial expression, and gentle touch plays a crucial role in healthy development. Recognition of the importance of parent–Infant interaction for later attachment has underpinned the search for innovative ways of promoting sensitive parent–Infant interaction. One such early intervention is Infant Massage, but a recent review found no evidence of its effectiveness in population samples. This points to the need to identify which parent–Infant dyads are potentially able to benefit from such an intervention. This study aimed to identify the contextual factors and program mechanisms that were associated with different outcomes for a group of mother–Infant dyads who attended Infant Massage programs. A Realist mixed-methods research design was used to identify the context, mechanism, and outcome (CMO) patterns across a sample of 39 mother–Infant dyads attending Infant Massage programs. A range of quantitative measures (Working Model of the Child Interview, Edinburgh Postnatal Depression Scale, and video recordings of mother–Infant interaction coded with the CARE-Index) were administered pre- and post-intervention, alongside qualitative observations and interviews with a range of stakeholders. Three key CMO patterns were identified. Women categorized as “low” risk on the whole showed no change in parent–Infant interaction (i.e., because they were already in the adequate range) and limited change in levels of depression, irrespective of the quality of the program attended. Mothers who were categorized as being at “moderate” risk (i.e., they had one to two risk factors over and above their demographic risk) appeared to require “good” quality programs (seven or more program mechanisms) for change to occur. Mothers categorized as being at “high risk” showed no benefits irrespective of the quality of the program, and there was evidence of unresponsive mothers becoming more intrusive. These findings suggest that Infant Massage programs should be targeted at parents experiencing moderate problems in terms of parent–Infant interaction, and that primary care professionals working in a range of settings need the skills to identify such compromised parenting to do this. High-risk mothers appear unlikely to benefit from Infant Massage alone. Rigorous randomized controlled trial (RCT) evidence is needed to test the hypotheses raised by this study.
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Interventions to support early relationships: mechanisms identified within Infant Massage programmes
2011Co-Authors: Angela Underdown, Jane BarlowAbstract:The sensitivity of early interactions conveyed through eye contact, voice tone, facial expression and gentle touch plays a crucial role in healthy Infant development. Infant Massage has been adopted as an early intervention because touch offers a unique opportunity to support early interaction. This evaluation used a mixed-methods research design and a range of quantitative and qualitative data to identify the context, mechanisms and outcomes of eight Infant Massage programmes being delivered in socio-economically deprived communities. This paper reports the findings with regard to the mechanisms that were identified to be necessary for the successful delivery of Infant Massage programmes. From these findings, 14 mechanisms were identified as important in influencing the uptake and success of Infant Massage programmes, but there was considerable variability in the extent to which these were realised across programmes. Women and Infants with a high level of need were offered Infant Massage programmes that were lacking in terms of the key mechanisms identified to bring about change.
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The Cochrane Library - Massage intervention for promoting mental and physical health in Infants aged under six months
The Cochrane database of systematic reviews, 2006Co-Authors: Angela Underdown, Jane Barlow, Vincent C.h. Chung, Sarah Stewart-brownAbstract:Infant Massage is increasingly being used in the community for low-risk babies and their primary care givers. Anecdotal claims suggest benefits for sleep, respiration, elimination and the reduction of colic and wind. Infant Massage is also thought to reduce Infant stress and promote positive parent-Infant interaction. Objectives The aim of this review was to assess the effectiveness of Infant Massage in promoting Infant physical and mental health in population samples. Studies in which babies under the age of six months were randomised to an Infant Massage or a no-treatment control group, and utlising a standardised outcome measuring Infant mental or physical development were used. Twenty-three studies were included in the review. One was a follow-up study and thirteen were included in a separate analysis due to concerns about the uniformly significant results and the lack of dropout. The results of nine studies providing primary data suggest that Infant Massage has no effect on growth, but provides some evidence suggestive of improved mother-Infant interaction, sleep and relaxation, reduced crying and a beneficial impact on a number of hormones controlling stress. Results showing a significant impact on number of illnesses and clinic visits were limited to a study of Korean orphanage Infants. There was no evidence of effects on cognitive and behavioural outcomes, Infant attachment or temperament. The data from the 13 studies regarded to be at high risk of bias show uniformly significant benefits on growth, sleep, crying and bilirubin levels.
Brian O. Porter - One of the best experts on this subject based on the ideXlab platform.
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blended Infant Massage parenting enhancement program on recovering substance abusing mothers parenting stress self esteem depression maternal attachment and mother Infant interaction
Asian Nursing Research, 2015Co-Authors: Luz S. Porter, Brian O. Porter, Virginia Mccoy, Marjorie Williams, Vivian Bangosanchez, Bonnie Kissel, Sachin NunnewarAbstract:Summary Purpose This study aimed to determine whether a blended Infant Massage–Parenting Enhancement Program (IMPEP) improved maternal psychosocial health outcomes (parenting stress, depressive symptoms, self-esteem, maternal attachment) and maternal-Infant interaction among substance-addicted mothers (SAMs) actively engaged in outpatient rehabilitation. Methods Designed as a randomized, three-group controlled trial testing two levels of psychoeducational intervention (IMPEP vs. PEP) and a control group (standard care parenting resources), the study was conducted in two substance abuse centers in southeast Florida on a convenience sample of 138 recovering SAM-Infant pairs. IMPEP or PEP classes were held weekly on Weeks 2–5, with data collected at baseline (Week 1), Week 6, and Week 12 via structured interviews, observation (Observation Checklist on Maternal-Infant Interaction), and self-administered questionnaires (Abidin Parenting Stress Index, Beck Depression Inventory, Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory), analyzed descriptively and inferentially using Kruskall-Wallis analysis of variance and post hoc Wilcoxon rank sum and Mann-Whitney U tests. Results Both IMPEP and PEP groups had significantly increased Parenting Stress Index scores (decreased parenting stress) and decreased Beck Depression Inventory scores (decreased depressive symptoms) compared to controls at Week 12, whereas there were no clinically meaningful differences among study groups in Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory, or Observation Checklist on Maternal-Infant Interaction scores. Only the IMPEP group showed significant improvements in both psychological and physical (waist-hip ratio) measures of parenting stress over time. Conclusions The findings suggest that Infant Massage blended into a structured parenting program has value-added effects in decreasing parenting stress and maternal depressive symptoms, but not on SAM's self-esteem, attachment, or maternal-Infant interaction.
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Blended Infant Massage–Parenting Enhancement Program on Recovering Substance-Abusing Mothers' Parenting Stress, Self-Esteem, Depression, Maternal Attachment, and Mother-Infant Interaction
Asian nursing research, 2015Co-Authors: Luz S. Porter, Brian O. Porter, Virginia Mccoy, Vivian Bango-sanchez, Bonnie J. Kissel, Marjorie Williams, Sachin NunnewarAbstract:Summary Purpose This study aimed to determine whether a blended Infant Massage–Parenting Enhancement Program (IMPEP) improved maternal psychosocial health outcomes (parenting stress, depressive symptoms, self-esteem, maternal attachment) and maternal-Infant interaction among substance-addicted mothers (SAMs) actively engaged in outpatient rehabilitation. Methods Designed as a randomized, three-group controlled trial testing two levels of psychoeducational intervention (IMPEP vs. PEP) and a control group (standard care parenting resources), the study was conducted in two substance abuse centers in southeast Florida on a convenience sample of 138 recovering SAM-Infant pairs. IMPEP or PEP classes were held weekly on Weeks 2–5, with data collected at baseline (Week 1), Week 6, and Week 12 via structured interviews, observation (Observation Checklist on Maternal-Infant Interaction), and self-administered questionnaires (Abidin Parenting Stress Index, Beck Depression Inventory, Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory), analyzed descriptively and inferentially using Kruskall-Wallis analysis of variance and post hoc Wilcoxon rank sum and Mann-Whitney U tests. Results Both IMPEP and PEP groups had significantly increased Parenting Stress Index scores (decreased parenting stress) and decreased Beck Depression Inventory scores (decreased depressive symptoms) compared to controls at Week 12, whereas there were no clinically meaningful differences among study groups in Rosenberg Self-Esteem Scale, Muller's Maternal Attachment Inventory, or Observation Checklist on Maternal-Infant Interaction scores. Only the IMPEP group showed significant improvements in both psychological and physical (waist-hip ratio) measures of parenting stress over time. Conclusions The findings suggest that Infant Massage blended into a structured parenting program has value-added effects in decreasing parenting stress and maternal depressive symptoms, but not on SAM's self-esteem, attachment, or maternal-Infant interaction.
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A blended Infant Massage--parenting enhancement program for recovering substance-abusing mothers.
Pediatric nursing, 2004Co-Authors: Luz S. Porter, Brian O. PorterAbstract:Interventions that build upon the natural components of early mother-Infant interactions are critical to reversing the sequelae of maternal substance abuse and breaking the cycle of addiction. This paper proposes a theoretical model that blends Infant Massage (IM) into a planned parenting enhancement program (PEP) to promote improved health outcomes in recovering substance- abusing mothers (SAMs) and their babies. With 4.6 million women of child-bearing age regularly using cocaine in the United States and 750,000 drug-exposed births annually, maternal substance abuse highlights the multigenerational impact of drug use in high-risk populations and its risks to our children. The proposed IMPEP model provides a means to assist recovering SAMs in making cognitive-behavioral changes through new knowledge about parenting and parenting skills, with a special focus on Infant stimulation via Massage. The goal is to enable recovering SAMs to become confident and responsive mothers, empowering them to become effective parents. Pilot data suggest the Infant Massage Parenting Enhancement Program (IMPEP) is effective for both mother and Infant, and merits a controlled systematic study.
Virpi Huhtala - One of the best experts on this subject based on the ideXlab platform.
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Infant Massage Compared With Crib Vibrator in the Treatment of Colicky Infants
Pediatrics, 2000Co-Authors: Virpi Huhtala, Liisa Lehtonen, Riitta Heinonen, Heikki KorvenrantaAbstract:Objective. To evaluate the effectiveness of Infant Massage compared with that of a crib vibrator in the treatment of Infantile colic. Methods. Infants
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Infant Massage compared with crib vibrator in the treatment of colicky Infants
Pediatrics, 2000Co-Authors: Virpi Huhtala, Liisa Lehtonen, Riitta Heinonen, Heikki KorvenrantaAbstract:Objective. To evaluate the effectiveness of Infant Massage compared with that of a crib vibrator in the treatment of Infantile colic. Methods. Infants <7 weeks of age and perceived as colicky by their parents were randomly assigned to an Infant Massage group (n 5 28) or a crib vibrator group (n 5 30). Three daily intervention periods were recom- mended in both groups. Parents recorded Infant crying and given interventions in a structured cry diary that was kept for 1 week before (baseline) and for 3 weeks during the intervention. Parents were interviewed after the first and third weeks of intervention to obtain their evalua- tion of the effectiveness of the given Massage or crib vibration. Results. At baseline, the mean amount of total crying was 3.6 (standard deviation: 1.4) hours/day in the mas- sage group Infants and 4.2 (2.0) hours/day in the vibrator group Infants. The mean amount of colicky crying was 2.1 (standard deviation: 1.1) hours/day and 2.9 (1.5) hours/ day, respectively. The mean number of daily interven- tion periods was 2.2 in both groups. Over the 4-week study, the amount of total and colicky crying decreased significantly in both intervention groups. The reduction in crying was similar in the study groups: total crying decreased by a mean 48% in the Massage group and by 47% in the vibrator group, and colicky crying decreased by 64% and 52%, respectively. The amount of other cry- ing (total crying minus colicky crying) remained stable in both groups over the intervention. Ninety-three percent of the parents in both groups reported that colic symp- toms decreased over the 3-week intervention, and 61% of the parents in the Massage group and 63% of the parents in the crib vibrator group perceived the 3-week interven- tion as colic reducing. Conclusions. Infant Massage was comparable to the use of a crib vibrator in reducing crying in colicky in- fants. We suggest that the decrease of total and colicky crying in the present study reflects more the natural course of early Infant crying and colic than a specific effect of the interventions. Pediatrics 2000;105(6). URL: http://www.pediatrics.org/cgi/content/full/105/6/e84; in- fantile colic, Massage, crib vibrator, treatment, sensory stimulation.