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Colic, InfantilerandomizedNCT06727760

The Effect of Colic Massage and Kangaroo Care on Babies and Their Mothers

A study testing massage and kangroo care in people with Colic, Infantile and Crying Time in Colicky Infants, run by Gulsah Sunay Ertem at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Background: Infantile colic is a condition characterized by inconsolable crying in infants under three months of age. Purpose: The aim of this study is to determine the effects of colic massage and kangaroo care on infantile colic symptoms, crying, and sleep duration. Read more about this study

Who is it for?
Ages 3 to 8 weeks
What is being tested?
massage and kangroo care
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteTurkey (Türkiye)
Study dates
8 Mar 2022to 22 Feb 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 8 weeks
  • All sexes
  • No healthy volunteers
  • Child

Baby's Inclusion Criteria:

  • Diagnosed with infantile colic
  • Being born at term

Baby's Exclusion Criteria:

  • Lactose allergy,
  • Diagnosed with another chronic disease
  • Skin problem,
  • Weighing less than 2500 grams
  • Having congenital anomalies
  • Vomiting, constipation and malnutrition

Mothers' inclusion criteria

  • being a volunteer
  • being literate and
  • having a smart phone.

Mothers' exclusion criteria

  • using incorrect massage and kangaroo care
  • using other traditional and medical treatments during the study.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ataturk City Hospital

    Balıkesir, Altıeylül, 10020

Other trials in Turkey (Türkiye)

About this study

Official title: Investigation of the Effects of Colic Massage and Kangaroo Care on Colicky Infants and Their Mothers

Background: Infantile colic is a condition characterized by inconsolable crying in infants under three months of age.

Purpose: The aim of this study is to determine the effects of colic massage and kangaroo care on infantile colic symptoms, crying, and sleep duration.

Method: Our study was conducted at the Child Health and Diseases Polyclinic of Atatürk city Hospital between March 2022 and April 2023. The study sample consisted of infants diagnosed with infantile colic who applied to the polyclinic and their mothers. 96 infants were randomly selected in our study using the randomization method. They were assigned to the massage, kangaroo care, and control groups. Infants in the colic massage and kangaroo care groups received interventions for 15-20 minutes in the morning and evening, while the control group received no intervention. Before the intervention, crying and sleep duration were monitored and recorded for 24 hours for one week in all three groups. Mothers continued the massage and kangaroo care application for 3 weeks. In the 3rd week of the application, 24-hour crying and sleep duration were recorded again for one week. Before and after the interventions, the Infantile Colic Scale (ICS) was applied to all three groups. The three groups were compared with the Wilcoxon test.

Read the detailed description

Data were collected from volunteer mothers of babies diagnosed with infantile colic who applied to the Child Health and Diseases outpatient clinic between March 2022 and February 2023 and who met the inclusion criteria for the study. The mothers were informed about the research through the "Informed Consent Form". Data were collected by the researcher through face-to-face interviews. The "Mother-Baby Information Form", "Infant Colic Scale", "Postpartum Specific Anxiety Scale", "Barkin Maternal Function Scale" and "Beck Depression Scale" were applied to the mothers in the massage, kangaroo care and control groups in the outpatient clinic before the intervention. They were then given the "Crying and Sleep Duration Form" and asked to fill it out at home for a week. Mothers who filled out the crying and sleep duration forms for a week were given an appointment for a home visit. The homes of these mothers were visited and the crying and sleep duration forms filled out for a week were collected. After collection, mothers were taught infantile colic massage and kangaroo care on a baby manikin according to randomization and were allowed to practice (The researcher has a "holistic infant massage certificate"). Mothers in the massage group applied colic massage according to the "Educational Colic Massage Checklist" for 15-20 minutes twice a day for three weeks when the baby was calm and during colic attacks. Mothers in the kangaroo care group applied kangaroo care according to the "Educational Kangaroo Care Checklist" for 15-20 minutes twice a day for three weeks when the baby was calm and during colic attacks. No intervention was made to the mothers in the control group. Mothers in all three groups filled out the "Crying and Sleep Duration Form" again for one week in the last week of the study. At the end of the study, the "Infantile Colic Scale", "Postpartum Specific Anxiety Scale", "Barkin Maternal Function Scale" and "Beck Depression Scale" were applied to the mothers in all three groups again (Mothers were supported with video calls and video recordings during the first massage and kangaroo care application and when needed). The study lasted four weeks in total and the intervention lasted three weeks.

Being tested
massage, kangroo care
Keywords
colic, cangroo care, crying and sleeping duration, nursing education, postpartum anxiety, postpartum depression
Medical subject headings
Colic, Depression, Postpartum, Crying

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • massageBehavioural

    The mothers in the massage group applied colic massage according to the "Educational Colic Massage Checklist" twice a day for 15-20 minutes each time for three weeks, when the baby was calm and during colic attacks.

  • kangroo careBehavioural

    The mothers in the kangaroo care group applied kangaroo care according to the "Educational Kangaroo Care Checklist" twice a day for three weeks for 15-20 minutes each time when the baby was calm and during colic attacks.

Study groups in NCT06727760
Study groupRoleWhat they receive
massage groupExperimentalColic massage is applied to babies with infantile colic
Receives: Behavioral: massage
kangaroo care groupExperimentalKangaroo care is applied to babies with infantile colic
Receives: Behavioral: kangroo care
control groupNo interventionNo intervention is applied to babies with infantile colic

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. infantile scale scores

    The Infantile Colic Scale consists of 19 questions. The scale has 5 subscales: Cow's Milk/Soy Protein Allergy/Intolerance, Immature Gastrointestinal System, Immature Central Nervous System, Difficult Infant Temperament, Parent-Infant Interaction, and Problematic Infant. Scale items are rated on a Likert-type scale ranging from 1 to 6. Ratings range from 1 (strongly disagree) to 6 (strongly agree). Negative questions were reverse-coded for interpreting the scores. Item 3 in the immature gastrointestinal system subscale, items 7, 8, and 9 in the immature central nervous system subscale, items 13, 14, and 15 in the difficult infant temperament subscale, and items 17 and 19 in the parent-infant interaction and problematic infant subscales were reverse-coded.Data are expressed as mean ± SD and median (minimum: maximum).

    Measured: up to 3 weeks

  2. mothers' postpartum anxiety scores

    The Postpartum Specific Anxiety Inventory consists of 51 items. Responses to the items are rated on a 4-point Likert scale ranging from 1 to 4 (1=never, 2=sometimes, 3=usually, 4=always). The total score for the level of postpartum anxiety is; below 73 points is considered low risk, between 74 and 100 points is considered moderate risk, and above 101 points is considered high risk. The lowest possible score is 51, and the highest score is 204. 8 The scale has four subscales: Items 1-15 assess maternal adequacy and attachment concerns, items 16-26 assess infant safety and well-being concerns, items 27-33 assess practical infant care concerns, and items 34-51 assess psychosocial adjustment to motherhood.

    Measured: up to 3 weeks

  3. mother's depression scores

    The scale consists of 21 items related to depressive symptoms such as pessimism, sense of failure, dissatisfaction, guilt, restlessness, fatigue, decreased appetite, indecisiveness, sleep disorders, and social withdrawal. The total score that can be obtained from the scale varies between 0-63. Those who scored 17 and above were accepted as 'depressive symptoms' as 10. The Turkish validity and reliability studies of the BDI were conducted by Teğin in 1980 and by Hisli in 1989, and the Cronbach alpha value was found to be 0.80. The BDI scoring for the severity of depression is interpreted as 0-9 = Minimal, 10-16 = Mild, 17-29 = Moderate, 30-63 = severe, depression. It takes approximately 15 minutes to complete the scale. However, this time may vary depending on the patient's level of education and whether or not they have obsessive characteristics.

    Measured: up to 3 weeks

Secondary outcomes (2)
  1. maternal function scores.

    The scale's self-care dimension was calculated as 0.66, maternal psychology sub-dimension as 0.71, baby care sub-dimension as 0.62, social support sub-dimension as 0.69, and adaptation to motherhood sub-dimension as 0.50. The responses on the scale are numbered from 0 to 6. 0 is expressed as "completely disagree", 1 as "disagree", 2 as "somewhat disagree", 3 as "undecided", 4 as "somewhat agree", 5 as "agree", and 6 as "completely agree". The lowest score that can be obtained in the scoring of the scale is 0, and the highest score is 96. It is accepted that the functional status increases as the scores increase. BAFÖ is applied to mothers with babies younger than 18 months.

    Measured: up to 3 weeks

  2. colic babies crying and sleeping time

    It is a form created by the researcher in which infants' daily crying and sleep durations can be recorded at every hour of the day and on every day of the week.

    Measured: up to 3 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Dec 2024
  2. Study start8 Mar 2022
  3. Primary completion22 Feb 2023
  4. Study completion22 Feb 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
90 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06727760
Sponsor's protocol ID
E-25691463-900-35292
Acronym
randomized
Status last verified
Dec 2024
First submitted
23 Nov 2024
Last updated
11 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • O'Higgins M, St James Roberts I, Glover V. Postnatal depression and mother and infant outcomes after infant massage. J Affect Disord. 2008 Jul;109(1-2):189-92. doi: 10.1016/j.jad.2007.10.027. Epub 2007 Dec 20.

    PubMed 18086500
  • Onozawa K, Glover V, Adams D, Modi N, Kumar RC. Infant massage improves mother-infant interaction for mothers with postnatal depression. J Affect Disord. 2001 Mar;63(1-3):201-7. doi: 10.1016/s0165-0327(00)00198-1.

    PubMed 11246096
  • Lotfalipour B, Tirgari B, Pouraboli B, Mirzaee M. Effect of Preterm Infant Massage by the Mother on the Mood of Mothers Having Preterm Infants. J Chiropr Med. 2019 Mar;18(1):67-76. doi: 10.1016/j.jcm.2018.11.001. Epub 2019 May 7. French.

    PubMed 31193199
  • Lonstein JS. Regulation of anxiety during the postpartum period. Front Neuroendocrinol. 2007 Aug-Sep;28(2-3):115-41. doi: 10.1016/j.yfrne.2007.05.002. Epub 2007 Jun 2.

    PubMed 17604088
  • Lee SB, Shin HS. [Effects of Kangaroo Care on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants]. Taehan Kanho Hakhoe Chi. 2007 Oct;37(6):949-56. doi: 10.4040/jkan.2007.37.6.949. Korean.

    PubMed 17992067
  • Fujita M, Endoh Y, Saimon N, Yamaguchi S. Effect of massaging babies on mothers: pilot study on the changes in mood states and salivary cortisol level. Complement Ther Clin Pract. 2006 Aug;12(3):181-5. doi: 10.1016/j.ctcp.2006.01.003. Epub 2006 Mar 13.

    PubMed 16835028
  • Feijo L, Hernandez-Reif M, Field T, Burns W, Valley-Gray S, Simco E. Mothers' depressed mood and anxiety levels are reduced after massaging their preterm infants. Infant Behav Dev. 2006 Jul;29(3):476-80. doi: 10.1016/j.infbeh.2006.02.003. Epub 2006 Mar 27.

    PubMed 17138300
  • Erduran B, Yaman Sozbir S. Effects of intermittent kangaroo care on maternal attachment, postpartum depression of mothers with preterm infants. J Reprod Infant Psychol. 2023 Nov;41(5):556-565. doi: 10.1080/02646838.2022.2035703. Epub 2022 Feb 7.

    PubMed 35129000
  • Badiee Z, Faramarzi S, MiriZadeh T. The effect of kangaroo mother care on mental health of mothers with low birth weight infants. Adv Biomed Res. 2014 Oct 20;3:214. doi: 10.4103/2277-9175.143262. eCollection 2014.

    PubMed 25371871
  • Anwar F, Warsi A, Ahmed J, Zaidi B, Turab A, Khan MA, Khan KS. The effectiveness of kangaroo mother care in lowering postpartum depression in mothers of preterm and low birth weight babies: a systematic review and meta-analysis. Ann Med Surg (Lond). 2023 Apr 12;85(6):2841-2848. doi: 10.1097/MS9.0000000000000480. eCollection 2023 Jun.

    PubMed 37941566
  • Parsa P, Karimi S, Basiri B, Roshanaei G. The effect of kangaroo mother care on physiological parameters of premature infants in Hamadan City, Iran. Pan Afr Med J. 2018 May 31;30:89. doi: 10.11604/pamj.2018.30.89.14428. eCollection 2018.

    PubMed 30344873
  • Johnson JD, Cocker K, Chang E. Infantile Colic: Recognition and Treatment. Am Fam Physician. 2015 Oct 1;92(7):577-82.

    PubMed 26447441
  • Daelemans S, Peeters L, Hauser B, Vandenplas Y. Recent advances in understanding and managing infantile colic. F1000Res. 2018 Sep 7;7:F1000 Faculty Rev-1426. doi: 10.12688/f1000research.14940.1. eCollection 2018.

    PubMed 30271572
  • WESSEL MA, COBB JC, JACKSON EB, HARRIS GS Jr, DETWILER AC. Paroxysmal fussing in infancy, sometimes called colic. Pediatrics. 1954 Nov;14(5):421-35. No abstract available.

    PubMed 13214956
  • Zeevenhooven J, Koppen IJ, Benninga MA. The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers. Pediatr Gastroenterol Hepatol Nutr. 2017 Mar;20(1):1-13. doi: 10.5223/pghn.2017.20.1.1. Epub 2017 Mar 27.

    PubMed 28401050

Questions about this trial

What is this clinical trial studying?

A study testing massage and kangroo care in people with Colic, Infantile and Crying Time in Colicky Infants, run by Gulsah Sunay Ertem at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

infantile scale scores (time frame: up to 3 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06727760, which also lists 21 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2024.

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