AzTrials
AzTrials

BehaviourNCT06864455

Breastfeeding Relaxation Intervention Among Mothers of Preterm Infants in Hospital Sultan Abdul Aziz Shah (HSAAS)

A study testing Guided Imagery Meditation, Religious Recitation and Infant Video with Music in people with Behaviour and Psychology, run by Universiti Putra Malaysia at 1 site in Malaysia.

Completed

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

Official record
Search all trials

Trial summary

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… Read more about this study

Who is it for?
Ages 18 to 49 years, women onlyHealthy volunteers can take part
Conditions the study is for
Behaviour, Psychology, Physiology
What is being tested?
Guided Imagery Meditation, Religious Recitation and Infant Video with Music
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
1 siteMalaysia
Study dates
5 Jan 2025to 21 Aug 2026
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 18 to 49 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Malaysian women of reproductive age (18-49 years)
  • Muslim
  • Non-smoker
  • Understand English or Malay
  • Currently breastfeed their infants
  • Mothers of infants born in gestational age (28 weeks- 35 weeks)
  • No medical conditions that can affect infant feeding.

Who cannot join

  • 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 locations and contacts

1 site in 1 country.

Malaysia1 site
  • Hospital Sultan Abdul Aziz Shah UPM, Serdang Selangor

    Serdang, Selangor, 43400

Other trials in Malaysia

About this study

Official title: "Effects of a Relaxation Intervention on Physiological and Psychological Outcomes Among Mothers of Preterm Infants at Hospital Sultan Abdul Aziz Shah : A Within-subject Randomized Trials"

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
Read more

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

Read the detailed description

The trial aims to recruit 30 mothers of premature infants who are born between 28 and 35 weeks, which falls under the categories of early and mid-preterm. Participants will be recruited among mothers aged between 18 and 49 who are non-smokers, with no medical condition that could affect breastfeeding, and also those who are not taking any psychiatric medication, and those who are not diagnosed with mental illness. This trial also aims to recruit Muslim mothers, since one of the interventions is Religious Recitation which focuses on Qur'anic verses.

The participants will be identified through recent hospital data on premature infants born between 28 to 35 weeks gestation and through a face-to-face approach. The study information sheet will be given to interested mothers. Eligible mothers will be given consent forms after assessing the inclusion and exclusion criteria for mothers and infants. The participants will be enrolled in the study and randomized using a computerized random number generator, where the participants cannot choose which intervention to test first. One person who had no contact with the participants will do randomization five times for each participant since four interventions and controls were involved.

Being tested
Guided Imagery Meditation, Religious Recitation, Infant Video with Music, Distraction with News and Media, Control
Medical subject headings
Behavior

What participants receive

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

  • Guided Imagery MeditationBehavioural

    Audio meditation by Sheri Menelli, for 10-14minutes

  • Religious RecitationBehavioural

    listen to Surah Ar-Rahman for 14 minutes

  • Infant Video with MusicBehavioural

    10 minutes of slides show of infant's image and video

  • Distraction with News and MediaBehavioural

    10 minutes of phone use

  • ControlBehavioural

    All participants will ask to sit for 10minutes . Minimum distraction will be applied such as minimal or no chatting.

Study groups in NCT06864455
Study groupRoleWhat they receive
Guided Imagery MeditationExperimentalParticipants will need to listen to the guided imagery meditation tape that was developed by Sheri Menelli in 2004 for breastfeeding mothers as it has been successfully used before.
Receives: Behavioral: Guided Imagery Meditation
Religious RecitationExperimental-Participants will need to listen to Surah Ar-Rahman, which will be used in this study since it has been done previously among pregnant women in the labour process.
Receives: Behavioral: Religious Recitation
Infant Video with MusicExperimentalThe video will be played for 10 minutes duration and mothers will need to hold the phone to look at the slide show of their infant's image and video that will be recorded by the researcher prior session
Receives: Behavioral: Infant Video with Music
Distraction with News and MediaExperimentalThe researcher will instruct mothers to use their phones as they did at home for 10 minutes to measure how this distraction affects the mother's physiology and psychology.
Receives: Behavioral: Distraction with News and Media
ControlExperimentalNo intervention but all participants will ask to sit for 10minutes . Minimum distraction will be applied.
Receives: Behavioral: Control

What is being measured

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

  1. Heart Rate (BPM)

    Pre- and post-measurement of heart rate in beats per minute (BPM).

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  2. Systolic Blood Pressure (SBP)

    Pre- and post-measurement of systolic blood pressure in millimeters of mercury (mmHg).

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  3. Diastolic Blood Pressure (DBP)

    Pre- and post- measurement of diastolic blood pressure in millimeters of mercury (mmHg).

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  4. Fingertip Temperature (FT)

    Pre- and post-measurement of fingertip temperature in degrees Celsius (°C).

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  5. Breast Milk Cortisol Level

    Pre- and post-measurement of cortisol levels in breast milk, typically expressed in nanograms per milliliter (ng/mL).

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  6. Perceived Relaxation (PR)

    Pre- and post-measurement of perceived relaxation levels, using a 10 cm Visual Analogue Scale (VAS). The scale ranges from 0 to 10 cm, where 0 cm (on the left) represents "completely unrelaxed" and 10 cm (on the right) represents "completely relaxed." Participants will mark a point on the scale that reflects their level of relaxation at the specified time.

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

Secondary outcomes (3)
  1. Fat

    Pre- and post- measurement of milk fat content in grams per 100 milliliters (g/100 mL)

    Measured: From enrollment to the end of the 5-session intervention (within 2 weeks).

  2. Carbohydrate

    Pre- and post- measurement of milk carbohydrate content in grams per 100 milliliters (g/100 mL).

    Measured: Frame: From enrollment to the end of the 5-session intervention (within 2 weeks)

  3. Total energy

    Pre- and post-measurement of total energy content in kilocalories per 100 milliliters (kcal/100 mL)

    Measured: Frame: From enrollment to the end of the 5-session intervention (within 2 weeks)

Timeline

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

  1. First posted7 Mar 2025
  2. Study start5 Jan 2025
  3. Primary completion31 Dec 2025
  4. Study completion21 Aug 2026

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
Crossover
Model description
It is a "within-subject randomized trial" is a type of experimental study where each individual is exposed to more than one treatment. In this design, each participant acts as their own control, which helps to control for individual differences and reduces variability.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06864455
Sponsor's protocol ID
JKEUPM-2024-205
Other IDs
vot 1471
Status last verified
Oct 2026
First submitted
21 Nov 2024
Last updated
27 Oct 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: The study results, including aggregated data, will be shared to contribute to broader scientific understanding. However, due to privacy and confidentiality concerns, individual participant data will not be shared. Only de-identified, summary-level data (e.g., group results, statistical analyses) will be made available to the public or other researchers.

Publications

  • Yu J, Wells J, Wei Z, Fewtrell M. Effects of relaxation therapy on maternal psychological state, infant growth and gut microbiome: protocol for a randomised controlled trial investigating mother-infant signalling during lactation following late preterm and early term delivery. Int Breastfeed J. 2019 Dec 16;14:50. doi: 10.1186/s13006-019-0246-5. eCollection 2019.

    PubMed 31889973
  • Yu J, Wells J, Wei Z, Fewtrell M. Randomized Trial Comparing the Physiological and Psychological Effects of Different Relaxation Interventions in Chinese Women Breastfeeding Their Healthy Term Infant. Breastfeed Med. 2019 Jan/Feb;14(1):33-38. doi: 10.1089/bfm.2018.0148. Epub 2018 Oct 23.

    PubMed 30351172
  • Mohd Shukri NH, Wells JCK, Fewtrell M. The effectiveness of interventions using relaxation therapy to improve breastfeeding outcomes: A systematic review. Matern Child Nutr. 2018 Apr;14(2):e12563. doi: 10.1111/mcn.12563. Epub 2017 Nov 6.

    PubMed 29105966
  • Mohd Shukri NH, Wells J, Eaton S, Mukhtar F, Petelin A, Jenko-Praznikar Z, Fewtrell M. Randomized controlled trial investigating the effects of a breastfeeding relaxation intervention on maternal psychological state, breast milk outcomes, and infant behavior and growth. Am J Clin Nutr. 2019 Jul 1;110(1):121-130. doi: 10.1093/ajcn/nqz033.

    PubMed 31161202
  • Rafique R, Anjum A, Raheem SS. Efficacy of Surah Al-Rehman in Managing Depression in Muslim Women. J Relig Health. 2019 Apr;58(2):516-526. doi: 10.1007/s10943-017-0492-z.

    PubMed 28900859
  • Nomkin LG, Gordon I. The relationship between maternal smartphone use, physiological responses, and gaze patterns during breastfeeding and face-to-face interactions with infant. PLoS One. 2021 Oct 8;16(10):e0257956. doi: 10.1371/journal.pone.0257956. eCollection 2021.

    PubMed 34624025
  • Keith DR, Weaver BS, Vogel RL. The effect of music-based listening interventions on the volume, fat content, and caloric content of breast milk-produced by mothers of premature and critically ill infants. Adv Neonatal Care. 2012 Apr;12(2):112-9. doi: 10.1097/ANC.0b013e31824d9842.

    PubMed 22469966
  • Ak J, Lakshmanagowda PB, G C M P, Goturu J. Impact of music therapy on breast milk secretion in mothers of premature newborns. J Clin Diagn Res. 2015 Apr;9(4):CC04-6. doi: 10.7860/JCDR/2015/11642.5776. Epub 2015 Apr 1.

    PubMed 26023551
  • Dib S, Wells JCK, Fewtrell M. A within-subject comparison of different relaxation therapies in eliciting physiological and psychological changes in young women. PeerJ. 2020 May 22;8:e9217. doi: 10.7717/peerj.9217. eCollection 2020.

    PubMed 32509467
  • Holditch-Davis D, Santos H, Levy J, White-Traut R, O'Shea TM, Geraldo V, David R. Patterns of psychological distress in mothers of preterm infants. Infant Behav Dev. 2015 Nov;41:154-63. doi: 10.1016/j.infbeh.2015.10.004. Epub 2015 Oct 22.

    PubMed 26495909

Questions about this trial

What is this clinical trial studying?

A study testing Guided Imagery Meditation, Religious Recitation and Infant Video with Music in people with Behaviour and Psychology, run by Universiti Putra Malaysia at 1 site in Malaysia.

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

Who may be eligible to take part?

The sponsor lists 7 inclusion and 4 exclusion criteria. 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 27 Oct 2026. 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 Malaysia. 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?

Heart Rate (BPM) (time frame: From enrollment to the end of the 5-session intervention (within 2 weeks).). The study lists 6 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 NCT06864455, which also lists 10 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 27 Oct 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in