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Purpose: This study aimed to determine whether a blended Infant Massage-Parenting Enhancement Program (IMPEP) improved infant health outcomes (growth, development, safety in home environment/infant safety, and immunizations) among infants of Substance-Addicted Mothers (SAMs) actively engaged in outpatient rehabilitation. Methods: Designed as a randomized, three-group controlled trial testing two levels of psycho-educational intervention (IMPEP versus Parenting Enhancement Program [PEP]) and a control group (standard of care parenting resources), the study was conducted in two substance abuse centers in southeast Florida on a convenience sample of 138 infants. IMPEP or PEP classes were held weekly on Weeks 2-5, with data collected at Baseline, Week 6, and Week 12 via an Infant Detecto Beam Scale with standardized measuring stick, the Bayley Scales of Infant Development, and two instruments developed for this study--the Home Environment Safety Checklist and the Infant Immunization Status Checklist. Data analyses included descriptive and nonparametric inferential tests, using Kruskall-Wallis, ANOVA, post-hoc Wilcoxon Rank Sum, and Mann-Whitney U tests. Results: Infants of IMPEP SAMs preferentially demonstrate greater growth than infants of PEP SAMs, as reflected in length, weight, and head circumference measures at 6 and 12 weeks postBaseline, while overall growth was observed chronologically in all study groups. There were no clinically meaningful differences among study groups in infant development, home and infant safety, as well as immunization status. Conclusion: The findings suggest that IM blended into a parenting enhancement program has value-added effects in promoting infant growth but not in infant development, home and infant safety, and immunization status.

Does a Blended Infant Massage-Parenting Enhancement Program Improve Infant Health Outcomes?