The impact of music therapy in late-moderate premature infants, on their parents and their environment, in a Spanish neonatal intermediate care unit.

##article.authors##

  • María Jáñez Autónoma University of Madrid
  • María Jesús Del Olmo Ph.D. Reasercher at Department of Music, Faculty of Education, Autónoma University, Madrid.
  • Cintia Rodríguez Ph.D. Researcher at Department of Development and Education, Faculty of Psychology, Autónoma University, Madrid.

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https://doi.org/10.47513/mmd.v13i4.764

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music therapy##common.commaListSeparator## premature infants##common.commaListSeparator## neonatal care unit##common.commaListSeparator## neonatal care##common.commaListSeparator## integrative music medicine

##article.abstract##

The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.

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##submission.authorWithAffiliation##

Ph.D. Clinical Psychologist and researcher at Madrid National Health System. External colaborator at Department of Development and Education, Faculty of Psychology, Autónoma University, Madrid, Spain.

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Ph.D. Music-therapist. Deputy director and teacher of the Music Therapy masters at the UAM. Professor at the Music Department, Faculty of Education and Teacher Training, UAM. Music therapy teacher at Language, Audition, and Special Education at the Cardenal Cisneros College.

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Ph.D. Developmental psychology professor at the Faculty of Psychology and at the Faculty of Medicine at the UAM. Leads the research group Early Development and Education (DETEDUCA).

##submission.citations##

(1) Therien JM, Worwa CT, Mattia FR, de Regnier RA. Altered pathways for auditory discrimination and recognition memory in preterm infants. Dev Med Child Neurol. 2004; 46: 816-24.

(2) De Vries AM, de Groot L. Transient dystonias revisited: A comparative study of preterm and term children at 2 1/2 years of age. Dev Med Child Neurol. 2002; 44: 415-21.

(3) Allotey J, Zamora J, Cheong-See F, et al. Los niños prematuros tienen mayor riesgo de presentar dificultades cognitivas, motoras y de comportamiento. BJOG, 2018; 125: 16-27.

(4) López M, Melgar A, De la Cruz-Bertolo J, et al. Cuidados centrados en el desarrollo. Situación en las unidades de neonatología de España. An Pediatr (Barc). Available at: http://dx.doi.org/10.1016/j.anpedi.2013.10.043

(5) Del Olmo MJ, Rodríguez C, Ruza F. Music Therapy in the PICU: 0-to 6-Month-Old Babies. Music Med. 2010; 2 (3):158-166.

(6) Bullinger A, Goubet N. Le bébé prématuré, acteur de son développment. Enfance. 1999; 1: 27-32.

(7) Simons SH, San Kikjk M, Annad KS, et al. Do we still hurt newborn babies? A prospective study of procedural pain and analgesia in neonates. Arch Pediatr Adolesc Med. 2003; 157 (11): 1058-64.

(8) Als H, Lester BM, Tronick EZ, Brazelton TB. (1982). Manual for the assessment of preterm infants' behavior (APIB). In: Fitzgerald HE, Lester BM, Yogman MW, eds. Theory and research in behavioral pediatrics. New York: Plenum Press; 1982: 65-132.

(9) Als H, Duffy FH, McAnulty GB, et al. Early experience alters brain function and structure. Pediatrics. 2004; 113 (4): 846–857.

(10) Haslbeck F. Music therapy for premature infants and their parents: An integrative review. Nord J Music Ther. 2012; 21 (3), 203-226.

(11) Arnon S, Shapsa A, Forman L, et al. (2006). Live music is beneficial to preterm infants in NICU environment. Birth. 2006; 33 (2): 131-113.

(12) Blacking J. ¿Hay música en el hombre? Madrid: Alianza; 1973/2006.

(13) Del Olmo MJ, Rodríguez C, Ruza F, Carrasco P. (2015). The effects of a music therapy intervention in PICU as measured by the Comfort Behavior Scale. Music Med. 2015; 7 (2): 20-24.

(14) Vianna M, Barbosa AP, Carvalhaes S, Cunha AJ. (2011) Music therapy may increase breastfeeding rates among mothers of premature newborns: A randomized controlled trial. J Pediatr (Río J). 87 (3): 206-212.

(15) Walworth D. Effects of developmental music groups for parents and premature or typical infants under two years on parental responsiveness and infant social development. J Music Ther. 2009; 46 (1): 32-52.

(16) Whipple J. The effect of parent training in music and multimodal stimulation on parent-neonate interactions in the neonatal intensive care unit. J Music Ther. 2000; 37 (4): 250-268.

(17) Ettenberger M, Rojas-Cárdenas C, Parker M, Odell-Miller H. Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study, Nordic J Music Ther. 2017; 26 (3): 207-234.

(18) Ettenberger M, Odell-Miller H, Rojas C, Torres S, Camargo SM. Music Therapy With Premature Infants and Their Caregivers in Colombia – A Mixed Methods Pilot Study Including a Randomized Trial. Voices. 2014; 2 (14). Available in: https://doi.org/10.15845/voices.v14i2.756

(19) Standley JM. Music Therapy Research in the NICU: An Updated Meta-Analysis. Neonatal Netw. 2012; 31 (5): 311-316.

(20) Ettemberger M. Music therapy in neonatal intensive care unit: putting the families at the centre of care. BJMT. 2017: 1-6.

(21) Teckenberg-Jansson P, Huotilainen M, Pölkki T, Lipsanen J, Järvenpää AL. Rapid effects of neonatal music therapy combined with kangaroo care on prematurely-born infants. Nord J Music Ther. 2010; 20: 22-42.

(22) Trevarthen C. The concept and foundations of intersubjetivity. En: S. Braten, ed., Intersubjective Communication and Emotion in Early Ontogeny. Cambridge: Cambridge University Press; 1998: 15-46.

(23) De Schuymer L, De Groote I, Striano T, Stahl D, Roeyers H. Dyadic and triadic skills in preterm and full term infants: a longitudinal study in the first year. Infant Behav Dev, 2011; 34(1): 179-88.

(24) Fogel A. Developing through relationships. Chicago University Press: Chicago; 1993.

(25) Moreno-Núñez A, Rodríguez C, Del Olmo MJ. The Rhythmic, Sonorous and Melodic Components of Adult-Child-Object Interactions Between 2 and 6 Months Old. Integr Psychol Behav Sci. 2015; 49 (4): 737-756.

(26) Moreno-Núñez A, Rodríguez C, Del Olmo MJ. Rhythmic ostensive gestures: How adults facilitate infants´entrance into early triadic interactions. Infant Behav Dev. 2017; 49: 168-181.

(27) Hoehl S, Striano T. Further evidence for continuity in infants´ joint attention development. J Hum Dev. 2013; 56: 249-253.

(28) Demestre X, Raspall F, Martínez-Nadal S, Vila C, Elizari MJ, Sala P. Prematuros tardíos: una población de riesgo infravalorada. An Pediatr (Barc). 2019; 71 (4): 291–298.

(29) Loewy J, Stewart K, Dassler AM, Telsey A, Homer P. The effects of Music Therapy on vital signs, feeding and sleep in premature infants. Pediatrics. 2013; 131, 902. Available in doi: 10.1542/peds.2012-1367

(30) Del Olmo MJ. Musicoterapia con bebés de 0 a 6 meses en cuidados intensivos pediátricos. (Tesis Doctoral inédita). Universidad Autónoma de Madrid, España; 2009.

(31) Stanley JM, Moore RS. Therapheutic effects of music and mother´s voice on premature infants. Pediatr Nurs. 1995; 21 (6): 509-512.

(32) Ambuel B, Hamlett KW, Marx CM, Blumer JL. Assessing distress in pediatric intensive care environments: the COMFORT scale. J Pediatr Psychol. 1992;17(1): 95-109.

(33) Field T, Hernandez-Reif M, Feijo L, Freeman J. (2006). Prenatal, perinatal, and neonatal stimulation: a survey of neonatal nurses. Infant Behav Dev. 29 (1): 24-31.

(34) Hartling L, Shaik MS, Tjoswold L, Leicht R, Liang Y, Kumar M. Music for medical indications in the neonatal period: a systematic review of randomized controlled trials. Arch Dis Child Fetal Neonatal Ed. 2009; 94 (5): 349-54.

(35) Standley JM. The effect of music reinforced non-nutritive sucking on feeding rate of premature infants. Pediatr Nurs. 2003; 18 (2): 169-73.

(36) Reynolds GD, Courage ML, Richards JE. The development of attention. In: D. Reisberg, ed. Oxford Handbook of Cognitive Psychology. New York, NY: Oxford University Press; 2013: 1000-1013.

(37) Richards JE, Casey BJ. Development of sosteined visual attention in the human infant. In: B.A. Campbel, H. Hayne y R. Richardson, eds. Attention and Information Processing in Infants and adults. Mahway, N.J.: Erlbaum; 1992: 30-60.

(38) Rodríguez C, Moro C. Coming to agreement: Object use by infants and adults. In: J. Zlatev, T. Racine, C. Sinha, E. Itkonen, eds. The shared mind: Perspectives on intersubjectivity. Amsterdam: John Benjamins; 2008: 89-114.

(39) Bronfenbrenner V. La ecología del desarrollo humano. Barcelona: Paidós Ibérica; 1979/1987

(40) Vygotsky L. Défaut et compensation. In: K. Barisnikow, G. Petitpierre, dir. Défectologie et Déficicience Mentale. Neuchâtel-Paris: Delachaux et Niestlé; 1924/1994: 85-115.

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2021-10-25

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##issue.vol## 13 ##issue.no## 4 (2021): Music and Medicine October

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Full Length Articles