Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial

Children

卷:8

Dana Yakobson¹  Bolette Daniels Beck¹  Christian Gold²  Shmuel Arnon³  Sofia Bauer-Rusek³  Cochavit Elefant⁴ 

[1]Music Therapy Department, Institute for Communication and Psychology, Aalborg University, 9000 Aalborg, Denmark

[2]|NORCE Norwegian Research Centre AS, 5008 Bergen, Norway

[3]|Neonatal Department, Meir Medical Center, Kfar Saba 44281, Israel

[4]|School for Creative Arts Therapies, University of Haifa, Haifa 3498838, Israel

关键词: music therapy;    preterm infants;    family-centered care;    autonomic stability;    heart rate variability;   

DOI  :  10.3390/children8111077

来源: DOAJ

【 摘 要 】

Unbuffered stress levels may negatively influence preterm-infants’ autonomic nervous system (ANS) maturation, thus affecting neurobehavior and psycho-emotional development. Music therapy (MT) is an evidence-based treatment modality in neonatal care. When coupled with skin-to-skin care (SSC), it may reduce stress responses in both preterm infants and their parents and enhance family-centered care. Accordingly, we aimed to compare the effects of combined MT and SSC and SSC alone on ANS stabilization in preterm infants. In a single-center, cluster-randomized trial design, ten two-month time-clusters were randomized to either combined MT and SSC or SSC alone. Families of preterm infants were offered two sessions of the allocated condition in the NICU, and a three-month follow up session at home. The primary outcome variable was stabilization of the ANS, defined by change in the high frequency (HF) power of heart rate variability (HRV) during the second session. Secondary outcomes included other HRV measures, parent–infant attachment, and parental anxiety at each session. Sixty-eight families were included. MT combined with SSC improved infants’ ANS stability, as indicated by a greater increase in HF power during MT compared to SSC alone (mean difference 5.19 m²/Hz, SE = 1.27, p < 0.001) (95% confidence interval 0.87 to 2.05). Most secondary outcomes were not significantly different between the study groups. MT contributes to preterm-infants’ autonomic stability, thus laying an important foundation for neuro-behavioral and psycho-emotional development. Studies evaluating longer-term effects of MT on preterm infants’ development are warranted.

【 授权许可】

Unknown