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

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...

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Autores principales:	Dana Yakobson, Christian Gold, Bolette Daniels Beck, Cochavit Elefant, Sofia Bauer-Rusek, Shmuel Arnon
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	music therapy preterm infants family-centered care autonomic stability heart rate variability Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/3f75f540c76847f78fbee9274d999271
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spelling	oai:doaj.org-article:3f75f540c76847f78fbee9274d9992712021-11-25T17:15:13ZEffects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial10.3390/children81110772227-9067https://doaj.org/article/3f75f540c76847f78fbee9274d9992712021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1077https://doaj.org/toc/2227-9067Unbuffered 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 m<sup>2</sup>/Hz, SE = 1.27, <i>p</i> < 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.Dana YakobsonChristian GoldBolette Daniels BeckCochavit ElefantSofia Bauer-RusekShmuel ArnonMDPI AGarticlemusic therapypreterm infantsfamily-centered careautonomic stabilityheart rate variabilityPediatricsRJ1-570ENChildren, Vol 8, Iss 1077, p 1077 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	music therapy preterm infants family-centered care autonomic stability heart rate variability Pediatrics RJ1-570
spellingShingle	music therapy preterm infants family-centered care autonomic stability heart rate variability Pediatrics RJ1-570 Dana Yakobson Christian Gold Bolette Daniels Beck Cochavit Elefant Sofia Bauer-Rusek Shmuel Arnon Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
description	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 m<sup>2</sup>/Hz, SE = 1.27, <i>p</i> < 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.
format	article
author	Dana Yakobson Christian Gold Bolette Daniels Beck Cochavit Elefant Sofia Bauer-Rusek Shmuel Arnon
author_facet	Dana Yakobson Christian Gold Bolette Daniels Beck Cochavit Elefant Sofia Bauer-Rusek Shmuel Arnon
author_sort	Dana Yakobson
title	Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
title_short	Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
title_full	Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
title_fullStr	Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
title_full_unstemmed	Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial
title_sort	effects of live music therapy on autonomic stability in preterm infants: a cluster-randomized controlled trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3f75f540c76847f78fbee9274d999271
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Effects of Live Music Therapy on Autonomic Stability in Preterm Infants: A Cluster-Randomized Controlled Trial

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