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Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU

Objective: We aimed to investigate the feasibility of live-performed music therapy for extremely and very preterm infants admitted to the neonatal intensive care unit (NICU), and their parents, starting the 1st−2nd week after birth. They may benefit from live-performed music therapy as comforting no...

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Autores principales: van Dokkum, Nienke H., Jaschke, Artur C., Ravensbergen, Anne-Greet, Reijneveld, Sijmen A., Hakvoort, Laurien, de Kroon, Marlou L. A., Bos, Arend F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596259/
https://www.ncbi.nlm.nih.gov/pubmed/33178653
http://dx.doi.org/10.3389/fped.2020.581372
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author van Dokkum, Nienke H.
Jaschke, Artur C.
Ravensbergen, Anne-Greet
Reijneveld, Sijmen A.
Hakvoort, Laurien
de Kroon, Marlou L. A.
Bos, Arend F.
author_facet van Dokkum, Nienke H.
Jaschke, Artur C.
Ravensbergen, Anne-Greet
Reijneveld, Sijmen A.
Hakvoort, Laurien
de Kroon, Marlou L. A.
Bos, Arend F.
author_sort van Dokkum, Nienke H.
collection PubMed
description Objective: We aimed to investigate the feasibility of live-performed music therapy for extremely and very preterm infants admitted to the neonatal intensive care unit (NICU), and their parents, starting the 1st−2nd week after birth. They may benefit from live-performed music therapy as comforting non-pharmacological intervention. Study Design: We included infants born before 30 weeks' gestation in a single center NICU study. Live-performed music therapy was provided three times per week, tailored to the infant's medical condition. Parents were actively involved. Feasibility was determined as a combination of participation, drop-out, overstimulation (based on COMFORT-Neo scores), and evaluations of the intervention by parents and nurses (using a questionnaire on perceived effects on the parent, their infant and the NICU sound environment). Results: We included 18 infants (90% participation rate), with a gestational age of median 27 weeks (IQR 26–28 weeks), 61% males. One infant (5.6%) dropped-out. Differences of COMFORT-Neo scores during and after sessions compared with before sessions were non-significant; overstimulation by music therapy did not occur. Parents reported high satisfaction (highest score possible of 7) with the interventions and reported improvements in both infant and their own respiratory rates. Nurses also reported high satisfaction with the intervention and perceived a quieter NICU sound environment during and after sessions. Conclusion: Live-performed music therapy for extremely and very preterm infants is feasible and well-tolerated, and is experienced as an added value to developmental care. Future studies should assess both short-term and long-term effects, to determine whether this intervention should be part of routine care at the NICU and whether it is most beneficial to start shortly after birth.
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spelling pubmed-75962592020-11-10 Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU van Dokkum, Nienke H. Jaschke, Artur C. Ravensbergen, Anne-Greet Reijneveld, Sijmen A. Hakvoort, Laurien de Kroon, Marlou L. A. Bos, Arend F. Front Pediatr Pediatrics Objective: We aimed to investigate the feasibility of live-performed music therapy for extremely and very preterm infants admitted to the neonatal intensive care unit (NICU), and their parents, starting the 1st−2nd week after birth. They may benefit from live-performed music therapy as comforting non-pharmacological intervention. Study Design: We included infants born before 30 weeks' gestation in a single center NICU study. Live-performed music therapy was provided three times per week, tailored to the infant's medical condition. Parents were actively involved. Feasibility was determined as a combination of participation, drop-out, overstimulation (based on COMFORT-Neo scores), and evaluations of the intervention by parents and nurses (using a questionnaire on perceived effects on the parent, their infant and the NICU sound environment). Results: We included 18 infants (90% participation rate), with a gestational age of median 27 weeks (IQR 26–28 weeks), 61% males. One infant (5.6%) dropped-out. Differences of COMFORT-Neo scores during and after sessions compared with before sessions were non-significant; overstimulation by music therapy did not occur. Parents reported high satisfaction (highest score possible of 7) with the interventions and reported improvements in both infant and their own respiratory rates. Nurses also reported high satisfaction with the intervention and perceived a quieter NICU sound environment during and after sessions. Conclusion: Live-performed music therapy for extremely and very preterm infants is feasible and well-tolerated, and is experienced as an added value to developmental care. Future studies should assess both short-term and long-term effects, to determine whether this intervention should be part of routine care at the NICU and whether it is most beneficial to start shortly after birth. Frontiers Media S.A. 2020-10-16 /pmc/articles/PMC7596259/ /pubmed/33178653 http://dx.doi.org/10.3389/fped.2020.581372 Text en Copyright © 2020 van Dokkum, Jaschke, Ravensbergen, Reijneveld, Hakvoort, de Kroon and Bos. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
van Dokkum, Nienke H.
Jaschke, Artur C.
Ravensbergen, Anne-Greet
Reijneveld, Sijmen A.
Hakvoort, Laurien
de Kroon, Marlou L. A.
Bos, Arend F.
Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title_full Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title_fullStr Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title_full_unstemmed Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title_short Feasibility of Live-Performed Music Therapy for Extremely and Very Preterm Infants in a Tertiary NICU
title_sort feasibility of live-performed music therapy for extremely and very preterm infants in a tertiary nicu
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7596259/
https://www.ncbi.nlm.nih.gov/pubmed/33178653
http://dx.doi.org/10.3389/fped.2020.581372
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