Effect of Music Therapy on Parent-Infant Bonding Among Infants Born Preterm: A Randomized Clinical Trial
Ghetti CM, Gaden TS, Bieleninik L, Kvestad I, Assmus J, Stordal AS, Aristizabal Sanchez LF, Arnon S, Dulsrud J, Elefant C, Epstein S, Ettenberger M, Glosli H, Konieczna-Nowak L, Lichtensztejn M, Lindvall MW, Mangersnes J, Murcia Fernández LD, Røed CJ, Saá G, Van Roy B, Vederhus BJ, Gold C
JAMA network open · 12 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Universitetet i Bergen
- Gobierno
- Norges Forskningsråd
- Subvenciones
- Norges Forskningsråd (273534)
Según 2 financiadores declarados.
Publicación
- Publicado
- 2023-05-26 · JAMA Netw Open · vol. 6 · número 5 · pág. e2315750
- Editorial
- American Medical Association
- Citado
- 26 citas · más que el 98% de estudios similares · 7.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 40 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Infant Development and Preterm Care · Infant Health and Development
- Palabras clave
- music therapy, parent-infant bonding, preterm infants, infant-directed singing, neonatal intensive care, mother-infant bonding, father-infant bonding, Postpartum Bonding Questionnaire, music therapists, infant development, paternal depression, infant feeding
- MeSH
- humans, premature birth, music therapy, aftercare, patient discharge, parents, adult, infant, infant, newborn, infant, premature, female
23 autores
- Claire M. Ghetti🇳🇴 · autor de correspondenciaNORCE Research AS; University of Bergen
- Tora Söderström Gaden🇳🇴NORCE Research AS
- Łucja Bieleninik🇵🇱🇳🇴University of Gdańsk; NORCE Research AS
- Ingrid Kvestad🇳🇴NORCE Research AS
- Jörg Aßmus🇳🇴NORCE Research AS
- Andreas S. Stordal🇳🇴NORCE Research AS; University of Bergen
- Luisa Fernanda Aristizabal Sanchez🇨🇴Fundación Santa Fe de Bogotá
- Shmuel Arnon🇮🇱Tel Aviv University; Meir Medical Center
- Jeanette Dulsrud🇳🇴Akershus University Hospital
- Cochavit Elefant🇮🇱University of Haifa
- Shulamit Epstein🇮🇱University of Haifa
- Mark Ettenberger🇨🇴Fundación Santa Fe de Bogotá
- Heidi Glosli🇳🇴Oslo University Hospital
- Ludwika Konieczna-Nowak🇵🇱Karol Szymanowski Academy of Music
- Marcela Lichtensztejn🇦🇷Universidad de Ciencias Empresariales y Sociales
- Merethe Wolf Lindvall🇳🇴Haukeland University Hospital
- Julie Mangersnes🇳🇴Oslo University Hospital
- Luz Dary Murcia Fernández🇨🇴Fundación Santa Fe de Bogotá
- Catharina Janner🇳🇴Akershus University Hospital
- Gladys Saa🇦🇷Hospital Fernández
- Betty Van Roy🇳🇴Akershus University Hospital
- Bente Johanne Vederhus🇳🇴Haukeland University Hospital
- Christian Gold🇦🇹🇳🇴University of Vienna; NORCE Research AS
Resumen
El texto original del estudio, en el idioma en que se publicó.
Importance
Parent-infant bonding contributes to long-term infant health but may be disrupted by preterm birth.
Objective
To determine if parent-led, infant-directed singing, supported by a music therapist and initiated in the neonatal intensive care unit (NICU), improves parent-infant bonding at 6 and 12 months.
Design, setting, and participants
This randomized clinical trial was conducted in level III and IV NICUs in 5 countries between 2018 and 2022. Eligible participants were preterm infants (under 35 weeks' gestation) and their parents. Follow-up was conducted across 12 months (as part of the LongSTEP study) at home or in clinics. Final follow-up was conducted at 12 months' infant-corrected age. Data were analyzed from August 2022 to November 2022.
Intervention
Participants randomized to music therapy (MT) plus standard care or standard care alone during NICU admission, or to MT plus standard care or standard care alone postdischarge, using computer-generated randomization (ratio 1:1, block sizes of 2 or 4 varying randomly), stratified by site (51 allocated to MT NICU, 53 to MT postdischarge, 52 to both, and 50 to neither). MT consisted of parent-led, infant-directed singing tailored to infant responses and supported by a music therapist 3 times per week throughout hospitalization or 7 sessions across 6 months' postdischarge.
Main outcome and measure
Primary outcome was mother-infant bonding at 6 months' corrected age, measured by the Postpartum Bonding Questionnaire (PBQ), with follow-up at 12 months' corrected age, and analyzed intention-to-treat as group differences.
Results
Of 206 enrolled infants with 206 mothers (mean [SD] age, 33 [6] years) and 194 fathers (mean [SD] age, 36 [6] years) randomized at discharge, 196 (95.1%) completed assessments at 6 months and were analyzed. Estimated group effects for PBQ at 6 months' corrected age were 0.55 (95% CI, -2.20 to 3.30; P = .70) for MT in the NICU, 1.02 (95% CI, -1.72 to 3.76; P = .47) for MT postdischarge, and -0.20 (95% CI, -4.03 to 3.63; P = .92) for the interaction (12 months: MT in NICU, 0.17; 95% CI, -2.71 to 3.05; P = .91; MT postdischarge, 1.78; 95% CI, -1.13 to 4.70; P = .24; interaction, -1.68; 95% CI, -5.77 to 2.41; P = .42). There were no clinically important between-group differences for secondary variables.
Conclusions and relevance
In this randomized clinical trial, parent-led, infant-directed singing did not have clinically important effects on mother-infant bonding, but was safe and well-accepted.
Trial registration
ClinicalTrials.gov Identifier: NCT03564184.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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