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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

Rethinking preventive post-discharge intervention programmes for very preterm infants and their parents.

Aleid G van Wassenaer-Leemhuis¹, Martine Jeukens-Visser², Janeline W P van Hus²

¹Department of Neonatology, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands.

Developmental Medicine and Child Neurology

|March 31, 2016

Summary

Post-discharge family-centered interventions enhance very preterm infant development and resilience. These programs, supporting responsive parenting and maternal well-being, show modest but lasting cognitive and motor improvements.

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Area of Science:

Neonatal care
Developmental pediatrics
Public health interventions

Background:

Infants born very preterm face developmental challenges.
Post-discharge support is crucial for their resilience and long-term outcomes.
Family-centered interventions show promise in addressing these needs.

Purpose of the Study:

To review the content and effects of home-based, family-centered intervention programs for very preterm infants.
To assess the long-term impact of these interventions on cognitive and motor development.
To identify key components for effective post-discharge support.

Main Methods:

A narrative review of six randomized controlled trials of home-based, family-centered intervention programs.
Updated systematic review data to compare program content and effects over time.
Focused on interventions aiming to improve cognitive outcomes by age two.

Main Results:

Four of the six reviewed programs improved child cognitive and/or motor development.
Interventions emphasizing responsive parenting yielded cognitive improvements up to 5 years post-program.
Programs addressing maternal anxiety improved maternal well-being and child behavior, with effects lasting up to 3 years.

Conclusions:

Family-centered preventive interventions post-discharge are vital for preterm infant resilience.
Effective programs support the parent-infant relationship and parental well-being.
Modest but sustained improvements in development and behavior are achievable.