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Does Music Positively Impact Preterm Infant Outcomes?
Alexa OʼToole1, Kim Francis, Lori Pugsley
1Massachusetts General Hospital, Obstetrics Service, The Massachusetts General Hospital, Boston.
Insights
Music therapy positively impacts preterm infants (PTIs) by improving physiological indicators, feeding, and pain management. It also reduces parental stress, making it a valuable intervention in the NICU environment.
Area of Science:
- Neonatal care
- Developmental psychology
- Music therapy
Background:
- Preterm infants (PTIs) face significant stressors in hospital environments, potentially hindering growth and development.
- Music therapy is explored as a developmental intervention to mitigate stress in PTIs.
- This review examines existing evidence on music therapy's effects on PTIs.
Purpose of the Study:
- To evaluate if music therapy positively influences physiological indicators in PTIs.
- To determine the effect of music therapy on feeding behaviors, length of stay (LOS), and pain management for PTIs.
- To assess the impact of music therapy on parental stress levels.
Main Methods:
- Searched CINAHL/MEDLINE Complete and PubMed databases for studies on music therapy and PTIs.
- Keywords included: preterm infants, premature infants, NICU baby, music, and music therapy.
- Focused on English studies published within the last 5 years, yielding 12 relevant studies.
Main Results:
- Music therapy demonstrated positive effects on physiological indicators, feeding, LOS, and pain outcomes for PTIs.
- Music interventions were found to decrease stress levels in parents of PTIs.
- The reviewed studies indicate a beneficial role for music therapy in neonatal intensive care units.
Conclusions:
- Individualized care plans should consider diverse music types and parental involvement in music therapy for PTIs.
- Guidelines focusing on ambient sound reduction are crucial when implementing music interventions.
- Further research is recommended on ambient sound, music types, infant gender, stress/pain reduction, and parental roles in music therapy.
Background:
The hospital environment leaves preterm infants (PTIs) exposed to various stressors that can disrupt their growth and development. Developmental interventions such as music may be an important strategy to mitigate PTI's stress. This brief evaluates current evidence regarding the impact of music therapy on outcomes for PTIs.
Purpose:
The question guiding this brief is "Do various types of music therapy positively affect physiologic indicators, feeding behaviors/length of stay (LOS) and pain management outcomes for PTIs?"
Search Strategy:
CINAHL/MEDLINE Complete and PubMed databases were searched using keywords preterm infants, premature infants, preterm baby, premature baby, NICU baby, music, and music therapy. The search was limited to 5 years for English studies evaluating the effects of music therapy on physiological indicators, feeding, pain outcomes, and length of stay. The search yielded 12 studies addressing these concerns.
Findings:
Music therapy was shown to positively affect physiologic indicators, feeding, length of stay, and pain outcomes for PTIs. In addition, music decreased parental stress.
Implications For Practice:
Thoughtful consideration should be given regarding the value of diverse types of music and parental involvement when incorporating music into an individualized plan of care. Furthermore, the development of guidelines with a focus on ambient sound reduction is an important strategy when adding music as an intervention.
Implications For Research:
Further research is needed to investigate ambient sound levels in conjunction with musical interventions. In addition, the impact of various types of music, differences in gender, reduction of stress, pain for infants, and parental role in music requires further evaluation.
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