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Updated: Oct 10, 2025

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Parents' Perception of Family-Centered Music Therapy with Stable Preterm Infants
Susann Kobus1, Marlis Diezel1, Britta Huening1
1Clinic for Pediatrics I, Essen University Hospital, University of Duisburg-Essen, 45147 Essen, Germany.
Insights
Live music therapy helped parents of preterm infants bond with their babies and reduced parental stress. This intervention promoted parental well-being and positive infant interaction during neonatal intensive care unit stays.
Area of Science:
- Neonatal care
- Psychosocial support
- Music therapy
Background:
- Premature birth presents significant challenges for infants and families.
- Neonatal intensive care units (NICUs) can cause parental stress and hinder parent-child bonding.
- Parental well-being is crucial for infant development.
Purpose of the Study:
- To investigate the impact of live music therapy on parental well-being and parent-infant contact.
- To assess the effectiveness of music therapy in supporting parents of preterm infants.
Main Methods:
- Creative music therapy was provided twice weekly to preterm infants (<32 weeks gestational age) until hospital discharge.
- Parents of participating infants completed Likert-style questionnaires at discharge.
- Questionnaires assessed socio-demographics, infant observations, and parental perceptions.
Main Results:
- 80% of parents (32/40) completed the evaluation.
- 94% of parents reported relaxation during music therapy sessions.
- Parents observed infant relaxation during (91%) and after (88%) sessions.
- Parents viewed music therapy as a positive enrichment during hospitalization.
Conclusions:
- Live music therapy is a beneficial intervention for parents of preterm infants.
- Music therapy supports parental well-being and facilitates parent-infant bonding in the NICU.
- The intervention was perceived positively by all participating parents.
Abstract:
Premature birth places considerable demands on preterm infants and their families. Most of these infants are treated on a neonatal intensive care unit immediately after birth, leading to psychosocial stress for parents and making it more difficult to build a stable parent-child bond. We hypothesized that accompaniment with live music therapy by a music therapist supports the parents to get in contact with their child and to promote the parents' wellbeing. Preterm infants born at less than 32 gestational weeks received creative music therapy twice a week until discharge. At the time of discharge, the parents were asked to complete a Likert-style questionnaire to evaluate the music therapy. Six items related to socio-demographic characteristics, 4 items to observations on the infant and 10 items to personal perception. Of 40 preterm infants receiving music therapy, 32 (80%) parents completed the questionnaires. Thirty (94%) of these parents were able to relax during the music therapy session. Relaxation in their infants was observed by 29 (91%) during and by 28 (88%) after music therapy. Parents perceived music therapy as a positive change and enrichment during their infant's hospital stay. All parents were thankful for the music therapy they received. Music therapy supports the parents of preterm infants in the first time after birth until discharge from the hospital.
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