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

Published on: January 7, 2020

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The Effect of Contingent Singing on Infants with Bronchopulmonary Dysplasia in the Neonatal Intensive Care Unit

Amy R Smith1, Joseph Hagan2, Marlene Walden3

  • 1Children's Mercy Research Institute.

Journal of Music Therapy
|January 2, 2023
PubMed

Insights

Contingent singing did not significantly alter physiologic measures or behavioral states in infants with bronchopulmonary dysplasia (BPD). While well-received, further research is needed to confirm its effectiveness for infant stabilization in the neonatal intensive care unit (NICU).

Area of Science:

  • Neonatal Medicine
  • Developmental Pediatrics
  • Music Therapy

Background:

  • Infants with bronchopulmonary dysplasia (BPD) require optimal environments for neurodevelopment and growth.
  • Interventions promoting behavioral and physiologic stability are crucial for improving outcomes in this vulnerable population.
  • Contingent singing, a music intervention, allows tailored adjustments to rhythm and tempo based on infant cues to support stabilization.

Purpose of the Study:

  • To evaluate the effect of contingent singing on behavioral state and physiologic measures in infants with BPD.
  • To compare contingent singing intervention with standard care practices in the neonatal intensive care unit (NICU).

Main Methods:

  • A randomized crossover design was employed.
  • Data were collected from 37 infants diagnosed with BPD.
  • Physiologic measures and behavioral states were compared between contingent singing and control sessions.

Main Results:

  • No significant differences were observed in physiologic measures or behavioral states between contingent singing and control sessions.
  • Parents and staff reported positive perceptions of music therapy.
  • No adverse infant responses were noted during contingent singing sessions.

Conclusions:

  • Contingent singing did not demonstrate significant immediate effects on the measured outcomes in infants with BPD.
  • The intervention was perceived favorably by caregivers and staff, with no adverse events.
  • Further investigation is warranted to explore the potential long-term effectiveness of contingent singing on infant physiologic stability.

Keywords:
InfantIntensive CareMusicPremature

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