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The effects of a music enrichment program on parent-infant interactions during mealtime: A randomized controlled
Amy R Smith1, Rina D Eiden2, Shannon Shisler3
1Baby Health Behavior Lab, Division of Health Services and Outcomes Research, Children's Mercy Research Institute, Children's Mercy Hospital, Kansas City, MO, USA; Center for Children's Healthy Lifestyles and Nutrition, University of Kansas Medical Center, Kansas City, KS, USA.
Insights
Music enrichment programs improved parent-child interactions during feeding, reducing negative affect and intrusiveness. However, these positive changes did not impact infant weight status in this study.
Area of Science:
- Child development
- Pediatric health
- Behavioral science
Background:
- Parent-child interactions are crucial for child development and are linked to childhood obesity.
- Music enrichment programs show potential for enhancing these interactions, offering a novel strategy for early obesity prevention.
Purpose of the Study:
- To assess the impact of a music enrichment program on parent-child interactional quality and infant weight status.
- To compare the effects of a music program versus an active play group over a 2-year period.
Main Methods:
- A 2-year randomized controlled trial involving 90 infants (9-15 months) and their caregivers.
- Parent-child interaction was measured using the Parent Child Early Relational Assessment (PCERA) at multiple time points.
- Weight for length z-score (zWFL) growth trajectories were modeled using mixed-effects regression.
Main Results:
- Parents in the music group showed significant reductions in negative affect during feeding compared to the control group (p=0.00).
- Parental intrusiveness during feeding also significantly decreased in the music group from month 6 to 12 (p=0.01).
- No significant association was found between improved parent-child interactions and child weight-for-length z-score trajectories.
Conclusions:
- Early music enrichment may foster more positive parent-child interactions, specifically during feeding.
- Improvements in interactional quality during feeding were not directly linked to changes in infant weight gain trajectories in this trial.
Background:
Parent-child interactions are linked to childhood obesity. Music enrichment programs enhance parent-child interactions and may be a strategy for early childhood obesity prevention.
Objective:
We implemented a 2-year randomized, controlled trial to assess the effects of a music enrichment program (music, n = 45) vs. active play date control (control, n = 45) on parent-child interactional quality and infant weight status.
Methods:
Typically developing infants aged 9-to 15-months were enrolled with a primary caregiver in the Music Together ® or a play date program. Participants attended once per week group meetings for 12 months and once per month group meetings for an additional 12 months. Parent-child interaction was measured using the Parent Child Early Relational Assessment (PCERA) at baseline, month 6, 12, and 24. We used a modified intent-to-treat mixed model regression to test group differences in parent-child interactions and Weight for length z-score (zWFL) growth trajectories were modeled.
Results:
There were significant differential group changes across time for negative affect during feeding (group*month; p = 0.02) in that those parents in the music group significantly decreased their negative affect score compared with the control group from baseline to month 12 (music change = -0.279 ± 0.129; control change = +0.254 ± 0.131.; p = 0.00). Additionally, we also observed significant differential group changes across time for parent intrusiveness during feeding (group*month; p = 0.04) in that those parents in the music group significantly decreased their intrusiveness score compared with the control group from month 6 to month 12 (music change = -0.209 ± 0.121; control change = 0.326 ± 0.141; p = 0.01). We did not find a significant association between any of the changes in parental negative affect and intrusiveness with child zWFL trajectories.
Conclusion:
Participating in a music enrichment program from an early age may promote positive parent-child interactions during feeding, although this improvement in the quality of parent-child interactions during feeding was not associated with weight gain trajectories.
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