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Updated: Jan 16, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Mother-Preterm Infant Contingent Interactions During Supported Infant-Directed Singing in the NICU-A Feasibility
Shulamit Epstein1,2, Shmuel Arnon3,4, Gabriela Markova5
1School for Creative Arts Therapies, University of Haifa, Haifa 3498838, Israel.
Supported infant-directed singing (IDS) shows measurable behavioral contingency between mothers and preterm infants in the NICU. This method can analyze interactions, potentially aiding future research on infant development.
Area of Science:
- Neonatal Development
- Music Therapy
- Behavioral Science
Background:
- Supported infant-directed singing (IDS) benefits parents and preterm infants.
- Behavioral observations assess parent-infant interactions.
- Contingency in preterm infants during IDS is understudied.
Purpose of the Study:
- Assess feasibility of analyzing mother-preterm infant contingency during supported IDS in the NICU.
- Evaluate behavioral synchrony during music therapy sessions.
Main Methods:
- Feasibility study with four mother-infant dyads in NICU.
- Video-recorded music therapy sessions analyzed by independent researchers.
- Adapted behavioral scales and inter-rater agreement used to code contingency.
Main Results:
- High inter-rater agreement for coded infant and maternal behaviors.
- Significant increase in infant and maternal head orientation during IDS.
- Maternal head orientation contingent on specific infant behaviors.
Conclusions:
- Demonstrated mother-infant behavioral contingency during supported IDS.
- Video analysis with high inter-rater agreement is viable.
- Findings suggest IDS influences infant attention and regulation.
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