Meta-analysis2016Open access

Do Hospitalized Premature Infants Benefit from Music Interventions? A Systematic Review of Randomized Controlled Trials

van der Heijden MJ, Oliai Araghi S, Jeekel J, Reiss IK, Hunink MG, van Dijk M

PloS one · 52 citations

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Erasmus Medisch Centrum
Nonprofit
Stichting Swart-van Essen
Nonprofit
Stichting Coolsingel
Nonprofit
Verhagen Stichting
Nonprofit
Stichting van Ommeren/De Voogt
Nonprofit
Stichting Aelwijn Florisz
Nonprofit
Stichting Mathilde Elise
University or hospital
Internal Grant Erasmus MC for Integrative Medicine
Nonprofit
Stichting Aerarium Sanctius
Nonprofit
Erasmus Stichting
Nonprofit
Gilles Hondius Foundation

Based on 11 listed funder(s) and full-text disclosure statement.

Publication

Published
2016-09-08 · PLoS One · vol. 11 · issue 9 · p. e0161848
Publisher
Public Library of Science
Cited
107 citations · more than 88% of similar papers · 2.2× the field average
References
52 works
Access
Open access (journal) · CC-BY
Research areas
Infant Development and Preterm Care · Neonatal Respiratory Health Research · Pediatric Pain Management Techniques
Keywords
Randomized controlled trial, Psychological intervention, Music therapy, Medicine, Systematic review, MEDLINE, Intervention (counseling), Pediatrics, Physical therapy, Psychiatry, Surgery
MeSH
humans, treatment outcome, music therapy, hospitalization, behavior, publication bias, infant, newborn, infant, premature, randomized controlled trials as topic, pain management

6 authors

From NL, US

  • Marianne J. E. van der Heijden · correspondingErasmus MC; Erasmus University Rotterdam
  • Sadaf Oliai AraghiErasmus MC; Erasmus University Rotterdam
  • J JeekelErasmus MC; Erasmus University Rotterdam
  • Irwin K. M. ReissErasmus MC; Erasmus University Rotterdam
  • M. G. Myriam HuninkHarvard University; Erasmus MC; Erasmus University Rotterdam
  • Monique van DijkErasmus MC; Erasmus University Rotterdam

Abstract

Objective

Neonatal intensive care units (NICU) around the world increasingly use music interventions. The most recent systematic review of randomized controlled trials (RCT) dates from 2009. Since then, 15 new RCTs have been published. We provide an updated systematic review on the possible benefits of music interventions on premature infants' well-being.

Methods

We searched 13 electronic databases and 12 journals from their first available date until August 2016. Included were all RCTs published in English with at least 10 participants per group, including infants born prematurely and admitted to the NICU. Interventions were either recorded music interventions or live music therapy interventions. All control conditions were accepted as long as the effects of the music intervention could be analysed separately. A meta-analysis was not possible due to incompleteness and heterogeneity of the data.

Results

After removal of duplicates the searches retrieved 4893 citations, 20 of which fulfilled the inclusion/exclusion criteria. The 20 included studies encompassed 1128 participants receiving recorded or live music interventions in the NICU between 24 and 40 weeks gestational age. Twenty-six different outcomes were reported which we classified into three categories: physiological parameters; growth and feeding; behavioural state, relaxation outcomes and pain. Live music interventions were shown to improve sleep in three out of the four studies and heart rate in two out of the four studies. Recorded music improved heart rate in two out of six studies. Better feeding and sucking outcomes were reported in one study using live music and in two studies using recorded music.

Conclusions

Although music interventions show promising results in some studies, the variation in quality of the studies, age groups, outcome measures and timing of the interventions across the studies makes it difficult to draw strong conclusions on the effects of music in premature infants.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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