Music Therapy: An Adjunct To Gastroschisis Infants' Care
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/2/2016 |
| Start Date: | October 2011 |
| End Date: | December 2014 |
| Contact: | Catherine T Worwa, LRT, BS, CCRP |
| Email: | cathy.worwa@childrensmn.org |
| Phone: | 612-813-6864 |
The Effect of Music Therapy On Infants Born With Gastroschisis
The investigators hope to determine if music therapy will have beneficial effects on
physiologic parameters, behavioral states, and pain scale evaluations in infants with
gastroschisis defects and if music therapy promotes parental/caregiver relaxation and
demonstrates to the parent/caregiver that music is an effective tool to calm and soothe
their infant at risk for chronic gastrointestinal discomfort.
Babies will be enrolled during the perinatal period, with therapy to begin after surgical
repair of the gastroschisis defect and when the neonatologist deems the baby stable enough
for music therapy intervention. Enrolled subjects may receive up to 3 music therapy
sessions/week and these sessions may continue until discharge. There is no follow up after
discharge.
Each one hour session (20-30 minutes of music and 30 minutes of quiet) will include:
1. Pre music therapy behavior state will be assessed using CRIES scale and recorded.
2. Five minutes of baseline vital signs will be recorded.
3. Music therapy lasting 20-30 minutes, will start. Music therapist will use guitar and
lap harp to perform live lullaby tupe music with or with out vocals. Decibel levels
will be maintained at 65-75dB. Session will stop if infant shows any signs of
distress/agitation. Vital signs will be collected every 1-4 minutes during music
session.
4. After session behavior state using CRIES scale will be recorded.
5. Family/caregiver will be given a questionnaire to fill out.
6. 30 min of quiet will start.
7. At the end of quiet time, behavior state and vital signs will be recorded for the last
time.
physiologic parameters, behavioral states, and pain scale evaluations in infants with
gastroschisis defects and if music therapy promotes parental/caregiver relaxation and
demonstrates to the parent/caregiver that music is an effective tool to calm and soothe
their infant at risk for chronic gastrointestinal discomfort.
Babies will be enrolled during the perinatal period, with therapy to begin after surgical
repair of the gastroschisis defect and when the neonatologist deems the baby stable enough
for music therapy intervention. Enrolled subjects may receive up to 3 music therapy
sessions/week and these sessions may continue until discharge. There is no follow up after
discharge.
Each one hour session (20-30 minutes of music and 30 minutes of quiet) will include:
1. Pre music therapy behavior state will be assessed using CRIES scale and recorded.
2. Five minutes of baseline vital signs will be recorded.
3. Music therapy lasting 20-30 minutes, will start. Music therapist will use guitar and
lap harp to perform live lullaby tupe music with or with out vocals. Decibel levels
will be maintained at 65-75dB. Session will stop if infant shows any signs of
distress/agitation. Vital signs will be collected every 1-4 minutes during music
session.
4. After session behavior state using CRIES scale will be recorded.
5. Family/caregiver will be given a questionnaire to fill out.
6. 30 min of quiet will start.
7. At the end of quiet time, behavior state and vital signs will be recorded for the last
time.
Prior to starting the music therapy session, family/caregivers, if present, will be informed
of study session progression. They will be reminded of appropriate behavioral protocol to
maintain therapeutic environment during session - i.e. minimal taking & touching, cell
phones off etc. A "Do Not Disturb - Music Therapy Session in Progress" will be posted
outside pts room on the door.
Behavioral state data and vitals signs collected during sessions will be entered into a
database. Also recorded, will be general information about the baby and its mother, such as,
gestational age, apgar scores, mothers age and race, number of days post surgical repair
etc.
of study session progression. They will be reminded of appropriate behavioral protocol to
maintain therapeutic environment during session - i.e. minimal taking & touching, cell
phones off etc. A "Do Not Disturb - Music Therapy Session in Progress" will be posted
outside pts room on the door.
Behavioral state data and vitals signs collected during sessions will be entered into a
database. Also recorded, will be general information about the baby and its mother, such as,
gestational age, apgar scores, mothers age and race, number of days post surgical repair
etc.
Inclusion Criteria:
1. Diagnosis of Gastroschisis
2. Patient is stable enough to receive music therapy as determined by Neonatologist
3. Patient has passed their newborn hearing screen
Exclusion Criteria:
1. Neonatologist feels patient/family would not be an acceptable research candidate.
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