Effect of Music Therapy on Infants With Neonatal Abstinence Syndrome

NCT ID: NCT03533985

Last Updated: 2025-02-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-11-01

Study Completion Date

2025-12-31

Brief Summary

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This study examines the effects of 6 different music therapy interventions on outcomes for neonates diagnosed with Neonatal Abstinence Syndrome.

Detailed Description

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The purpose of this exploratory pilot study is to learn what, if any, effects live music therapy interventions have on the pacification, stabilization, and development of infants diagnosed with Neonatal Abstinence Syndrome (NAS). Neonatal Abstinence Syndrome is a group of problems that occur in a newborn who has been exposed to illegal or prescription opiates while in the mother's womb. Participants will receive 6 music therapy sessions over a 14-day period based on a randomized treatment schedule of 6 different interventions.

Conditions

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NAS

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Counterbalancing will be achieved by assigning a different order of presentation of conditions for each group. Participants will remain in the study for two weeks, but continue to receive music therapy for the duration of their stay in the NICU.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Parents of infants will be unaware of the interventions' effects. Outcomes Assessor will be unfamiliar with desired outcomes.

Study Groups

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Song of Kin

Voice (with or without guitar)- lullaby/ Holding meter

Group Type EXPERIMENTAL

Song of Kin

Intervention Type BEHAVIORAL

Music therapists will assess meaningful song/theme (of choice/culture) and provide musical elements in a way that nurtures parents. They will then develop a simplified part of the theme into a soothing lullaby for their infants to be utilized directly by the parent/s and/or the music therapist to comfort, engage or sedate.

Gato box

Simple rhythms using Remo Gato box will be played by the MT-BC using a 3rd to comfort, engage or sedate

Group Type EXPERIMENTAL

Gato box

Intervention Type OTHER

Depending on the time of intervention and need of the infant the music therapist will provide rhythmic entrainment that follows the heart rate or suck patterns of the infant

Ocean disc

Creating a consistent womb-like sound soundscape to comfort, engage or sedate

Group Type EXPERIMENTAL

Ocean disc

Intervention Type OTHER

Depending on the time of intervention and needs of the infant the music therapist will provide a whoosh sound using the Remo Ocean disc. It will be entrained to the infant's respiratory rate.

Contingent singing

Provision of communicative vocalization-"parantese" to engage with infants, prosodic responses to infant cues (eye contact, body position)

Group Type EXPERIMENTAL

Contingent singing

Intervention Type OTHER

Depending on the state of the infant, the music therapist will provide short segments of conversant prosody, to enhance quiet-alert, or stimulate relaxation/sleep

Tonal Vocal holding

Providing a 'blanket of tone' to comfort, engage or sedate

Group Type EXPERIMENTAL

Tonal Vocal holding

Intervention Type OTHER

Music therapist will provide a vowel, long held tone, sung without vibrato

Muted shaker

If infant is awake, the muted shaker will be used to entrain to the infant's vital signs-to comfort, soothe or sedate

Group Type EXPERIMENTAL

Muted shaker

Intervention Type OTHER

If infant is awake, the muted shaker will be used to entrain to the infant's vital signs-to comfort, soothe or sedate

Interventions

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Song of Kin

Music therapists will assess meaningful song/theme (of choice/culture) and provide musical elements in a way that nurtures parents. They will then develop a simplified part of the theme into a soothing lullaby for their infants to be utilized directly by the parent/s and/or the music therapist to comfort, engage or sedate.

Intervention Type BEHAVIORAL

Gato box

Depending on the time of intervention and need of the infant the music therapist will provide rhythmic entrainment that follows the heart rate or suck patterns of the infant

Intervention Type OTHER

Ocean disc

Depending on the time of intervention and needs of the infant the music therapist will provide a whoosh sound using the Remo Ocean disc. It will be entrained to the infant's respiratory rate.

Intervention Type OTHER

Contingent singing

Depending on the state of the infant, the music therapist will provide short segments of conversant prosody, to enhance quiet-alert, or stimulate relaxation/sleep

Intervention Type OTHER

Tonal Vocal holding

Music therapist will provide a vowel, long held tone, sung without vibrato

Intervention Type OTHER

Muted shaker

If infant is awake, the muted shaker will be used to entrain to the infant's vital signs-to comfort, soothe or sedate

Intervention Type OTHER

Other Intervention Names

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Music psychotherapy with parent/s Rhythmic entrainment Timbre entrainment

Eligibility Criteria

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Inclusion Criteria

* Admitted to the NICU immediately postpartum
* Gestational age 28 weeks or older
* No identified hearing disorder
* Do not have a diagnosed developmental disability (i.e. Down Syndrome)
* Do not have Fetal Alcohol Syndrome
* Medically cleared to participate in the study by nurse or neonatologist
* Parent or legal guardian able/willing to give consent \& complete the PBQ (Postpartum Bonding Questionnaire)

Exclusion Criteria

* Admitted to the NICU at any time other than immediately postpartum
* Gestational age \<28 weeks old
* Has an identified hearing disorder
* Has diagnosed developmental disability (i.e. Down syndrome)
* Has Fetal Alcohol Syndrome
* Is not medically cleared to participate in the study by the nurse or neonatologist
* Parent or legal guardian unable/unwilling to give consent
Minimum Eligible Age

28 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Icahn School of Medicine at Mount Sinai

OTHER

Sponsor Role lead

Responsible Party

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Joanne Loewy

Director, Louis Armstrong Center for Music and Medicine at Mount Sinai Beth Israel

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joanne Loewy, PhD

Role: PRINCIPAL_INVESTIGATOR

Icahn School of Medicine at Mount Sinai

Kathy Murphy, PhD

Role: PRINCIPAL_INVESTIGATOR

Loyola University

Aimee Telsey, MD

Role: STUDY_DIRECTOR

Icahn School of Medicine at Mount Sinai

Locations

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Tulane University Hospital

New Orleans, Louisiana, United States

Site Status RECRUITING

Joseph M. Sanzari Children's Hospital

Hackensack, New Jersey, United States

Site Status RECRUITING

Northwell Health

New Hyde Park, New York, United States

Site Status RECRUITING

Mount Sinai West

New York, New York, United States

Site Status RECRUITING

Maria Fareri Children's Hospital

Valhalla, New York, United States

Site Status RECRUITING

Drexel University/Hahnemann Hospital-College of Nursing and Health Professions

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Joanne Loewy, DA, LCAT, MT-BC

Role: CONTACT

212-420-3484

Elizabeth Barone, MA, MT-BC, CCLS

Role: CONTACT

Facility Contacts

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Meghan Howell, MD, FAAP

Role: primary

504-988-4158

Rachel Lee, MD

Role: backup

Naoko Mizutani, MA

Role: primary

551-996-2714

Ellen Goldring

Role: backup

551-996-5146

Greg Razzano, MA

Role: primary

(718) 470-3000

Shawna Vernisie, MA

Role: backup

718 470-3002

Ann Marie Dassler, NP

Role: primary

973 986 6306

Aimee Telsey, MD

Role: backup

212 844-8387

Laurie Park, MA

Role: primary

914-493-7000

Lance Parton, MD

Role: backup

(914) 493-6640

Flossie Ierardi, MA

Role: primary

(267) 359-5501

Scott Horwitz, MA

Role: backup

(267) 359-5572

References

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Loewy J, Stewart K, Dassler AM, Telsey A, Homel P. The effects of music therapy on vital signs, feeding, and sleep in premature infants. Pediatrics. 2013 May;131(5):902-18. doi: 10.1542/peds.2012-1367. Epub 2013 Apr 15.

Reference Type BACKGROUND
PMID: 23589814 (View on PubMed)

Loewy J. NICU music therapy: song of kin as critical lullaby in research and practice. Ann N Y Acad Sci. 2015 Mar;1337:178-85. doi: 10.1111/nyas.12648.

Reference Type BACKGROUND
PMID: 25773633 (View on PubMed)

Bieleninik L, Ghetti C, Gold C. Music Therapy for Preterm Infants and Their Parents: A Meta-analysis. Pediatrics. 2016 Sep;138(3):e20160971. doi: 10.1542/peds.2016-0971. Epub 2016 Aug 25.

Reference Type BACKGROUND
PMID: 27561729 (View on PubMed)

Pahl A, Young L, Buus-Frank ME, Marcellus L, Soll R. Non-pharmacological care for opioid withdrawal in newborns. Cochrane Database Syst Rev. 2020 Dec 21;12(12):CD013217. doi: 10.1002/14651858.CD013217.pub2.

Reference Type DERIVED
PMID: 33348423 (View on PubMed)

Related Links

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Other Identifiers

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IRB 16-00740

Identifier Type: OTHER

Identifier Source: secondary_id

GCO 16-1991

Identifier Type: -

Identifier Source: org_study_id

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