COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact
There is evidence that music therapy combined with physical contact to parents stabilizes the vital signs of hospitalized preterm infants. Yet, there is no evidence for the difference between simple contact by touching the infant in the incubator or cod, or close physical contact during music therap...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Neuroscience |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fnins.2024.1359769/full |
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| author | Susann Kobus Susann Kobus Susann Kobus Tim Kleinbeck Tim Kleinbeck Miriam Ader Miriam Ader Monia Vanessa Dewan Monia Vanessa Dewan Anne-Kathrin Dathe Anne-Kathrin Dathe Anne-Kathrin Dathe Nadia Feddahi Nadia Feddahi Ursula Felderhoff-Mueser Ursula Felderhoff-Mueser Nora Bruns Nora Bruns |
| author_facet | Susann Kobus Susann Kobus Susann Kobus Tim Kleinbeck Tim Kleinbeck Miriam Ader Miriam Ader Monia Vanessa Dewan Monia Vanessa Dewan Anne-Kathrin Dathe Anne-Kathrin Dathe Anne-Kathrin Dathe Nadia Feddahi Nadia Feddahi Ursula Felderhoff-Mueser Ursula Felderhoff-Mueser Nora Bruns Nora Bruns |
| author_sort | Susann Kobus |
| collection | DOAJ |
| description | There is evidence that music therapy combined with physical contact to parents stabilizes the vital signs of hospitalized preterm infants. Yet, there is no evidence for the difference between simple contact by touching the infant in the incubator or cod, or close physical contact during music therapy sessions (MT). Behavioral effects of the various forms of attention toward the infant during therapy need to be elucidated. Our study aimed to quantify the effects of hand touch contact (HTC) and close physical contact (CPC) during live performed MT in preterm infants regardless of gestational age on behavioral state (assessed via COMFORTneo scale) and vital signs. A maximum of ten live music therapy sessions were delivered three to four times a week until hospital discharge to 50 stable infants. Pre-, during- and post-therapy heart rates, respiratory rates, oxygen saturations and COMFORTneo scores were recorded for each session. A total of 486 sessions was performed with 243 sessions using HTC and CPC each. The mean gestational age was 33 + 3 weeks, with 27 (54%) infants being male. We observed lower COMFORTneo scores, heart and respiratory rates and higher oxygen saturation during and after live performed music therapy independent of the kind of physical contact than before therapy. While pre-therapy values were better in the CPC group for all four variables, a higher mean response on COMFORTneo scale and vital signs was observed for HTC (COMFORTneo score −5.5, heart rate −12.4 beats per min., respiratory rate −8.9 breaths per min, oxygen saturation + 1.5%) compared to CPC (COMFORTneo score −4.6, heart rate −9.6 beats per min., respiratory rate −7.0 breaths per min, oxygen saturation + 1.1%). Nonetheless, post-therapy values were better for all four measures in the CPC group. Regression modeling with correction for individual responses within each patient also yielded attenuated effects of MT in the CPC group compared to HTC, likely caused by the improved pre-therapy values. Live performed music therapy benefits preterm infants’ vital signs and behavioral state. During CPC with a parent, the absolute therapeutic effect is attenuated but resulting post-therapy values are nonetheless better for both the COMFORTneo scale and vital signs. |
| first_indexed | 2024-04-24T18:46:37Z |
| format | Article |
| id | doaj.art-ad4c9296a4ac45db9ec6e20785c63a91 |
| institution | Directory Open Access Journal |
| issn | 1662-453X |
| language | English |
| last_indexed | 2024-04-24T18:46:37Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Neuroscience |
| spelling | doaj.art-ad4c9296a4ac45db9ec6e20785c63a912024-03-27T04:59:22ZengFrontiers Media S.A.Frontiers in Neuroscience1662-453X2024-03-011810.3389/fnins.2024.13597691359769COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contactSusann Kobus0Susann Kobus1Susann Kobus2Tim Kleinbeck3Tim Kleinbeck4Miriam Ader5Miriam Ader6Monia Vanessa Dewan7Monia Vanessa Dewan8Anne-Kathrin Dathe9Anne-Kathrin Dathe10Anne-Kathrin Dathe11Nadia Feddahi12Nadia Feddahi13Ursula Felderhoff-Mueser14Ursula Felderhoff-Mueser15Nora Bruns16Nora Bruns17Department of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyCenter of Artistic Therapy, University Medicine Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Health and Nursing, Occupational Therapy, Ernst-Abbe-University of Applied Sciences, Jena, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyDepartment of Paediatrics I, University Hospital, University of Duisburg-Essen, Essen, GermanyCentre for Translational Neuro- and Behavioural Sciences, C-TNBS, Faculty of Medicine, University Duisburg-Essen, Essen, GermanyThere is evidence that music therapy combined with physical contact to parents stabilizes the vital signs of hospitalized preterm infants. Yet, there is no evidence for the difference between simple contact by touching the infant in the incubator or cod, or close physical contact during music therapy sessions (MT). Behavioral effects of the various forms of attention toward the infant during therapy need to be elucidated. Our study aimed to quantify the effects of hand touch contact (HTC) and close physical contact (CPC) during live performed MT in preterm infants regardless of gestational age on behavioral state (assessed via COMFORTneo scale) and vital signs. A maximum of ten live music therapy sessions were delivered three to four times a week until hospital discharge to 50 stable infants. Pre-, during- and post-therapy heart rates, respiratory rates, oxygen saturations and COMFORTneo scores were recorded for each session. A total of 486 sessions was performed with 243 sessions using HTC and CPC each. The mean gestational age was 33 + 3 weeks, with 27 (54%) infants being male. We observed lower COMFORTneo scores, heart and respiratory rates and higher oxygen saturation during and after live performed music therapy independent of the kind of physical contact than before therapy. While pre-therapy values were better in the CPC group for all four variables, a higher mean response on COMFORTneo scale and vital signs was observed for HTC (COMFORTneo score −5.5, heart rate −12.4 beats per min., respiratory rate −8.9 breaths per min, oxygen saturation + 1.5%) compared to CPC (COMFORTneo score −4.6, heart rate −9.6 beats per min., respiratory rate −7.0 breaths per min, oxygen saturation + 1.1%). Nonetheless, post-therapy values were better for all four measures in the CPC group. Regression modeling with correction for individual responses within each patient also yielded attenuated effects of MT in the CPC group compared to HTC, likely caused by the improved pre-therapy values. Live performed music therapy benefits preterm infants’ vital signs and behavioral state. During CPC with a parent, the absolute therapeutic effect is attenuated but resulting post-therapy values are nonetheless better for both the COMFORTneo scale and vital signs.https://www.frontiersin.org/articles/10.3389/fnins.2024.1359769/fullmusic therapyNeonatologypreterm infantsbehavioral stateclose physical contacthand touch contact |
| spellingShingle | Susann Kobus Susann Kobus Susann Kobus Tim Kleinbeck Tim Kleinbeck Miriam Ader Miriam Ader Monia Vanessa Dewan Monia Vanessa Dewan Anne-Kathrin Dathe Anne-Kathrin Dathe Anne-Kathrin Dathe Nadia Feddahi Nadia Feddahi Ursula Felderhoff-Mueser Ursula Felderhoff-Mueser Nora Bruns Nora Bruns COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact Frontiers in Neuroscience music therapy Neonatology preterm infants behavioral state close physical contact hand touch contact |
| title | COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact |
| title_full | COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact |
| title_fullStr | COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact |
| title_full_unstemmed | COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact |
| title_short | COMFORTneo scale in preterm infants during live performed music therapy—Difference between close physical contact and hand touch contact |
| title_sort | comfortneo scale in preterm infants during live performed music therapy difference between close physical contact and hand touch contact |
| topic | music therapy Neonatology preterm infants behavioral state close physical contact hand touch contact |
| url | https://www.frontiersin.org/articles/10.3389/fnins.2024.1359769/full |
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