Music Therapy as an early intervention in the Neonatal Intensive Care Unit. Case study
Keywords:
music therapy, neonatal unit, premature infant, case study, qualitative researchAbstract
A prematurely born child is a child whose psychomotor and neurological condition can be highly diversified and whose further development depends on a number of biological and environmental factors. An important role is played by early intervention and developmental stimulation which involves parents. Music therapy (MT) is a form of an early developmental stimulation for premature infants at neonatal intensive care units (NICU). Music therapeutic activities may support and help in the achievement of physiological and emotional regulation of a child as well as his/her parents. The aim of this article is to familiarize readers with possibilities offered by active music therapy conducted at NICU based on the example of a child born at 27 weeks and her mother (case study). The description of a music therapy process based on chosen music therapy models shows how to conduct music therapy at the unit. The therapeutic goals are focused on three areas: child’s needs, mother’s needs and child and mother’s needs as dyads. The author also tries to present ways how to conduct music therapy in Polish hospitals where this type of intervention has not been introduced yet. The case study shows that the introduction of music therapy, which can be a form of early intervention, focuses on the family, the development of a mutual bond as well as learning how to communicate. Moreover, it may improve both child’s and mother’s quality of life. There is a necessity to conduct more research into the effectiveness of music therapy at neonatal intensive care units in Poland. However, the case study in question as well as a growing number of international research shows the therapeutic benefits of music therapy for premature infants and their parents.
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References
Abrams B., Dessler A.-M., Lee S., Loewy J., Silverman F., Telsey A. (2007), Instituting Music Therapy in the NICU: A Team Centered Approach [w:] Music Therapy in the Neonatal Intensive Care Unit, red. J. Loewy, The Louis and Lucille Armstrong Music Therapy Program Beth Israel Medical Center, Nev York, 21-37.
Arnon S., Shapsa A., Forman L., Regev R., Bauer S., Dolfin T. (2006), Live music is beneficial to preterm infants in the neonatal intensive care unit environment, „Birth” 33: 131–136.
Bieleninik Ł. (2012), Dzieci urodzone przedwcześnie w percepcji matek, Harmonia Universalis, Gdańsk.
Bieleninik Ł. (2015), Muzykoterapia a więź emocjonalna [w:] Psychologia muzyki. Między wykonawcą a odbiorcą, red. J. Kaleńska-Rodzaj, R. Lawendowski, Wydawnictwo Harmonia Universalis, Gdańsk, 113–132.
Bieleninik Ł., Bidzan I., Bidzan M. (2014), Wcześniactwo a trudne rodzicielstwo w okresie prei perinatalnym, „Roczniki Pedagogiczne”, 5 (41): 39–68.
Bieleninik Ł., Gold Ch. (2014). Early intervention for premature infants in neonatal intensive care unit, „Acta Neuropsychologica”, 12 (2): 185–203.
Bieleninik Ł., Ghetti C., Gold Ch. (2016), Music therapy for preterm infants and their parents: a meta-analysis, „Pediatrics”, 138, https://pediatrics.aappublications.org/content/138/3/ e20160971 [dostęp: 10.06.2021].
Bień A.M., Bałanda-Bałdyga A., Skurzak A. (2009), Zasady postępowania z noworodkiem urodzonym przedwcześnie podczas porodu i bezpośrednio po urodzeniu [w:] Opieka nad wcześniakiem, red. A.B. Pilewska-Kozak, Wydawnictwo Lekarskie PZWL, Warszawa, 61–69.
Blumenfeld H., Eisenfeld L. (2006), Does a mother singing to her premature baby affect feeding in the neonatal intensive care unit?, „Journal of Clinical Pediatrics”, 45: 65–70.
Cytowska B. (2014), Idea wczesnej interwencji i wspomagania rozwoju małego dziecka [w:] Wczesna interwencja i wspomaganie rozwoju małego dziecka, red. B. Cytowska, B. Winczura, Oficyna Wydawnicza „Impuls”, Kraków, 15–26.
DeLoach D., Detmer M. (2020), Amerykański Narodowy Instytut ds. Muzykoterapii Medycznej dla Dzieci i Niemowląt: interwencje muzykoterapeutyczne na oddziale intensywnej terapii noworodka [w:] Muzykoterapia dzieci przedwcześnie urodzonych i ich rodzin. Teoria i praktyka, red. Ł. Bieleninik, L. Konieczna-Nowak, Wydawnictwo Naukowe Scholar, Warszawa, 148–163.
Detmer M., Evans K., Shina E., Walker K., DeLoach D., Malovitz J.R. (2020), Multimodal neurological enhancement improves preterm infants's developmental outcomes: A longitudinal polot study, „Neonatal Network”, 39 (1): 16–23.
Edwards J. (2011), Music therapy and parent – infant bonding [w:] Music therapy and parent – infant bonding, red. J. Edwards, Oxford University Press, Oxford, 5–21.
Ettenberger M., Cardenas C.R., Parker M., Odell-Miller H. (2017), Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study, „Nordic Journal of Music Therapy”, 25 (3), 207–234.
Ettenberger M. (2020), Muzykoterapia dla ojców na oddziale intensywnej terapii noworodka – doświadczenia z Ameryki Południowej [w:] Muzykoterapia dzieci przedwcześnie urodzonych i ich rodzin. Teoria i praktyka, red. Ł. Bieleninik, L. Konieczna-Nowak, Wydawnictwo Naukowe Scholar, Warszawa, 164–172.
Ghetti C.M. (2013). Pediatric intensive care [w:] Guidelines for music therapy practice in pediatric care, red. J. Bradt, Barcelona Publishers, Gilsum, 152–204.
Ghetti C. M., Bieleninik Ł., Hysing M., Kvestad I., Assmus J., Vederhus B., Gold Ch. (2019), Longitudinal study of music therapy’s effectiveness for premature infants and their caregivers (LongSTEP): protocol for an international randomized trial, BMJ Open, 9 (8), https://bmjopen.bmj.com/content/9/8/e025062 [dostęp: 10.06.2021].
GUS, Dziedzinowe Bazy Wiedzy, 2020, http://swaid.stat.gov.pl/Demografia_dashboards/ Raporty_predefiniowane/RAP_DBD_DEM_9.aspx [dostęp: 10.09.2021].
Haslbeck F. (2004), Music therapy with preterm infants – theoretical approach and first practical experience, „Music Therapy Today”, 5 (4), 1–15.
Haslbeck F. (2017), Three little wonders: Music therapy with families in neonatal care [w:] Music Therapy with Families. Therapeutic Approaches and Theoretical Perspectives, red. S.L. Jacobsen i G. Thompson, Jessica Kingsley Publishers, Londyn–Filadelfia, 19–44.
Haslbeck F.B. (2012), Music therapy for premature infants and their parents: an integrative review, „Nordic Journal of Music Therapy”, 21 (3), 203–226.
Haslbeck F.B. (2013a), The interactive potential of creative music therapy with premature infants and their parents: A qualitative analysis, „Nordic Journal of Music Therapy”, 23 (1), 36–70.
Haslbeck F.B. (2013b), Creative music therapy with premature infants: an analysis of video footage, „Nordic Journal of Music Therapy”, 23 (1), 5–35.
Haslbeck F.B. (2020), Zestrojenie mózgu z muzyką – neuronaukowe ramy muzykoterapii kreatywnej w opiece nad noworodkami [w:] Muzykoterapia dzieci przedwcześnie urodzonych i ich rodzin, red. Ł. Bieleninik, L. Konieczna-Nowak, Wydawnictwo Scholar, Warszawa, 121–131.
Haslbeck F.B., Bucher H.-U., Bassler D., Hagmann C. (2017), Creative music therapy to promote brain structure, function, and neurobehavioral outcomes in preterm infants: a randomized controlled pilot trial protocol, „Pilot and Feasibility Studies”, 3 (36), 2–8.
Johnston C.C., Filion F., Nuyt A.M. (2007), Recorded maternal voice for preterm neonates undergoing heel lance, „Advanced Neonatal Care”, 7: 258–266.
Lindberg B., Axelsson K., Ohrling K., (2007), The birth of premature infants: Experiences from the father’s perspective, „Journal of Neonatal Nursing”, 13 (4), 142–149.
Loewy J. (2015). NICU music therapy: Song of kin as critical lullaby in research and practice, „Annals of The New York Academy of Sciences”, 1337: 178–185.
Loewy J.V. (2011), Music Therapy for hospitalized infants and their parents [w:] Music therapy and parent-infant bonding, red. J. Edwards, Oxford University Press, Oxford, 179–190.
Loewy J.V., Stewart K., Dassler A.-M., Telsey A., Homel P. (2013), The effects of music therapy on vital signs, feeding, and sleep in premature infants, „Pediatrics”, 131 (5), 902–918.
Mondanaro J., Ettenberger M., Park L. (2016), Mars Rising: Music Therapy and the Increasing Presence of Fathers in the NICU, „Music & Medicine”, 8 (6): 96–107.
Nöcker-Ribaupierre M. (2013), Premature infants [w:] Guidelines for Music Therapy Practice in Pediatric Care, red. J. Bradt, Barcelona Publishers, Gilsum, 66–115.
Nordoff P., Robbins C. (2008), Creative Music Therapy. A Guide to Fostering Clinical Musicianship, Barcelona Publishers, Gilsum.
Oldfield A. (2011), Parents’ perception of being in music therapy sessions with their music: what is our role as music therapists with parents?, [w:] Music therapy and parent-infant bonding, red. J. Edwards, Oxford University Press, Oxford, 58–72.
Oleszczuk J., Sawulicka-Oleszczuk H. (2009), Wcześniactwo jako problem medyczny, rodzinny i społeczny, [w:] Opieka nad wcześniakiem, red. A.B. Pilewska-Kozak, Wydawnictwo Lekarskie PZWL, Warszawa, 17–25.
Pilch D. (2009), Fototerapia, aromaterapia i muzykoterapia w opiece nad noworodkiem urodzonym przedwcześnie [w:] Opieka nad wcześniakiem, red. A.B. Pilewska-Kozak, Wydawnictwo Lekarskie PZWL, Warszawa, 242–248.
Shoemark H. (2011), Translating ’Infant-Directed Singing’ into a Strategy for a Hospitalized Family [w:] Music therapy and parent-infant bonding, red. J. Edwards, Oxford University Press, Oxford, 161–178.
Sloan K., Rowe J., Jones J. (2008), Stress and coping in fathers following the birth of a preterm infant, „Journal of Neonatal Nursing”, 14 (4): 108–115.
Standley J. (2012), Music therapy research in NICU: an updates meta-analysis, „Neonatal Network”, 31: 311–316.
Standley J.M. (1998), The effect of music and multimodal stimulation on responses of premature infants in neonatal intensive care, „Journal of Pediatric Nursing, 24 (6), 532–538.
Szpital Miejski w Rudzie Śląskiej Sp. z o.o. (2021), Oddział neonatologiczny, https://szpitalruda.pl/departments/oddzialy/neonatologia/ [dostęp: 10.06.2021].
Ullsten A., (2020), Muzykoterapia z muzyką na żywo i śpiewaniem kołysanek jako wsparcie emocjonalne podczas bolesnych zabiegów. Uzasadnienie dla śpiewania piosenek w ramach leczenia bólu u noworodków [w:] Muzykoterapia dzieci przedwcześnie urodzonych i ich rodzin, red. Ł. Bieleninik, L. Konieczna-Nowak, Wydawnictwo Scholar, Warszawa, 132–147.
Ullsten A., Gaden T.S., Mangersnes J. (2019), Development of family-centred care informing Nordic neonatal music therapy, [w:] Music in paediatric hospitals – Nordic perspectives, red. L.O. Bonde i K. Johansson, Norwegian Academy of Music, Oslo, 1–25.
Verney R., Ansdell G. (2010), Conversations on Nordoff-Robbins Music Therapy, Barcelona Publishers, Gilsum.
Whipple J. (2000), The effect of parent training in music and multimodal stimulation on parent – neonate interactions in the neonatal intensive care unit, „Journal of Music Therapy”, 37 (4): 250–268.