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Randomised Crossover Trial in Preterm Infants less than 32 weeks to assess Music therapy and sucrose versus sucrose on stress
The purpose of this study is to assess whether the use of music therapy as a non-pharmacological intervention around the time of venepuncture significantly decreases the stress response of a stable preterm neonate, as measured by salivary cortisol levels .
The secondary aim of this study is to analyse the effect of music therapy on the EEG, and vital signs of the stable preterm neonate.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sucrose alone | No Intervention | These infants will receive an oral sucrose solution ("Sweetease") only prior to venepuncture | |
| Music intervention plus sucrose | Experimental | These infants will receive both oral sucrose solution and music therapy prior to venepuncture. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Music therapy | Other | The musical intervention will be played for ten minutes prior to venepuncture |
|
| Measure | Description | Time Frame |
|---|---|---|
| Salivary cortisol levels | Change in salivary cortisol levels between Baseline, 20 minutes and 4 hours | BASELINE, 20 mins and 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Premature Infant Pain Profile (PIPP) score | Alteration in pain as measured by Premature Infant Pain Profile (PIPP) score | immediate |
| Changes in physiological parameters - Heart rate | Increase in heart rate |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cork University Maternity Hospital | Cork | Cork | Ireland |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007752 | Obstetric Labor, Premature |
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| ID | Term |
|---|---|
| D009147 | Music Therapy |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| 10 mins before venepuncture and 10 mins after |
| Changes in physiological parameters - respiration rate | Increase in respiration rate | 10 mins before venepuncture and 10 mins after |
| Changes in physiological parameters - oxygen saturation | Decrease in oxygen saturation | 10 mins before venepuncture and 10 mins after |
| Changes in physiological parameters - EEG | Altered EEG amplitude and Frequency. | 10 mins before venepuncture and 10 mins after |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |