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The goal of this clinical trial is to test the effect of music in reducing the pain felt by newborn children during an intravenous line procedure. An intravenous line is a small tube brought into a vein by using a needle. The main questions it aims to answer are:
Researchers will compare the music group to the non-music group to see if there is any difference in vital signs and behaviors of the child.
After inclusion, a participant will be randomized by drawing a sealed, opaque envelope, the contents of which will be either group A: no music, or group B: music. The outcome assessor will then perform a baseline measurement of vital signs and Neonatal Infant Pain Score. Then, Brahms Lullaby will be played from a speaker. When the needle is first introduced into the skin, a second measurement will be performed. For every attempt needed to succesfully place the intravenous line, an additional measurement will be done. Finally, after succesful placement of the intravenous line is confirmed by NaCl flush, a final measurement will be done. Afterwards, a short questionnaire will be filled in by the parents and the medical staffmember(s) that performed the intravenous line.
The study groups will be compared to each other in outcome measures, and there will be statistical correction for demographic and clinical confounders, which will be collected from medical files. The research hypothesis is that group B will show a smaller increase in vital signs and NIPS on average during the procedure, compared to group A.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| music | Active Comparator | Brahms lullaby at 50-60dB (depending on distance to speaker), played during the intravenous line procedure. |
|
| no music | No Intervention | No intervention, care as usual. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| music | Other | Brahms' Lullaby will be played from a speaker at 50 decibels |
|
| Measure | Description | Time Frame |
|---|---|---|
| HR | heart rate | one day |
| RR / BR | respiratory rate / breathing rate | one day |
| O2 Sat | oxygen saturation | one day |
| NIPS | neonatal infant pain scale | one day |
| Measure | Description | Time Frame |
|---|---|---|
| parents' experience (questionnaire) | four short questions regarding parents' thoughts about the intervention | one day |
| IV-line performers' experience (questionnaire) | four short questions regarding staff' thoughts about the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Andrieke Knottnerus | Contact | 0232240000 | aknottnerus@spaarnegasthuis.nl |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Spaarne Gasthuis Haarlem Zuid | Recruiting | Haarlem | North Holland | 2035 RC | Netherlands |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
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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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| one day |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |