Effect of Music Therapy on Infants With Neonatal Abstinence Syndrome

Conditions

Song of Kin — 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 — 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 — 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 — 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 — OTHER
Music therapist will provide a vowel, long held tone, sung without vibrato
Muted shaker — OTHER
If infant is awake, the muted shaker will be used to entrain to the infant's vital signs-to comfort, soothe or sedate

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

Experimental: Song of Kin
Voice (with or without guitar)- lullaby/ Holding meter
Experimental: Gato box
Simple rhythms using Remo Gato box will be played by the MT-BC using a 3rd to comfort, engage or sedate
Experimental: Ocean disc
Creating a consistent womb-like sound soundscape to comfort, engage or sedate
Experimental: Contingent singing
Provision of communicative vocalization-"parantese" to engage with infants, prosodic responses to infant cues (eye contact, body position)
Experimental: Tonal Vocal holding
Providing a 'blanket of tone' to comfort, engage or sedate
Experimental: 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

Heart Rate [ Time Frame: up to 2 weeks ]

Facility	City	State	ZIP	Site coordinators
Tulane University Hospital	New Orleans	Louisiana	70112	Meghan Howell, MD, FAAP [email protected] 504-988-4158 Rachel Lee, MD [email protected] Stacy Drury, MD, PhD (PRINCIPAL_INVESTIGATOR)
Joseph M. Sanzari Children's Hospital	Hackensack	New Jersey	07601	Naoko Mizutani, MA [email protected] 551-996-2714 Ellen Goldring [email protected] 551-996-5146 Ellen Goldring, MA (SUB_INVESTIGATOR)
Northwell Health	New Hyde Park	New York	11040	Greg Razzano, MA [email protected] (718) 470-3000 Shawna Vernisie, MA [email protected] 718 470-3002 Shawna Vernisie, MA (SUB_INVESTIGATOR)
Mount Sinai West	New York	New York	10003	Ann Marie Dassler, NP [email protected] 973 986 6306 Aimee Telsey, MD [email protected] 212 844-8387 Jasmine Edwards, MA (SUB_INVESTIGATOR)
Maria Fareri Children's Hospital	Valhalla	New York	10595	Laurie Park, MA 914-493-7000 Lance Parton, MD [email protected] (914) 493-6640 Laurie Park, MA (SUB_INVESTIGATOR)
Drexel University/Hahnemann Hospital-College of Nursing and Health Professions	Philadelphia	Pennsylvania	19102	Flossie Ierardi, MA [email protected] (267) 359-5501 Scott Horwitz, MA [email protected] (267) 359-5572 Flossie Ierardi, MA (SUB_INVESTIGATOR)

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