No effect of a musical intervention on stress response to venepuncture in a neonatal population

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dc.contributor.authorHoward, Caoimhe
dc.contributor.authorPowell, Anna S.
dc.contributor.authorPavlidis, Elena
dc.contributor.authorPavel, Andreea
dc.contributor.authorFinn, Daragh
dc.contributor.authorAllen, Andrew
dc.contributor.authorOlavarría-Ramírez, Loreto
dc.contributor.authorClarke, Gerard
dc.contributor.authorLivingstone, Vicki
dc.contributor.authorBoylan, Geraldine B.
dc.contributor.authorDempsey, Eugene M.
dc.contributor.funderScience Foundation Irelanden
dc.date.accessioned2020-04-01T11:35:31Z
dc.date.available2020-04-01T11:35:31Z
dc.date.issued2019-09-18
dc.date.updated2020-04-01T11:20:06Z
dc.description.abstractAim: To investigate the effect of a musical intervention on neonatal stress response to venepuncture as measured by salivary cortisol levels and pain profile scores. Methods: In a randomised control crossover trial, participants were randomised to both a control arm (sucrose) and intervention arm (sucrose and music) for routine venepuncture procedures. Salivary swabs were collected at baseline, 20 minutes post‐venepuncture and 4 hours post‐venepuncture. Pain levels were assessed using the Premature Infant Pain Profile (PIPP). A total of 16 preterm neonates participated in both arms to complete the study. Results: Cortisol values were elevated at all timepoints in the intervention arm (baseline, 20 minutes, and 4 hours post‐procedure) but not significantly so (P = .056, P = .3, and P = .575, respectively). Median change in cortisol values from baseline was +128.48 pg/mL (−47.66 to 517.02) at 20 minutes and +393.52 pg/mL (47.88‐1221.34) at 4 hours post‐procedure in the control arm compared to −69.564 pg/mL (−860.96 to 397.289) and +100.48 pg/mL (−560.46 to 842.99) at 20 minutes and 4 hours post‐procedure in the intervention arm. There was no statistically significant difference observed between groups (P = .311 at 20 minutes, and P = .203 at 4 hours post‐procedure). PIPP scores were not significantly different between study arms. Conclusion: Our findings did not support the additional benefit of music intervention on neonatal stress response to venepuncture in preterm infants.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHoward, C., Powell, Anna S., Pavlidis, E., Pavel, A., Finn, D., Allen, A., Olavarria-Ramirez, L., Clarke, G., Livingstone, V., Boylan, G. B. and Dempsey, E. M. (2020) 'No effect of a musical intervention on stress response to venepuncture in a neonatal population', Acta Paediatrica, 109, pp. 511-517. doi: 10.1111/apa.15018en
dc.identifier.doi10.1111/apa.15018en
dc.identifier.endpage517en
dc.identifier.issn0803-5253
dc.identifier.journaltitleActa Paediatricaen
dc.identifier.startpage511en
dc.identifier.urihttps://hdl.handle.net/10468/9804
dc.identifier.volume109en
dc.language.isoenen
dc.publisherWileyen
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2272/IE/Irish Centre for Fetal and Neonatal Translational Research (INFANT)/en
dc.relation.projectinfo:eu-repo/grantAgreement/SFI/SFI Research Centres/12/RC/2273/IE/Alimentary Pharmabiotic Centre (APC) - Interfacing Food & Medicine/en
dc.relation.urihttps://onlinelibrary.wiley.com/doi/epdf/10.1111/apa.15018
dc.rights© 2019 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Howard, C, Powell, AS, Pavlidis, E, et al. No effect of a musical intervention on stress response to venepuncture in a neonatal population. Acta Paediatr. 2020; 109: 511– 517, which has been published in final form at https://doi.org/10.1111/apa.15018. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.en
dc.subjectCortisolen
dc.subjectMusic interventionen
dc.subjectNeonatologyen
dc.subjectIntensive-careen
dc.subjectHeel-lanceen
dc.subjectPremature-infanten
dc.subjectProcedural painen
dc.subjectPretermen
dc.subjectManagementen
dc.subjectEfficacyen
dc.subjectReliefen
dc.titleNo effect of a musical intervention on stress response to venepuncture in a neonatal populationen
dc.typeArticle (peer-reviewed)en
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