The Effect of Lullaby Intervention on Anxiety and Attachment in Pregnancy
1 other identifier
interventional
76
1 country
1
Brief Summary
The aim of present study was to investigate the effect of lullaby intervention on anxiety and prenatal attachment in women with high-risk pregnancy. The study involved women with high-risk pregnancy who were assigned randomly to the intervention (n=30) or control (n=30) groups in a state hospital in Turkey. For two successive days, the intervention group listened to lullabies for 20 minutes once a day, meanwhile touched the abdomen and thought about their babies, but the control group did not. Data from the outcomes of anxiety and attachment were collected at baseline and at the end of the second day. Vital findings were measured on each study day, both before and after the lullaby intervention/usual care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable anxiety
Started Jun 2017
Typical duration for not_applicable anxiety
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 6, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 5, 2018
CompletedFirst Submitted
Initial submission to the registry
August 10, 2019
CompletedFirst Posted
Study publicly available on registry
August 21, 2019
CompletedNovember 6, 2020
November 1, 2020
6 months
August 10, 2019
November 4, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Anxiety change
As assessed by the State-Trait Anxiety Inventory (STAI) STAI consists of two scales, a total of 40 self-reported items. The State Anxiety Scale only used in this study, consists of 20 straight and inverse scored terms, and is scored between 20 and 80 in a likert type scoring between 1 and 4. High scores indicate high anxiety levels.
At baseline and at the end of the 2nd day of study, anxiety was assessed.
Prenatal attachment change
As assessed by the Prenatal Attachment Inventory (PAI) PAI which is a likert type scale, has 21-item with four scores (1-4) and the total score is 21-84. A higher scores indicate higher levels of attachment.
At baseline and at the end of the 2nd day of study, prenatal attachment was assessed.
Secondary Outcomes (4)
Change in Respiratory Rate
At 1st day of study before intervention/usual care, at 1st day of study after intervention/usual care, at 2nd day before intervention/usual care and at 2nd day after intervention/usual care
Change in Heart Rate
At 1st day of study before intervention/usual care, at 1st day of study after intervention/usual care, at 2nd day before intervention/usual care and at 2nd day after intervention/usual care
Change in Systolic Blood Pressure
At 1st day of study before intervention/usual care, at 1st day of study after intervention/usual care, at 2nd day before intervention/usual care and at 2nd day after intervention/usual care
Change in Diastolic Blood Pressure
At 1st day of study before intervention/usual care, at 1st day of study after intervention/usual care, at 2nd day before intervention/usual care and at 2nd day after intervention/usual care
Study Arms (2)
Intervention group
EXPERIMENTALReceived lullaby intervention and usual care
Control group
NO INTERVENTIONNo intervention other than usual care
Interventions
Listening to lullabies, and accompanied by lullabies touching their abdomen and think about their babies of hospitalized women with high-risk pregnancy
Eligibility Criteria
You may qualify if:
- Hospitalization due to high-risk pregnancy
- years and older
- Pregnancy duration longer than 28 weeks.
- Singleton pregnancy.
- Duration of hospitalization 24 hours minimum.
- Ability to read and write and to comprehend.
- Speaking Turkish.
You may not qualify if:
- Hospital admission due to severe preeclampsia, eclampsia or ablatio placenta.
- Presence of mental or cognitive disorders.
- Being under psychiatric treatment.
- Vision or hearing impairments.
- Fetal deformity or anomalies such as congenital diseases
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ondokuz Mayıs University, Faculty of Health Sciences
Samsun, 55200, Turkey (Türkiye)
Related Publications (24)
Arabin B, Jahn M. "Need for interventional studies on the impact of music in the perinatal period: results of a pilot study on women's preferences and review of the literature". J Matern Fetal Neonatal Med. 2013 Mar;26(4):357-62. doi: 10.3109/14767058.2012.733763. Epub 2012 Nov 1.
PMID: 23039049BACKGROUNDBauer CL, Victorson D, Rosenbloom S, Barocas J, Silver RK. Alleviating distress during antepartum hospitalization: a randomized controlled trial of music and recreation therapy. J Womens Health (Larchmt). 2010 Mar;19(3):523-31. doi: 10.1089/jwh.2008.1344.
PMID: 20141383BACKGROUNDArranz Betegon A, Garcia M, Pares S, Montenegro G, Feixas G, Padilla N, Camacho A, Goberna J, Botet F, Gratacos E. A Program Aimed at Reducing Anxiety in Pregnant Women Diagnosed With a Small-for-Gestational-Age Fetus: Evaluative Findings From a Spanish Study. J Perinat Neonatal Nurs. 2017 Jul/Sep;31(3):225-235. doi: 10.1097/JPN.0000000000000270.
PMID: 28737543BACKGROUNDCarolan-Olah M, Barry M. Antenatal stress: an Irish case study. Midwifery. 2014 Mar;30(3):310-6. doi: 10.1016/j.midw.2013.03.014. Epub 2013 May 16.
PMID: 23684696BACKGROUNDCarolan M, Barry M, Gamble M, Turner K, Mascarenas O. The Limerick Lullaby project: an intervention to relieve prenatal stress. Midwifery. 2012 Apr;28(2):173-80. doi: 10.1016/j.midw.2010.12.006. Epub 2011 Mar 3.
PMID: 21371795BACKGROUNDCarolan M, Barry M, Gamble M, Turner K, Mascarenas O. Experiences of pregnant women attending a lullaby programme in Limerick, Ireland: a qualitative study. Midwifery. 2012 Jun;28(3):321-8. doi: 10.1016/j.midw.2011.04.009. Epub 2011 Jun 8.
PMID: 21641704BACKGROUNDChang MY, Chen CH, Huang KF. Effects of music therapy on psychological health of women during pregnancy. J Clin Nurs. 2008 Oct;17(19):2580-7. doi: 10.1111/j.1365-2702.2007.02064.x. Epub 2008 Feb 19.
PMID: 18298503BACKGROUNDChang HC, Yu CH, Chen SY, Chen CH. The effects of music listening on psychosocial stress and maternal-fetal attachment during pregnancy. Complement Ther Med. 2015 Aug;23(4):509-15. doi: 10.1016/j.ctim.2015.05.002. Epub 2015 May 27.
PMID: 26275644BACKGROUNDCorbijn van Willenswaard K, Lynn F, McNeill J, McQueen K, Dennis CL, Lobel M, Alderdice F. Music interventions to reduce stress and anxiety in pregnancy: a systematic review and meta-analysis. BMC Psychiatry. 2017 Jul 27;17(1):271. doi: 10.1186/s12888-017-1432-x.
PMID: 28750631BACKGROUNDDing XX, Wu YL, Xu SJ, Zhu RP, Jia XM, Zhang SF, Huang K, Zhu P, Hao JH, Tao FB. Maternal anxiety during pregnancy and adverse birth outcomes: a systematic review and meta-analysis of prospective cohort studies. J Affect Disord. 2014 Apr;159:103-10. doi: 10.1016/j.jad.2014.02.027. Epub 2014 Feb 26.
PMID: 24679397BACKGROUNDDipietro JA. Psychological and psychophysiological considerations regarding the maternal-fetal relationship. Infant Child Dev. 2010;19(1):27-38. doi: 10.1002/icd.651.
PMID: 20228872BACKGROUNDFaul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.
PMID: 17695343BACKGROUNDGarcia Gonzalez J, Ventura Miranda MI, Manchon Garcia F, Pallares Ruiz TI, Marin Gascon ML, Requena Mullor M, Alarcon Rodriguez R, Parron Carreno T. Effects of prenatal music stimulation on fetal cardiac state, newborn anthropometric measurements and vital signs of pregnant women: A randomized controlled trial. Complement Ther Clin Pract. 2017 May;27:61-67. doi: 10.1016/j.ctcp.2017.03.004. Epub 2017 Apr 1.
PMID: 28438283BACKGROUNDGarcia-Gonzalez J, Ventura-Miranda MI, Requena-Mullor M, Parron-Carreno T, Alarcon-Rodriguez R. State-trait anxiety levels during pregnancy and foetal parameters following intervention with music therapy. J Affect Disord. 2018 May;232:17-22. doi: 10.1016/j.jad.2018.02.008. Epub 2018 Feb 13.
PMID: 29471206BACKGROUNDJulian LJ. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11(0 11):S467-72. doi: 10.1002/acr.20561. No abstract available.
PMID: 22588767BACKGROUNDLittleton HL, Breitkopf CR, Berenson AB. Correlates of anxiety symptoms during pregnancy and association with perinatal outcomes: a meta-analysis. Am J Obstet Gynecol. 2007 May;196(5):424-32. doi: 10.1016/j.ajog.2007.03.042.
PMID: 17466693BACKGROUNDLiu YH, Lee CS, Yu CH, Chen CH. Effects of music listening on stress, anxiety, and sleep quality for sleep-disturbed pregnant women. Women Health. 2016;56(3):296-311. doi: 10.1080/03630242.2015.1088116. Epub 2015 Sep 11.
PMID: 26361642BACKGROUNDMuller ME. Development of the Prenatal Attachment Inventory. West J Nurs Res. 1993 Apr;15(2):199-211; discussion 211-5. doi: 10.1177/019394599301500205. No abstract available.
PMID: 8470375BACKGROUNDOssa X, Bustos L, Fernandez L. Prenatal attachment and associated factors during the third trimester of pregnancy in Temuco, Chile. Midwifery. 2012 Oct;28(5):e689-96. doi: 10.1016/j.midw.2011.08.015. Epub 2011 Sep 28.
PMID: 21955858BACKGROUNDPersico G, Antolini L, Vergani P, Costantini W, Nardi MT, Bellotti L. Maternal singing of lullabies during pregnancy and after birth: Effects on mother-infant bonding and on newborns' behaviour. Concurrent Cohort Study. Women Birth. 2017 Aug;30(4):e214-e220. doi: 10.1016/j.wombi.2017.01.007. Epub 2017 Feb 4.
PMID: 28169158BACKGROUNDPisoni C, Garofoli F, Tzialla C, Orcesi S, Spinillo A, Politi P, Balottin U, Manzoni P, Stronati M. Risk and protective factors in maternal-fetal attachment development. Early Hum Dev. 2014 Sep;90 Suppl 2:S45-6. doi: 10.1016/S0378-3782(14)50012-6.
PMID: 25220127BACKGROUNDShin HS, Kim JH. Music Therapy on Anxiety, Stress and Maternal-fetal Attachment in Pregnant Women During Transvaginal Ultrasound. Asian Nurs Res (Korean Soc Nurs Sci). 2011 Mar;5(1):19-27. doi: 10.1016/S1976-1317(11)60010-8. Epub 2011 Apr 5.
PMID: 25029946BACKGROUNDToker E, Komurcu N. Effect of Turkish classical music on prenatal anxiety and satisfaction: A randomized controlled trial in pregnant women with pre-eclampsia. Complement Ther Med. 2017 Feb;30:1-9. doi: 10.1016/j.ctim.2016.11.005. Epub 2016 Nov 18.
PMID: 28137517BACKGROUNDYang M, Li L, Zhu H, Alexander IM, Liu S, Zhou W, Ren X. Music therapy to relieve anxiety in pregnant women on bedrest: a randomized, controlled trial. MCN Am J Matern Child Nurs. 2009 Sep-Oct;34(5):316-23. doi: 10.1097/01.NMC.0000360425.52228.95.
PMID: 19713801BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nazlı Baltacı, phD
Ondokuz Mayıs University, Assistant Professor phD
- STUDY DIRECTOR
Mürüvvet Başer, Professor
Erciyes University, Professor
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 10, 2019
First Posted
August 21, 2019
Study Start
June 6, 2017
Primary Completion
December 1, 2017
Study Completion
December 5, 2018
Last Updated
November 6, 2020
Record last verified: 2020-11
Data Sharing
- IPD Sharing
- Will not share