NCT04064320

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

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
76

participants targeted

Target at P25-P50 for not_applicable anxiety

Timeline
Completed

Started Jun 2017

Typical duration for not_applicable anxiety

Geographic Reach
1 country

1 active site

Status
completed

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

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 5, 2018

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

August 10, 2019

Completed
11 days until next milestone

First Posted

Study publicly available on registry

August 21, 2019

Completed
Last Updated

November 6, 2020

Status Verified

November 1, 2020

Enrollment Period

6 months

First QC Date

August 10, 2019

Last Update Submit

November 4, 2020

Conditions

Keywords

pregnancyhigh-riskanxietyprenatal attachmentbondinglullabymusic

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

EXPERIMENTAL

Received lullaby intervention and usual care

Behavioral: Lullaby intervention

Control group

NO INTERVENTION

No 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

Intervention group

Eligibility Criteria

Age19 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

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)

Location

Related Publications (24)

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    PMID: 21371795BACKGROUND
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    PMID: 18298503BACKGROUND
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    PMID: 26275644BACKGROUND
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    PMID: 28750631BACKGROUND
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    PMID: 24679397BACKGROUND
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    PMID: 20228872BACKGROUND
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    PMID: 17695343BACKGROUND
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    PMID: 28438283BACKGROUND
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    PMID: 29471206BACKGROUND
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    PMID: 22588767BACKGROUND
  • Littleton 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: 17466693BACKGROUND
  • Liu 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: 26361642BACKGROUND
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    PMID: 8470375BACKGROUND
  • Ossa 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: 21955858BACKGROUND
  • Persico 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: 28169158BACKGROUND
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    PMID: 25220127BACKGROUND
  • Shin 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: 25029946BACKGROUND
  • Toker 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: 28137517BACKGROUND
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    PMID: 19713801BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

  • Nazlı Baltacı, phD

    Ondokuz Mayıs University, Assistant Professor phD

    PRINCIPAL INVESTIGATOR
  • Mürüvvet Başer, Professor

    Erciyes University, Professor

    STUDY DIRECTOR

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

Locations