PAL to Improve Oral Feeding for Infants With Chronic Lung Disease
Chronic Lung Disease of Prematurity, Respiratory Distress Syndrome in Premature Infant, Bronchopulmonary Dysplasia
About this trial
This is an interventional treatment trial for Chronic Lung Disease of Prematurity focused on measuring Music Therapy, NICU, Pacifier Activated Lullaby, Premature Infant, Chronic Lung Disease, Oral Feeding
Eligibility Criteria
Inclusion Criteria:
- All infants born less than 33 weeks PMA
- Infants enrolled prior to 35 weeks PMA
- Medically stable to tolerate minimal levels of auditory stimulation
- Approval from medical staff to begin intervention
- Requiring non-invasive respiratory support that inhibits the start of oral feeding, including: Continuous Positive Airway Pressure (CPAP), Non-Invasive Neurally Adjusted Ventilatory Assist (NIV-NAVA), Non-Invasive Ventilator (NIV), High Flow Nasal Cannula (>2L), and Non-invasive positive pressure ventilation (NIPPV)
Exclusion Criteria:
- Infants participating in other music therapy studies.
- Infants in custody of Children's Division
- Requiring non-invasive respiratory support that does not inhibit the start of oral feeding, including High Flow Nasal Cannula (≤ 2L), Nasal Cannula
- Requiring no respiratory support
- Requiring invasive respiratory support
- Infants who are diagnosed with congenital malformations of bowel or bowel perforations
- Infants diagnosed with surgical necrotizing enterocolitis
Sites / Locations
- University of Missouri HealthcareRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention Group
Control Group
Infants randomized in to the experimental group will receive the PAL intervention 2 times a week until the infant transitions to room air or < 2L high flow nasal cannula and is able to begin attempting feeds by mouth. The PAL is an FDA cleared medical device that has a sensor that will connect to the infant's pacifier and can read the infant's suck. Then, the device plays music as positive reinforcement to help improve sucking skills. This intervention typically lasts about 15 minutes and is implemented while the infant is receiving gavage feeds.
Infants randomized in to the control group will not receive music therapy intervention throughout NICU admission.