Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU

IntroductionSinging fosters emotional connections, attachment, bonding, and language development in infants. Prematurely born infants, however, are at risk of missing this vital communication, impacting neurodevelopment and family wellbeing, especially during prolonged hospital stays. Kangaroo care...

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Main Authors: Pernilla Hugoson, Friederike Barbara Haslbeck, Ulrika Ådén, Louise Eulau
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1440905/full
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author Pernilla Hugoson
Friederike Barbara Haslbeck
Ulrika Ådén
Ulrika Ådén
Ulrika Ådén
Louise Eulau
Louise Eulau
author_facet Pernilla Hugoson
Friederike Barbara Haslbeck
Ulrika Ådén
Ulrika Ådén
Ulrika Ådén
Louise Eulau
Louise Eulau
author_sort Pernilla Hugoson
collection DOAJ
description IntroductionSinging fosters emotional connections, attachment, bonding, and language development in infants. Prematurely born infants, however, are at risk of missing this vital communication, impacting neurodevelopment and family wellbeing, especially during prolonged hospital stays. Kangaroo care provides physiological and emotional support, while Creative Music Therapy (CMT) has demonstrated positive effects on neurodevelopment, parental wellbeing, and attachment. The Singing Kangaroo project, a Swedish-Finnish multi-center randomized controlled trial (RCT), investigated the impact of parental singing during kangaroo care. This qualitative follow-up study explores these findings through the lens of Antonovsky's Sense of Coherence (SOC) model.MethodSemi-structured interviews were conducted with 28 families (20 intervention group, eight control group) at their infant's 5-month corrected age. The intervention group received CMT twice weekly during kangaroo care for 4 weeks in the NICU, while the control group received standard care. Data were analyzed inductively, followed by deductive categorization within the SOC framework, focusing on its three core components: Manageability, Comprehensibility, and Meaningfulness.ResultsParents in the intervention group reported enhanced understanding of how singing fosters attachment and boosts their self-esteem, aligning with increased manageability and comprehensibility. Control group parents also experienced joy in singing, which positively influenced family wellbeing, albeit less extensively. Across both groups, singing was described as a meaningful activity that strengthened parent-infant bonding and promoted emotional connection within the family.ConclusionParental singing during kangaroo care, particularly when supported by a trained music therapist, enhances parents' sense of coherence by fostering comprehensibility, manageability, and meaningfulness. This study highlights the long-term benefits of integrating CMT into family-centered NICU care to support both infants' neurodevelopment and family wellbeing.
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spelling doaj-art-ee532dbbd3bb4675b62e20deeb99730f2025-02-04T06:31:52ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-02-011610.3389/fpsyg.2025.14409051440905Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICUPernilla Hugoson0Friederike Barbara Haslbeck1Ulrika Ådén2Ulrika Ådén3Ulrika Ådén4Louise Eulau5Louise Eulau6Sachsska Children's and Youth Hospital/Södersjukhuset University Hospital, Stockholm, SwedenDepartment of Neonatology, Newborn Research Zurich, University Hospital Zurich, Zurich, SwitzerlandDepartment of Women's and Children's Health, Karolinska Institutet, Stockholm, SwedenDepartment of Neonatal Medicine, Karolinska University Hospital, Stockholm, SwedenDepartment of Bioclinical Sciences, Linköping University, Linköping, SwedenDepartment of Nursing Science, Sophiahemmet University, Stockholm, SwedenDepartment of Clinical Science and Education, Södersjukhuset, Karolinska Institute, Stockholm, SwedenIntroductionSinging fosters emotional connections, attachment, bonding, and language development in infants. Prematurely born infants, however, are at risk of missing this vital communication, impacting neurodevelopment and family wellbeing, especially during prolonged hospital stays. Kangaroo care provides physiological and emotional support, while Creative Music Therapy (CMT) has demonstrated positive effects on neurodevelopment, parental wellbeing, and attachment. The Singing Kangaroo project, a Swedish-Finnish multi-center randomized controlled trial (RCT), investigated the impact of parental singing during kangaroo care. This qualitative follow-up study explores these findings through the lens of Antonovsky's Sense of Coherence (SOC) model.MethodSemi-structured interviews were conducted with 28 families (20 intervention group, eight control group) at their infant's 5-month corrected age. The intervention group received CMT twice weekly during kangaroo care for 4 weeks in the NICU, while the control group received standard care. Data were analyzed inductively, followed by deductive categorization within the SOC framework, focusing on its three core components: Manageability, Comprehensibility, and Meaningfulness.ResultsParents in the intervention group reported enhanced understanding of how singing fosters attachment and boosts their self-esteem, aligning with increased manageability and comprehensibility. Control group parents also experienced joy in singing, which positively influenced family wellbeing, albeit less extensively. Across both groups, singing was described as a meaningful activity that strengthened parent-infant bonding and promoted emotional connection within the family.ConclusionParental singing during kangaroo care, particularly when supported by a trained music therapist, enhances parents' sense of coherence by fostering comprehensibility, manageability, and meaningfulness. This study highlights the long-term benefits of integrating CMT into family-centered NICU care to support both infants' neurodevelopment and family wellbeing.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1440905/fullemotional attachmentkangaroo caremusic therapyNICUparental singingpatient and family centered care
spellingShingle Pernilla Hugoson
Friederike Barbara Haslbeck
Ulrika Ådén
Ulrika Ådén
Ulrika Ådén
Louise Eulau
Louise Eulau
Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
Frontiers in Psychology
emotional attachment
kangaroo care
music therapy
NICU
parental singing
patient and family centered care
title Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
title_full Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
title_fullStr Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
title_full_unstemmed Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
title_short Parental singing during kangaroo care: parents' experiences of singing to their preterm infant in the NICU
title_sort parental singing during kangaroo care parents experiences of singing to their preterm infant in the nicu
topic emotional attachment
kangaroo care
music therapy
NICU
parental singing
patient and family centered care
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1440905/full
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