A Feasibility Study of Music and Play to Enhance Health and Developmental Outcomes in Infants From Low-income Families
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Obesity, Infant
- Sponsor
- Children's Mercy Hospital Kansas City
- Enrollment
- 18
- Locations
- 1
- Primary Endpoint
- Relative Reinforcing Value of Food (RRV) Task
- Status
- Completed
- Last Updated
- 7 months ago
Overview
Brief Summary
The goal of this clinical trial is to learn about the effects of a music enrichment program on the quality of parent child interactions, a child's motivation to eat, and a child's language environment in 9 to 24 month-old children from low-income families. The main questions it aims to answer are:
- Does participation in a music enrichment program improve the quality of parent-child interactions?
- Does participation in a music enrichment program reduce motivation for food
- Does participation in a music enrichment program improve the quality of the language environment?
Participants will:
-
Be randomly assigned to participate in either 2, 8-week semesters of weekly music enrichment classes or play group sessions.
-
At the beginning, after the first 8 weeks and after the second 8 weeks, a researcher will come to the participants house and parent-child pairs will:
- be video recorded during 10 minutes of playtime and meal time.
- fill out questionnaires
- wear a small wearable language recorder for 16 hours
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At the beginning, after the first 8 weeks and after the second 8 weeks, the parent and child will come to the baby lab and will:
- Play a computer game to test motivation for food
- have height and weight measurements collected
Researchers will compare the music and play groups to see if there is a difference in the quality of parent child interaction, food motivation or language environment.
Investigators
Kai Ling Kong
Doctoral Research Faculty, PhD
Children's Mercy Hospital Kansas City
Eligibility Criteria
Inclusion Criteria
- •Family income meets criteria for the National Women, Infant, and Children (WIC) program
- •Family is able and willing to commit to a 6-month program
Exclusion Criteria
- •Mother \<18 years old at the time of delivery
- •During pregnancy:
- •Mother smoked \>10 cigarettes/day
- •Mother used \>1 marijuana joint/day
- •Mother used any other illicit drugs
- •Mother drank \> 3 standard drinks on a single occasion or \>1 standard drink on a daily basis
- •Preterm birth \<37 weeks gestation
- •Child with significant health issues, and/or genetic conditions (e.g., cerebral palsy, down's syndrome)
- •Mother with major health concerns during pregnancy (e.g., gestational diabetes, pre-eclampsia, etc)
- •Parent/child who do not speak English
Outcomes
Primary Outcomes
Relative Reinforcing Value of Food (RRV) Task
Time Frame: Baseline, Mid (8 weeks), Post (16 weeks)
RRVfood is a proximal measure of obesity risk. It measures how motivated one is to work to gain access to food versus non-food activity. RRVfood is the score for food divided by the total score (food + music). Scale range is 0-1. Lower number is the better outcome. The score for food is determined by a computer game to test motivation for food. The score for music is determined by a computer game to test motivation for music.
Use of Music at Home
Time Frame: Baseline and Post (16 weeks)
The Music @ Home Questionnaire was used to quantitatively assess the range of musical behaviors occurring in the home environment of families with young children. Participant score is based on a questionnaire with 18 questions each with a range of 1-7. Total score range of the questionnaire is 7- 126. The higher outcome is better.
Conversational Turns
Time Frame: Baseline, Mid (8 weeks), Post (16 weeks)
Back-and-forth vocalizations between a parent and child, even with pre-linguistic children, are considered a pivotal component of a high-quality early language environment because they associate with growth in specific brain regions responsible for language and cognitive development.