Behavioral economic interventions have been studied in adults to help improve adherence in diabetes management but have not been widely studied in children. Results from a 2020 qualitative study demonstrated that financial incentive (FI) can potentially help adolescents with type 1 diabetes (T1D) develop good self-care habits. Our objective was to determine if providing pediatric patients with incentives helps improve satisfaction about their diabetes management. Every patient with T1D coming to our endocrine clinic was given an initial satisfaction survey. Points were given when patients met goals and were rewarded with gifts based on points accumulated. They could also collect points to win a grand prize at the end of 1 year. A final satisfaction survey was distributed at the end of 1 year. Bar graphs and percentages in each group were used to determine change in patient satisfaction. After the completion of Diabetes Incentive Program (DIP), 78% patients were more satisfied with their diabetes control as compared to 64% before the DIP and 17% more patients found that the DIP motivated them to reach their goals. We concluded that there was some increase in satisfaction with diabetes control after completion of DIP. About 97% patients thought that DIP helped in achieving their goals. Disclosure M.Warhadpande: None. H.Danelyan: None. C.M.Patel: None. Funding TMC Health (202244)

Neonatal Intensive Care Unit (NICU) infants are known to experience pain and anxiety during the multiple procedures they undergo in the first two weeks of life [1,2-5]. These stressors often result in a decline in oxygen saturation, increase in heart rate, increase in blood pressure, and elevation in pain scores. It is imperative to mitigate added stress in this population due to the long-term developmental ramifications of this physical stress. Previous literature demonstrates that music therapy-based interventions can return these physiologic parameters to baseline and even improve them. Studies on music therapy in the neonatal population are scarce, with two to four publications per year, and typically involve the high severity group that are intubated. Many of these studies have focused on the effects of music therapy on physiological vital signs such as heart rate, blood pressure, and oxygen saturation. While some studies examine the pain levels in NICU intubated patients, many base their measurements for stress on a patient’s vital signs [3,6,7]. However, few research teams have studied non-intubated NICU patients, and have rarely utilized standardized pain scales such as the Face Legs Activity Cry Consolability (FLACC) Scale or the Neonatal Infant Pain Scale (NIPS) to determine their results. Our study aims to address these gaps in knowledge by observing music therapy interventions based on time of the session, non-intubated neonates, and using perceived stress scales. According to the American Music Therapy Association (AMTA), music therapy is an evidence-based intervention offered as part of the multidisciplinary healthcare team [4]. For neonatal patients, interventions include parental songwriting with instruments, music-assisted relaxation, and womb sounds. Unlike many other studies in established literature,our study was exclusively facilitated by board-certified NICU trained Music Therapists.

No abstract

The perinatal experience contains many stressors that can impact parental mental health. We examined the integration of music therapy (MT), an evidence-based health profession, and its stress reduction role in parents during their inpatient maternity and neonatal intensive care unit (NICU) experience. The Perceived Stress Scale (PSS) and Stress Numeric Rating Scale (SNRS-11) were used to measure stress reduction in 34 maternity and NICU parents (17 maternity patients and 17 NICU parents). Participants included parents on the antepartum unit (expecting parents on bedrest), laboring parents, pre-operation parents before cesarean delivery, parents of full-term healthy infants on the postpartum unit, and parents of premature infants on the NICU. Results were calculated based upon number of sessions rather than total number of participants and indicated that after one MT session, a 50% reduction in the SNRS-11 was measured in NICU and antepartum parents. The PSS score demonstrated a more modest stress reduction in the NICU parents but failed to achieve a statistically significant decrease in the maternity group. Findings were in line with existing literature in MT-associated stress reduction levels and may be integrated as part of an ongoing continuity of care during pregnancy, delivery, and NICU hospitalization. Earlier screening for stress may benefit parents during their perinatal hospital stay. Further research exploring the benefits of MT, as part of continuum of care and stress management for the inpatient perinatal parent population, may encourage the inclusion of MT services and improve quality of care.