Prenatal Music Exposure to Enhance Postnatal Language Development
The goal of this randomized controlled study is to evaluate the effect of prenatal music exposure on infants through two years of age.
The study addresses two primary questions:
- Whether prenatal music exposure enhances neural encoding of speech and improve language and cognitive outcomes during the first two years of life among fetuses
- Whether predictive models can be developed from available fetal data to forecast individual differences in developmental outcomes among fetuses exposed to prenatal music.
Participants will engage in music listening or self-learning five days a week until delivery. After the participants give birth, the children will be followed up on their neural responses to speech, as well as their language and cognitive development, until they reach two years of age.
The investigators will compare the effects of low- and high-dose prenatal music exposure with a control group receiving education and develop models to predict outcomes in fetuses exposed to prenatal music.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
[BACKGROUND] Fetuses can hear in the womb from as early as 20 weeks of gestation. Research has shown that prenatal music and spoken language experiences are related to better neural and behavioral outcomes at birth. These findings, though focused on outcomes shortly after birth, are consistent with a larger body of research showing positive effects of postnatal music training on children's language and cognitive outcomes.
[AIM OF STUDY] Objective 1: To examine whether prenatal music exposure leads to better neural encoding of speech and better language and cognitive developmental outcomes up to two years of life.
Objective 2: To construct predictive models using fetal data (e.g., fetal brain MRI and ultrasound data, if available) to forecast individual differences in developmental outcomes among fetuses exposed to prenatal music.
[HYPOTHESIS] The investigators hypothesize that prenatal music exposure can strengthen a fetus's neural encoding of speech from birth, leading to better language and cognitive development in early childhood. The investigators further hypothesize that, despite the expected heterogeneity in intervention effects, fetal features can predict how much a fetus would benefit from prenatal music exposure.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Peggy Chan, PhD
- Telefonnummer: +852 3943 9443
- E-mail: peggy.chan@cuhk.edu.hk
Studiesteder
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Hong Kong, Hong Kong
- Rekruttering
- The Prince of Wales Hospital
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Kontakt:
- Peggy Chan, PhD
- Telefonnummer: +852 39439443
- E-mail: peggy.chan@cuhk.edu.hk
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Ledende efterforsker:
- HS Lam, MD
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Ledende efterforsker:
- CWW Chu, MD
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Ledende efterforsker:
- TY Leung, MD
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Shenzhen, Kina
- Rekruttering
- BaoAn Hospital
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Kontakt:
- Peggy Chan, PhD
- Telefonnummer: +852 39439443
- E-mail: peggy.chan@cuhk.edu.hk
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Ledende efterforsker:
- B Sun, MD
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Ledende efterforsker:
- Q Shi, MD
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Ledende efterforsker:
- H Wang, MD
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Underforsker:
- XH Wei, MD
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- residents of the Greater Bay Area (GBA) with Cantonese and/or Putonghua being the primary home language(s)
- aged 18 years or above
- single fetus pregnancy
- Less than 32 weeks of gestation
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Grundvidenskab
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: High-dose music
Participants will be exposed to a higher dose of music
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Participants will be exposed to children's songs in various languages for 40 minutes daily, five days per week, with 80% of songs presented at approximately 75 dB SPL and 20% at approximately 10 dB SPL.
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Aktiv komparator: Low-dose music
Participants will be exposed to a lower dose of music
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Participants will be exposed to children's songs in various languages for 15 minutes daily, five days per week, with 20% of songs presented at approximately 75 dB SPL and 80% at approximately 10 dB SPL.
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Placebo komparator: Education
Participants will learn independently from educational materials
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Participants will learn independently from short educational videos and audios on pregnancy, maternal and child health, and parenting, five days a week.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Neural encoding of speech as measured by EEG
Tidsramme: Birth to 1 month, and at 6, 12, and 24 months of age
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Comparing the ability of neural encoding of speech as measured by EEG between groups.
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Birth to 1 month, and at 6, 12, and 24 months of age
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Chinese Communicative Development Inventories (CCDI)
Tidsramme: 12, and 24 months old
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Comparing language and communicative abilities, as measured by the Chinese Communicative Development Inventories (CCDI), between groups.
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12, and 24 months old
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Bayley Scales of Infant and Toddler Development, 4th Edition (Bayley-4)
Tidsramme: 6, 12, and 24 months old
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Five developmental domains (and subdomains): Cognitive, Language (Receptive and Expressive Communication subdomains), Motor (fine and gross motor subdomains), Social-emotional, and Adaptive Behavior will be assessed and compared across groups.
The domain standard scores range from 45-155, and the subdomain scaled scores range from 1- 19 .
Higher scores indicate better outcomes.
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6, 12, and 24 months old
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Change from baseline in stress score on the Perceived Stress Scale (PSS)
Tidsramme: From recruitment to 24 months old
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PSS stress score ranges from 0 to 40, with higher scores indicating higher perceived stress.
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From recruitment to 24 months old
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Change from baseline in depression score on the Edinburgh Postnatal Depression Scale (EPDS)
Tidsramme: From recruitment to 12 months old
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The depression score ranges from 0 to 30, with a higher score indicating a high likelihood of depression.
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From recruitment to 12 months old
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Change from baseline in maternal knowledge of child development on the 20-item short form of the Knowledge of Infant Development Inventory (KIDI) across groups
Tidsramme: Recruitment and birth to 1 month old
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Total correct score ranges from 0- 20
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Recruitment and birth to 1 month old
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Maternal sleep behavior measured by the Pittsburgh Sleep Quality Index (PSQI)
Tidsramme: From recruitment to 24 months old
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From recruitment to 24 months old
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Brief Infant Sleep Questionnaire (BISQ)
Tidsramme: 6, 12, and 24 months old
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6, 12, and 24 months old
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Child development, emotion, and behavior measured by the Survey of Well-being of Young Children (SWYC)
Tidsramme: 6, 12, and 24 months old
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6, 12, and 24 months old
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Mother-infant attachment measured by the Postpartum Bonding Questionnaire (PBQ)
Tidsramme: 0-1months, 6, and 12 months old
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The PBQ score ranges from 0 to 125; the higher scores mean a poorer outcome.
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0-1months, 6, and 12 months old
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Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- C4055-19GF
- 2023.354 (Anden identifikator: Joint CUHK-NTEC Clinical Research Ethics Committee)
Plan for individuelle deltagerdata (IPD)
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Kliniske forsøg med Graviditet
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King's College Hospital NHS TrustEuropean Association for the Study of the LiverRekrutteringCirrhose, lever | HELLP syndrom | Intrahepatisk kolestase af graviditet | Graviditetssygdom | AFLP - Acute Fatty Lever of PregnancyDet Forenede Kongerige