Estimating child sleep from parent report of time in bed: development and evaluation of adjustment approaches

Timothy D Nelson1, Alyssa Lundahl2, Dennis L Molfese3

  • 1Department of Psychology, University of Nebraska-Lincoln, Center for Brain, Biology and Behavior, University of Nebraska-Lincoln, Emory University School of Medicine/Grady Memorial Hospital, Department of Psychological and Brain Sciences, Indiana University, Department of Pediatrics, University of Chicago, Department of Child, Youth and Family Studies, University of Nebraska-Lincoln, and Department of Psychiatry and Behavioral Sciences, University of Louisville tnelson3@unl.edu.

Insights

Parent reports of child sleep duration can be improved using simple adjustment factors. These factors help align parent estimates with objective sleep measurements for better research and clinical use.

Area of Science:

  • Pediatric Sleep Medicine
  • Objective Sleep Measurement
  • Parental Reporting Accuracy

Background:

  • Parental reports are commonly used to estimate child sleep duration.
  • Discrepancies exist between parental reports and objective sleep measures like actigraphy.
  • Accurate sleep duration data is crucial for child health research and clinical assessment.

Purpose of the Study:

  • To develop and validate adjustment factors for parent-reported child sleep time.
  • To improve the accuracy of parent reports to match objective sleep measurements.
  • To enhance the utility of parental sleep reports in research and clinical settings.

Main Methods:

  • A community sample of 217 children (ages 4-9) participated.
  • Children wore actigraph wristwatches for 7 days to objectively measure sleep.
  • Parents completed nightly reports of their child's sleep duration.

Main Results:

  • Parental reports overestimated sleep duration by approximately 24 minutes per night compared to actigraphy.
  • Child age, gender, and sleep quality showed minimal impact on the accuracy of parent reports.
  • Developed adjustment factors significantly reduced the difference between reported and objectively measured sleep.

Conclusions:

  • Simple adjustment factors can substantially improve the accuracy of parent-reported child sleep duration.
  • These validated factors enhance the correspondence between subjective and objective sleep data.
  • The findings support the use of adjusted parent reports for clinical and research applications in pediatric sleep.
Abstract

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