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Infant sleep hygiene counseling (sleep trial): protocol of a randomized controlled trial

Ina S Santos1, Diego G Bassani2, Alicia Matijasevich3

  • 1Postgraduate Program in Epidemiology, Federal University of Pelotas, Rua Marechal Deodoro 1160, 3rd floor, 96220020, Pelotas, RS, Brazil. inasantos@uol.com.br.

BMC Psychiatry
|September 4, 2016
PubMed

Insights

This study introduces a behavioral intervention to improve infant sleep, addressing associated health and developmental issues. Early intervention promotes healthier sleep patterns, crucial for child development and well-being.

Area of Science:

  • Pediatric Sleep Medicine
  • Behavioral Interventions
  • Child Development

Background:

  • Childhood sleep problems are linked to cognitive, emotional, and behavioral issues.
  • Short sleep duration in children is associated with increased risk of overweight and obesity.
  • Infant sleep interventions are crucial for long-term health and development.

Purpose of the Study:

  • To describe the protocol for a behavioral intervention designed to promote healthier sleep in infants.
  • To evaluate the effectiveness of a standardized sleep advice intervention delivered by trained fieldworkers.
  • To assess the impact of improved infant sleep on child growth and neurocognitive development.

Main Methods:

  • A 1:1 parallel group, single-blinded randomized controlled trial involving 552 infants at 3 months of age.
  • Intervention group mothers received standardized advice, a booklet, daily phone calls, and reinforcement visits.
  • Primary outcome: difference in average nighttime self-regulated sleep duration at 6, 12, and 24 months, measured by actigraphy, diaries, and questionnaires.

Main Results:

  • The study is designed to assess the between-group differences in infant sleep duration.
  • Secondary outcomes include conditional linear growth and neurocognitive development at 12 and 24 months.
  • Actigraphy, activity diary records, and questionnaires will be used for outcome assessment.

Conclusions:

  • Inadequate sleep negatively impacts children's physical, mental, and cognitive health, with higher risks in low- and middle-income countries.
  • Inexpensive, accessible behavioral interventions targeting mothers and infants can prevent future health and developmental issues.
  • Early, targeted sleep interventions are vital for mitigating risks associated with insufficient sleep in early childhood.
Abstract

Keywords:
Child developmentChild growthSleep

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