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A Behavioral-Educational Intervention to Promote Pediatric Sleep During Hospitalization: A Pilot Randomized

Efrosini A Papaconstantinou1, Ellen Hodnett2, Robyn Stremler3,4

  • 1a Faculty of Health Sciences , University of Ontario Institute of Technology , Oshawa , Canada.

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A behavioral-educational intervention improved nighttime sleep in hospitalized children. The Relax to Sleep (RTS) program was feasible and acceptable for improving children's sleep during hospital stays.

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Area of Science:

  • Pediatric Sleep Medicine
  • Behavioral Interventions
  • Child Health

Background:

  • Hospitalization frequently disrupts children's sleep patterns.
  • Effective interventions are needed to address sleep difficulties in hospitalized children.

Purpose of the Study:

  • To assess the feasibility and acceptability of a behavioral-educational intervention designed to enhance nighttime sleep in hospitalized children.
  • To evaluate the impact of the intervention on sleep outcomes.

Main Methods:

  • A pilot randomized controlled trial involving 48 hospitalized children (ages 4-10) and their caregivers.
  • Participants were assigned to either the Relax to Sleep (RTS) intervention or Usual Care (UC).
  • The RTS intervention included parent education on sleep and diaphragmatic breathing exercises for children; sleep was monitored using actigraphy and diaries.

Main Results:

  • Parental feedback indicated high satisfaction with the sleep education and the diaphragmatic breathing exercise.
  • Children in the RTS group experienced an average of 50 minutes more nighttime sleep compared to the UC group.
  • The RTS group also showed reduced wake after sleep onset time.

Conclusions:

  • The Relax to Sleep intervention appears feasible and acceptable for improving sleep in hospitalized children.
  • Findings suggest that sleep interventions are important for children's health during hospitalization.
  • Further research with larger interventional studies is warranted.