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Impact of a home visiting program on sleep problems among young children experiencing adversity

Jonika B Hash1, Monica L Oxford2, Charles B Fleming3

  • 1Department of Biobehavioral Nursing & Health Informatics, University of Washington, Seattle, WA, 98195, USA.

Child Abuse & Neglect
|January 22, 2019
PubMed

Insights

Childhood adversity increases sleep problems, but the Promoting First Relationships® (PFR) home visitation program buffered this risk. PFR helps protect young children from the negative effects of adversity on sleep.

Area of Science:

  • Child Development
  • Pediatric Sleep Medicine
  • Family Support Services

Background:

  • Adverse childhood experiences can negatively impact sleep patterns in young children.
  • Home visitation services may mitigate the sleep-related consequences of adversity.
  • Understanding these dynamics is crucial for early intervention strategies.

Purpose of the Study:

  • To investigate the association between young children's adverse experiences and their risk for sleep problems.
  • To determine if the Promoting First Relationships® (PFR) home visitation program reduces sleep problems.
  • To examine if PFR indirectly reduces sleep problems by enhancing parenting sensitivity.

Main Methods:

  • Secondary analysis of a randomized controlled trial involving 247 parent-child dyads.
  • Data collected at four time points (baseline to 6 months post-intervention).
  • Measures included parenting sensitivity, child adversities (caregiver report and state records), and parent-reported sleep problems.

Main Results:

  • Increased child adversity was significantly associated with a higher likelihood of sleep problems (β = .23, p = .005).
  • The PFR intervention did not show a direct or indirect effect on children's sleep problems.
  • A significant interaction indicated that PFR buffered children against sleep problems in the control group (b = -0.37, p = .030).

Conclusions:

  • Higher levels of adversity correlate with increased risk for sleep problems in young children.
  • The Promoting First Relationships® (PFR) program demonstrated a buffering effect, protecting children from adversity-related sleep issues.
  • Findings highlight the potential of targeted home visitation programs in mitigating sleep problems associated with adverse childhood experiences.
Abstract

Keywords:
AdversityChild protective servicesHome visitingParental sensitivitySleep problemsYoung children

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