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Child and Parent Perceived Determinants of Children's Inadequate Sleep Health. A Concept Mapping Study
Laura S Belmon1,2, Vincent Busch2,3, Maartje M van Stralen4
1Amsterdam UMC, Vrije Universiteit Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, 1081 BT Amsterdam, The Netherlands.
Insights
Many children struggle with healthy sleep. This study identified psychological, social, behavioral, physical, and physiological factors affecting children's sleep, offering insights for interventions.
Area of Science:
- Pediatric Health
- Sleep Science
- Social Determinants of Health
Background:
- Many children do not meet recommended healthy sleep guidelines.
- Inadequate sleep in children has potential negative health consequences.
- Understanding sleep determinants is crucial for developing effective interventions.
Purpose of the Study:
- To explore children's and parents' perspectives on determinants of inadequate sleep in 9-12 year olds.
- To identify key factors contributing to poor sleep in children from low socioeconomic backgrounds.
- To inform the development of targeted healthy sleep interventions.
Main Methods:
- Concept mapping study involving 45 children and 33 parents from low socioeconomic neighborhoods.
- Participants generated and sorted ideas related to inadequate sleep determinants.
- Multidimensional scaling and hierarchical cluster analyses were used to identify clusters of determinants.
Main Results:
- Children and parents identified five key determinant categories: psychological, social environmental, behavioral, physical environmental, and physiological.
- Psychological factors included fear, affective state, and stressful situations.
- Behavioral factors encompassed screen time, physical activity, and diet.
Conclusions:
- Children and parents share similar views on the multifaceted determinants of inadequate sleep.
- Insights gained can guide the creation of tailored interventions to promote healthy sleep in children.
- Addressing psychological, social, behavioral, physical, and physiological factors is essential for improving children's sleep outcomes.
Abstract:
Many children do not meet the recommendations for healthy sleep, which is concerning given the potential negative effects on children's health. To promote healthy sleep, it is crucial to understand its determinants. This concept mapping study therefore explores perspectives of children and parents on potential determinants of children's inadequate sleep. The focus lies on 9-12 year old children (n = 45), and their parents (n = 33), from low socioeconomic neighbourhoods, as these children run a higher risk of living in a sleep-disturbing environment (e.g., worries, noise). All participants generated potential reasons (i.e., ideas) for children's inadequate sleep. Next, participants sorted all ideas by relatedness and rated their importance. Subsequently, multidimensional scaling and hierarchical cluster analyses were performed to create clusters of ideas for children and parents separately. Children and parents both identified psychological (i.e., fear, affective state, stressful situation), social environmental (i.e., sleep schedule, family sleep habits), behavioural (i.e., screen behaviour, physical activity, diet), physical environmental (i.e., sleep environment such as temperature, noise, light), and physiological (i.e., physical well-being) determinants. These insights may be valuable for the development of future healthy sleep interventions.
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