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Published on: October 2, 2019
Determinants of sleep habits in toddlers: Application of planned behavior theory
Sima Maree1, Esa Mohammadi Zidi2, Saeed Yari3,4
1Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
Insights
Mothers' perceived behavioral control is key to toddler sleep habits. This study validates the theory of planned behavior for improving children's sleep.
Area of Science:
- Child Psychology
- Behavioral Science
- Sleep Medicine
Background:
- Sleep health is crucial for children's mental and physical well-being.
- Family environment significantly influences a child's sleep patterns.
Purpose of the Study:
- To investigate the predictive power of the theory of planned behavior on toddler sleep habits.
- To understand mothers' intentions and behaviors related to child sleep.
Main Methods:
- Descriptive-analytical study with 120 mothers of toddlers (12-36 months).
- Data collection involved qualitative interviews and a validated questionnaire.
- Reliability and validity assessed using expert panel, test-retest, Cronbach's Alpha, and multiple regression.
Main Results:
- Theoretical constructs positively correlated with children's sleep habits.
- Perceived behavioral control emerged as the strongest predictor (β = 0.446, P = 0.000).
- The theory of planned behavior explained 25.7-30.5% of the variance in toddler sleep habits.
Conclusions:
- The theory of planned behavior is applicable for identifying factors influencing toddler sleep.
- Findings support using this theory to design interventions for improving child sleep.
- Further research is recommended for broader insights.
Background:
Sleep health is a prerequisite for mental and physical health. The family affects the sleeping habits of the child.
Objective:
The purpose of this study was to investigate the theory of mothers' planned behavior in predicting sleeping habits of toddlers.
Methods:
The participants of this descriptive-analytical study were 120 mothers of 12- to 36-month-old children living in Razan, Hamadan province, Iran. Data were collected in three stages in order to develop a theory-based tool. Semi-structured qualitative interviews with mothers were conducted to investigate the application of theory in predicting mothers' intention and behavior (n = 25). The face and content validity of the questionnaire was confirmed by a panel of experts. Test-retest method was used to determine the reliability of the questionnaire at 3 weeks interval (n = 25). Validity of Structural Convergence and Divergence with Factor Analysis, Internal Consent with Cronbach's Alpha and predictive validity was determined by multiple regression coefficients (n = 120).
Results:
The mean age of the children was 22.8 ± 7.5 months, 55% (66 children) were boys, the mean score of the children's sleep questionnaire was 49 ± 6, and the children's sleep duration was 9 ± 1 hour. Theoretical constructs have a positive and direct correlation with each other and with children's sleep habits, which demonstrates the validity of the theory in predicting toddler sleep habits. Regression analysis showed that perceived behavioral control was the strongest predictor of sleeping habits of toddlers (𝛽 = 0.446) (P = 0.000). The theory of planned behavior can explain 30.5 to 25.7% of the variance of toddler sleep habits.
Conclusion:
While recommending more comprehensive studies, the findings of the study emphasize the application of the theory of planned behavior in identifying factors influencing sleep habits and designing child sleep improvement interventions.
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