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Parents matter: barriers and solutions when implementing behavioural sleep interventions for infant sleep problems.
Hannah Whittall1, Michal Kahn1, Meg Pillion1
1Flinders University, College of Education, Psychology and Social Work, Adelaide, South Australia, Australia.
Sleep Medicine
|June 28, 2021
Summary
Behavioral sleep interventions, like extinction-based methods, effectively treat infant sleep problems. This review identifies barriers to implementing these methods and suggests strategies to help families succeed with infant sleep solutions.
Area of Science:
- Pediatrics
- Sleep Medicine
- Behavioral Science
Background:
- Behavioral sleep interventions are effective for infant sleep problems.
- Implementation of these interventions can be challenging for families.
- Extinction-based methods are a key type of behavioral sleep intervention.
Purpose of the Study:
- To review research on barriers to implementing extinction-based sleep methods.
- To present a model of contextual barriers (socio-cultural, parent, infant).
- To propose strategies to aid successful implementation.
Main Methods:
- Literature review of research on extinction-based sleep interventions.
- Development of a contextual barrier model.
- Synthesis of evidence-based strategies for implementation.
Main Results:
- Identified socio-cultural, parent, and infant barriers to intervention success.
- Proposed strategies include stepped care, planning, support, motivational interviewing, and emotional regulation.
- These strategies can help overcome implementation challenges.
Conclusions:
- Addressing contextual barriers is crucial for successful behavioral sleep intervention.
- Proposed strategies can empower parents to implement extinction-based methods effectively.
- Improved implementation can lead to better infant sleep outcomes for more families.
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