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Children's Sleep During COVID-19: How Sleep Influences Surviving and Thriving in Families
Nicole E MacKenzie1, Elizabeth Keys1, Wendy A Hall2
1Department of Psychology and Neuroscience, Dalhousie University, Canada.
Insights
The COVID-19 pandemic negatively impacted sleep for many Canadian children, particularly those with prior sleep issues. Disrupted routines and increased screen time were key factors, highlighting the need for adapted eHealth interventions.
Area of Science:
- Pediatric Sleep Medicine
- Public Health
- Psychology
Background:
- The COVID-19 pandemic presented significant challenges to family life and routines.
- Children with pre-existing sleep problems may be particularly vulnerable to pandemic-related disruptions.
- Understanding pandemic effects on pediatric sleep is crucial for developing targeted support.
Purpose of the Study:
- To characterize sleep changes in children with prior sleep issues during the COVID-19 pandemic.
- To identify factors contributing to sleep alterations due to pandemic safety measures.
- To understand parental and child needs for sleep support during the pandemic.
Main Methods:
- An explanatory sequential, mixed-methods study involving 85 Canadian families.
- Online surveys assessed children's and parents' sleep patterns.
- Semi-structured interviews were conducted with 16 parents experiencing significant child sleep changes.
Main Results:
- 40% of parents reported worsened child sleep quality during the pandemic.
- Increased screen time, anxiety, and reduced exercise were cited as causes.
- Disrupted routines and stress negatively impacted both children's and parents' sleep.
Conclusions:
- The first wave of the COVID-19 pandemic significantly affected Canadian children's sleep, primarily through routine disruption.
- Modified eHealth interventions, like the Better Nights, Better Days program, can address these pandemic-related sleep challenges.
- Addressing the interplay of stress and sleep is vital for supporting families.
Objective:
The COVID-19 pandemic has the potential to disrupt the lives of families and may have implications for children with existing sleep problems. As such, we aimed to: (1) characterize sleep changes during the COVID-19 pandemic in children who had previously been identified as having sleep problems, (2) identify factors contributing to sleep changes due to COVID-19 safety measures, and (3) understand parents' and children's needs to support sleep during the pandemic.
Methods:
Eighty-five Canadian parents with children aged 4-14 years participated in this explanatory sequential, mixed-methods study using an online survey of children's and parents' sleep, with a subset of 16 parents, selected based on changes in their children's sleep, participating in semi-structured interviews. Families had previously participated in the Better Nights, Better Days (BNBD) randomized controlled trial.
Results:
While some parents perceived their child's sleep quality improved during the COVID-19 pandemic (14.1%, n = 12), many parents perceived their child's sleep had worsened (40.0%, n = 34). Parents attributed children's worsened sleep to increased screen time, anxiety, and decreased exercise. Findings from semi-structured interviews highlighted the effect of disrupted routines on sleep and stress, and that stress reciprocally influenced children's and parents' sleep.
Conclusions:
The sleep of many Canadian children was affected by the first wave of the COVID-19 pandemic, with the disruption of routines influencing children's sleep. eHealth interventions, such as BNBD with modifications that address the COVID-19 context, could help families address these challenges.
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