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Published on: October 2, 2019
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Classifying intervention components used in sleep duration interventions for children: A systematic review and
Jessica E Decker1, Knashawn H Morales2, Maddy A Fair1
1Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sleep Medicine Reviews
|August 31, 2024
Summary
This review classified behavior change techniques (BCTs) in pediatric sleep interventions. Interventions using specific BCTs, like shaping knowledge, showed greater sleep duration improvements.
Area of Science:
- Behavioral Science
- Pediatric Sleep Medicine
- Intervention Development
Background:
- Behavioral interventions are crucial for improving pediatric sleep duration.
- The Multiphase Optimization Strategy (MOST) provides a framework for developing effective interventions.
- Classifying intervention components is essential for optimization.
Purpose of the Study:
- To systematically review and classify Behavior Change Techniques (BCTs) used in pediatric sleep duration interventions.
- To identify common BCTs and patterns of their use.
- To analyze the impact of specific BCT clusters on intervention effectiveness.
Main Methods:
- Systematic review and meta-analysis of 37 pediatric sleep interventions.
- Classification of interventions using the Behavior Change Technique (BCT) Taxonomy.
- Latent class analysis to identify intervention profiles.
- Meta-analysis to compare intervention effects based on BCT clusters.
Main Results:
- 46 out of 93 BCTs were identified across 37 interventions, averaging 8 BCTs per study.
- The most frequent BCTs included instruction (4.1), practical social support (3.2), and behavioral practice (8.1).
- Latent class analysis revealed two intervention classes; one characterized by BCTs in shaping knowledge, natural consequences, behavior comparison, and repetition/substitution.
- Interventions with these specific BCTs demonstrated a significantly larger pooled effect on sleep duration (14 min) compared to those without (8 min).
Conclusions:
- Specific clusters of BCTs, particularly those related to knowledge, consequences, and practice, are associated with enhanced effectiveness in pediatric sleep interventions.
- This classification provides valuable insights for optimizing existing interventions and designing future trials.
- The findings support the application of the MOST framework in developing targeted and effective behavioral sleep interventions for children.
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