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Barriers and facilitators perceived by professionals while implementing Soothing and Sleeping in Dutch Healthcare: a
Jamie Lee van Someren1,2, Eline Louise Möller3,4, Hesther Rozemarijn Rodenburg5
1Quality of Care, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
BMJ Paediatrics Open
|September 25, 2025
Summary
Soothing and Sleeping, an evidence-based practice, effectively supports infant crying and sleep within Dutch Youth Health Care (YHC). Implementation requires addressing systemic barriers and leveraging practical facilitators for successful integration.
Area of Science:
- Pediatrics
- Public Health
- Implementation Science
Background:
- Infant crying and sleep issues present challenges for many parents.
- Current professional support for infant sleep and crying needs improvement.
- Soothing and Sleeping, an evidence-based practice (EBP), offers preventive support and education.
Purpose of the Study:
- To explore Dutch Youth Health Care (YHC) professionals' perceptions of EBPs and the Soothing and Sleeping method.
- To identify key barriers and facilitators for implementing Soothing and Sleeping within the YHC system.
Main Methods:
- 41 YHC professionals completed questionnaires and participated in focus groups.
- Quantitative data analyzed using descriptive statistics.
- Qualitative data analyzed thematically using the Dynamic Adaptation Process framework.
Main Results:
- Professionals showed positive attitudes towards EBPs and Soothing and Sleeping, with 81% adoption.
- Barriers and facilitators were identified at system, organization, provider, and client levels.
- Key barriers included resource limits, inadequate training, and organizational shifts; facilitators included practicality and effectiveness.
Conclusions:
- Soothing and Sleeping can enhance YHC support for infant crying and sleep.
- Recommendations include proactive outreach, implementation facilitators, ongoing training, and tailored family approaches.
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