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Barriers to Implementing Behavioral Sleep Interventions for Infants and Toddlers: A Path Analysis of Parental

Seoha Kyung1, Sooyeon Suh1

  • 1Department of Psychology, Sungshin University, Seoul, Republic of Korea.

Behavioral Sleep Medicine
|February 23, 2026
PubMed

Insights

South Korean parents rarely use behavioral sleep interventions (BSIs), with only 21.9% implementing them. Parental beliefs and bed-sharing arrangements were key barriers to infant sleep improvement strategies.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Behavioral Science

Background:

  • Behavioral sleep interventions (BSIs) are proven effective for infant sleep.
  • BSIs are common in Western countries, but understudied in Asia.
  • Bed-sharing is prevalent in Asian cultures, potentially impacting BSI adoption.

Purpose of the Study:

  • To investigate barriers to implementing BSIs in South Korea.
  • To explore environmental and personal factors influencing BSI use.
  • To understand the relationship between parental cognitions, sleep arrangements, and BSI implementation.

Main Methods:

  • Surveyed 507 South Korean parents of children aged 6-36 months.
  • Utilized the Parental Understanding and Misperceptions about Baby's sleep- Questionnaire (PUMBA-Q) and BISQ-R.
  • Employed path analysis to model BSI implementation and child sleep outcomes.

Main Results:

  • Only 21.9% of parents reported using at least one BSI.
  • Children receiving BSIs showed significantly longer total sleep duration.
  • Parental cognitions (PUMBA-Q scores) and bed-sharing directly impacted BSI implementation.

Conclusions:

  • South Korean parents exhibit lower BSI implementation rates compared to Western counterparts.
  • Parental cognitions and sleep arrangements are significant barriers to BSI adoption.
  • Findings suggest the need for culturally tailored BSIs in South Korea.
Abstract

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