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Caregivers' knowledge, attitudes and practices regarding sleep care for 0-3 year-old children: a cross-sectional

Sijia Li1,2, Juan Yin2, Juan Qi3

  • 1Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, Jiangsu, 214002, China.

BMC Pediatrics
|May 9, 2026
PubMed

Insights

Caregivers show good knowledge and attitudes towards infant sleep care, but targeted education is needed to improve practices, especially for those with lower socioeconomic status. This helps optimize sleep behaviors for better child development.

Area of Science:

  • Pediatrics
  • Child Development
  • Sleep Science

Background:

  • Child sleep care is crucial for development but caregiver knowledge and practices are understudied.
  • This study focuses on caregivers of infants and toddlers aged 0-3 years.

Purpose of the Study:

  • To assess caregivers' knowledge, attitudes, and practices (KAP) regarding sleep care for young children.
  • To identify factors associated with effective sleep care practices.

Main Methods:

  • A cross-sectional study involving 2,009 caregivers in Jiangsu Province, China.
  • Standardized questionnaires assessed sleep care KAP.
  • Statistical analyses included correlation, logistic regression, and structural equation modeling.

Main Results:

  • Caregivers had median scores of 8 for knowledge, 22 for attitude, and 37 for practice.
  • Knowledge, attitude, and practice were positively correlated.
  • Higher knowledge, positive attitudes, income, and better child sleep quality were linked to better practices.

Conclusions:

  • Caregivers generally possess adequate knowledge, positive attitudes, and sufficient practices for infant sleep care.
  • Educational interventions are recommended for caregivers with lower education and income to enhance sleep care behaviors.
Abstract

Keywords:
CaregiversCross-Sectional StudyInfantKnowledge, Attitudes, PracticeSleep careToddler

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