在儿童睡眠时间干预中使用的干预组件的分类:系统性审查和元分析
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
概括
本综述分类了儿童睡眠干预中的行为改变技术 (BCT). 使用特定BCT的干预措施,如塑造知识,显示了更大的睡眠持续时间改善.
科学领域:
- 行为科学 行为科学
- 儿科睡眠医学 儿科睡眠医学
- 干预 发展 干预
背景情况:
- 行为干预对于改善儿科睡眠时间至关重要.
- 多阶段优化战略 (MOST) 为开发有效干预提供了一个框架.
- 对干预组件的分类对于优化至关重要.
研究的目的:
- 系统地审查和分类用于儿科睡眠持续时间干预的行为改变技术 (BCT).
- 确定常见的BCT及其使用模式.
- 分析特定的BCT集群对干预有效性的影响.
主要方法:
- 37项儿科睡眠干预的系统审查和元分析.
- 使用行为变化技术 (BCT) 分类学对干预措施的分类.
- 隐性类别分析以确定干预配置文件.
- 基于BCT集群进行元分析,以比较基于BCT集群的干预效应.
主要成果:
- 在37项干预中,发现了93个BCT中的46个,平均每项研究为8个BCT.
- 最常见的BCT包括指导 (4.1),实际社会支持 (3.2) 和行为实践 (8.1).
- 潜阶级分析揭示了两种干预类别;其中一种特点是BCT在塑造知识,自然后果,行为比较和重复/替代方面发挥作用.
- 使用这些特定BCT的干预表明,与没有 (8分钟) 的干预相比,对睡眠持续时间 (14分钟) 的综合影响显著更大.
结论:
- 特定的BCT集群,特别是与知识,后果和实践相关的BCT,与儿科睡眠干预措施的提高有效性有关.
- 这种分类为优化现有干预和设计未来试验提供了宝贵的见解.
- 这些发现支持MOST框架的应用,用于为儿童开发有针对性和有效的行为睡眠干预措施.
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