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Impact of a behavioral sleep intervention on new school entrants' social emotional functioning and sleep: a translational randomized trial
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posted on 2019-01-01, 00:00 authored by Harriet Hiscock, Jon Quach, Kate Paton, Rebecca Peat, Lisa GoldLisa Gold, Sarah Arnup, Kah-Ling Sia, Elizabeth Nicolaou, Melissa WakeOBJECTIVE/BACKGROUND: Determine the effects and costs of a brief behavioral sleep intervention, previously shown to improve child social-emotional functioning, sleep, and parent mental health, in a translational trial. PARTICIPANTS: Three hundred thirty-four school entrant children from 47 primary schools in Melbourne, Australia, with parent-reported moderate to severe behavioral sleep problems. METHODS: intervention group received sleep hygiene practices and standardized behavioral strategies delivered by trained school nurses in 2013 and 2014. Control group children could receive usual community care. RESULTS: Outcome measures: child social-emotional functioning (Pediatric Quality of Life Inventory 4.0 psychosocial health summary score-primary outcome), sleep problems (parent-reported severity, Children's Sleep Habits Questionnaire), behavior, academic function, working memory, child and parent quality of life, and parent mental health. At six months post randomization, 145 (of 168) intervention and 155 (of 166) control families completed the primary outcome for which there was no difference. Intervention compared with control children had fewer sleep problems (35.2% vs. 52.7% respectively, OR 0.5; 95% CI 0.3 to 0.8, p = 0.002) and better sleep patterns (e.g., longer sleep duration). Their parents reported fewer symptoms of depression. All differences attenuated by 12 months. There was no difference in other outcomes at either time point. Intervention costs: $AUS 182/child. CONCLUSIONS: A brief behavioral sleep intervention, delivered by school nurses to children with behavioral sleep problems, does not improve social emotional functioning. Benefits to child sleep and parent mental health are evident at 6 but not 12 months. Approaches that increase intervention dosage may improve outcomes.
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Journal
Behavioral sleep medicineVolume
17Issue
6Pagination
698 - 712Publisher
Taylor & FrancisLocation
Abingdon, Eng.Publisher DOI
eISSN
1540-2010Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, Taylor & Francis Group, LLCUsage metrics
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