Parental perceived child sleep problems: A concept analysis

Dai, Ying; Liu, Jianghong

doi:10.1111/jspn.12327

Cited by 8 publications

(8 citation statements)

References 64 publications

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“…This gap between parent perceptions and measures of child sleep problems is consistent with prior research. 13 , 18 , 45 A review of parent knowledge concluded that “more effort . .…”

Section: Discussionmentioning

confidence: 99%

Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties

et al. 2022

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IMPORTANCE Preschool-aged children often lack sufficient sleep and experience sleep difficulties. A consistent bedtime routine, falling asleep alone, and other sleep practices reduce difficulties and increase sleep duration. OBJECTIVE To evaluate the effects of a preschool-based sleep health literacy program on children's sleep duration and difficulties and on parent sleep knowledge, attitudes, self-efficacy, and beliefs 9 and 12 months after the program. DESIGN, SETTING, AND PARTICIPANTS This stepped-wedge cluster randomized clinical trial was implemented across the 2018-2019 school year. Head Start preschool personnel delivered interventions and collected outcomes data at baseline and 4 follow-ups. Seven Head Start agencies across New York State were randomized to implement interventions in either fall 2018 or winter and spring 2019. Outcomes were ascertained at 9-and 12-month follow-up. From March 19 through September 28, 2018, Head Start staff recruited (a) English-or Spanish-speaking parents (b) of children 3 years of age on or about September 2018 (c) who planned to remain at the site through the school year. Altogether, 519 parent-child (aged 3 years) dyads completed baseline and (any) followup data. INTERVENTIONS A 2-week classroom curriculum for children, a 1-hour parent workshop, and 1-on-1 parent discussions at home or school. MAIN OUTCOMES AND MEASURESOutcomes were the pre-vs postintervention differences measured at baseline and 9-month follow-up for parent-reported child school-night sleep duration per sleep logs, mild or moderate sleep difficulties per a validated questionnaire, and the total and domain scores for parent sleep knowledge, attitudes, self-efficacy, and beliefs. A modified intentionto-treat analysis excluding participants with only baseline data was used. RESULTSThe mean (SD) age at enrollment of 519 children was 2.7 (0.1) years, 264 (50.9%) were girls, 196 (37.8%) lived in Spanish-speaking households, and 5 (0.9%) identified as Alaskan Native or American Indian, 17 (3.2%) as Asian American or Pacific Islander, 57 (10.8%) as Black, 199 (37.8%) as White, and 63 (12.0%) as other. Mean sleep durations increased nonsignificantly from baseline by 5.6 minutes (95% CI, −2.3 to 13.6 minutes; P = .17) at 9-month follow-up and by 6.8 minutes (95% CI, 0.2-13.7 minutes; P = .06) at 12-month follow-up. There was a slight improvement in parental knowledge (1.13 unit increase from baseline; 95% CI, 0.13-2.12 units), but no significant outcomes for parent sleep attitudes (0.16 unit increase from baseline; 95% CI, −0.46 to 0.77 units), self-efficacy (−0.13 unit decrease from baseline; 95% CI, −1.02 to 0.76 units) and beliefs (−0.20 unit decrease from baseline; 95% CI, −0.56 to 0.16 units). Intervention effects for child sleep difficulties were not (continued) Key Points Question Does a sleep health education program for children and parents in Head Start improve childhood sleep and related outcomes? Findings This stepped-wedge cluster randomized clinical trial of 519 parentchild (aged 3 years at enroll...

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“…This gap between parent perceptions and measures of child sleep problems is consistent with prior research. 13 , 18 , 45 A review of parent knowledge concluded that “more effort . .…”

Section: Discussionmentioning

confidence: 99%

Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties

et al. 2022

View full text Add to dashboard Cite

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“…Parents’ underestimated perception has been identified previously in Portugal [ 23 , 36 ]. It can be explained by the social, cultural, and biological factors that contribute to how each parent perceives children’s sleep problems and what sleep practices are considered “normal” [ 19 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Primary School Children’s Sleep Habits: Association with Socioeconomic Factors and Physical Activity Habits

et al. 2022

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Sleep disorders have significant health impacts and affect children’s performance and wellbeing. This study aims to characterise the sleep habits of Portuguese primary school children considering socioeconomic factors, daily lifestyle, presence of electronic devices in the bedrooms, and the practice of physical and sports activity (PSA) and to identify clinical factors that may be related to a child’s insufficient sleeping time. This study involved 1438 primary students. Sleep habits and problems were assessed using the short version of the Children’s Sleep Habits Questionnaire (CSHQ). The mean sleep duration was 9 h 37 min/ per night (SD = 44 min). The prevalence of global sleep disturbances was 25.8%. The main factors we identified to be positively associated with a child’s sleep deficit (i.e., <10 h) were: being older than 7 years, living further away from school, having electronic devices in the bedroom, going to bed and eating dinner later, less daily time of PSA, and having higher scores on the sleep duration subscales. Sleeping and eating habits, electronic devices in the bedroom, and a low level of engagement with PSA are associated with children’s sleep disturbance and shorter sleep duration.

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“…Whether mothers perceive sleep problems as problematic is dependent on their own sleep-related attitudes and beliefs. Children's sleep problems are more likely to be considered problematic by parents when children's sleep behaviors are not consistent with parents' expectations, and are perceived as uncontrollable, troublesome, and stressful (Dai & Liu, 2021). Possibly, mothers in the current study did not perceive sleep problems as problematic, because of which, children's sleep was not associated with mothers' functioning.…”

Section: Maternal Sensitivity and Children's Sleep Problems 13mentioning

confidence: 69%

Maternal Sensitivity and Children’s Sleep Problems Across Early Childhood

Chuck,

Koopman-Verhoeff,

de Haan

et al. 2022

Preprint

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Up to 25% of children experience sleep problems. Transactional sleep models suggest bidirectional associations between parenting and children’s sleep problems. The current study aims to clarify the temporal associations between maternal sensitivity and children’s sleep problems across early childhood. This study includes 942 mother-child dyads from the Generation R Study, a population-based prospective cohort. Observed maternal sensitivity was coded using the Ainsworth’s rating scales (child age 1.5 years) and the revised Erickson rating scales (child ages 3 and 4 years). Caregivers reported children’s sleep problems on the Child Behavior Checklist at child ages 1.5, 3, and 6 years. Cross-lagged panel modelling showed that higher levels of maternal sensitivity at child age 3 years were associated with fewer sleep problems at child age 6 years; no other associations were found. Findings of the current study indicate an association of parenting with children’s sleep across early childhood, no evidence was found for a bidirectional association.

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Parental perceived child sleep problems: A concept analysis

Cited by 8 publications

References 64 publications

Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties

Effects of a Sleep Health Education Program for Children and Parents on Child Sleep Duration and Difficulties

Primary School Children’s Sleep Habits: Association with Socioeconomic Factors and Physical Activity Habits

Maternal Sensitivity and Children’s Sleep Problems Across Early Childhood

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