The Children’s Hospital of Philadelphia, Philadelphia, PA, USA.
J Clin Sleep Med. 2011 Oct 15;7(5):507-11. doi: 10.5664/JCSM.1320.
To examine at one-year follow-up the efficacy of an internet-based intervention for infant and toddler sleep disturbances, as well as to assess any indirect benefits to maternal sleep and confidence.
Participants included 171 (64.8%) of 264 mothers of an infant or toddler (ages 18-48 months) who had previously participated in a 3-week study. Families had been randomly assigned to one of 2 intervention groups (algorithmic internet-based intervention alone or in combination with a prescribed bedtime routine) or a control group. After a one-week baseline, the intervention groups followed personalized sleep recommendations. The initial internet-intervention was found to be efficacious at 2 weeks post-intervention. The current study investigates a one-year follow-up, with mothers completing a short survey that included 8 questions from the Brief Infant Sleep Questionnaire and 1 question from the Pittsburgh Sleep Quality Index.
Improvements in difficulty falling asleep, number/duration of night wakings, and longest continuous sleep period were maintained at one year follow-up in the 2 intervention groups compared to baseline and end of the initial study, p < 0.001. Children in the control group, in which limited changes were seen in the initial study, showed improvements in the duration of night wakings and longest continuous sleep period compared to the end of the initial study. Mothers in all groups were less likely to describe their child's sleep as a problem.
These results suggest that a brief internet-intervention for early childhood sleep problems is effective in improving child and maternal sleep, with improvements maintained one year later.
在一年随访时，检验基于互联网的婴幼儿睡眠障碍干预的疗效，并评估对母亲睡眠和信心的任何间接益处。
共有 171 名（64.8%）曾参加过为期 3 周研究的 18-48 月龄婴幼儿的母亲参与了本研究。这些家庭被随机分配到 2 个干预组之一（仅基于算法的互联网干预或与规定的睡前常规相结合）或对照组。在一周的基线后，干预组遵循个性化的睡眠建议。最初的互联网干预在干预后 2 周时被证明是有效的。目前的研究调查了一年的随访情况，母亲们完成了一项简短的调查，其中包括 8 个来自简短婴儿睡眠问卷的问题和 1 个来自匹兹堡睡眠质量指数的问题。
与基线和初始研究结束时相比，在 2 个干预组中，入睡困难、夜间醒来次数/持续时间和最长连续睡眠时间在一年随访时得到了改善，p < 0.001。在初始研究中观察到变化有限的对照组中，与初始研究结束时相比，夜间醒来持续时间和最长连续睡眠时间有所改善。与初始研究结束时相比，所有组的母亲都不太可能将孩子的睡眠描述为问题。
这些结果表明，针对幼儿睡眠问题的简短互联网干预可有效改善儿童和母亲的睡眠，并且在一年后仍能保持改善。
