Sleep Disorders Center and Department of Neurology.
Center for Human Growth and Development ; Department of Health Education and Health Behavior, School of Public Health, University of Michigan, Ann Arbor, MI.
Sleep. 2014 Jun 1;37(6):1117-25. doi: 10.5665/sleep.3774.
STUDY OBJECTIVES: To evaluate a novel sleep education program for low-income preschool children and their families. DESIGN: Randomized trial of an educational intervention. SETTING: Community-based. PARTICIPANTS: Head Start preschool families (n = 152) in greater Lansing and Detroit, Michigan. INTERVENTIONS: Classrooms or Head Start sites were randomized to an intervention group (prompt intervention) versus a control group (delayed intervention). Parents attended a one-time, 45-min sleep education program and preschoolers received 2 w (320 total min) of classroom sleep curriculum. MEASUREMENTS: Parent knowledge, attitudes, self-efficacy, and beliefs were assessed as the primary outcomes just before the 45-min sleep intervention, immediately postintervention, and approximately 1 mo postintervention. Parents reported their child's bedtimes and wake times on 7-day sleep diaries at baseline and at 1-mo follow-up. Average weeknight sleep durations and bedtimes served as secondary outcomes. RESULTS: Linear mixed models showed a time × treatment effect for parents' knowledge, attitudes, and self-efficacy (each P < 0.05) but not beliefs. These improvements were found immediately postintervention but were not retained at 1-mo follow-up. Children in the intervention group improved their weeknight sleep duration at 1-mo follow-up by 30 min (11.0 ± 0.9 h vs. 10.5 ± 1.0 hours at baseline) compared to controls (10.4 ± 0.9 h versus 10.5 ± 0.9 h at baseline) (P = 0.04 for difference between groups). Children did not show statistically significant improvements in bedtime. CONCLUSIONS: Educational interventions in early childhood can have an effect on parents' sleep knowledge, attitudes, and self-efficacy, and on children's sleep behavior. However, repeated exposure to the new information may be important for parents as well as their children.
研究目的:评估一种针对低收入学龄前儿童及其家庭的新型睡眠教育计划。
设计:教育干预的随机试验。
设置:基于社区。
参与者:密歇根州大兰辛和底特律的“先普雷什”学前教育家庭(n=152)。
干预:教室或“先普雷什”地点随机分为干预组(即时干预)和对照组(延迟干预)。家长参加了一次 45 分钟的睡眠教育计划,学龄前儿童接受了 2 周(320 总分钟)的课堂睡眠课程。
测量:在 45 分钟睡眠干预之前、干预后即刻和干预后约 1 个月,家长的知识、态度、自我效能感和信念被评估为主要结果。父母在基线和 1 个月随访时使用 7 天睡眠日记报告他们孩子的就寝时间和醒来时间。平均周末睡眠时间和就寝时间作为次要结果。
结果:线性混合模型显示了父母知识、态度和自我效能感的时间×治疗效果(均 P<0.05),但信念没有。这些改善在干预后即刻出现,但在 1 个月随访时并未保留。与对照组相比,干预组的儿童在 1 个月随访时的周末夜间睡眠时间增加了 30 分钟(11.0±0.9 小时比基线时的 10.5±1.0 小时)(组间差异 P=0.04)。儿童的就寝时间没有显示出统计学上的显著改善。
结论:幼儿期的教育干预可以对父母的睡眠知识、态度和自我效能感以及儿童的睡眠行为产生影响。然而,让父母和孩子反复接触新信息可能很重要。
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