Family and Social Medicine, Albert Einstein College of Medicine , Bronx, NY, USA.
Oberlin College , Oberlin, Ohio.
Behav Sleep Med. 2020 Sep-Oct;18(5):598-610. doi: 10.1080/15402002.2019.1640222. Epub 2019 Jul 18.
To ascertain how sleep health knowledge is translated to early care and education (ECE) programs, using a multi-component environmental scan.
A website scan identified organizations' sleep content re: recommended practices, developmental effects, and "actionable" ratings (0-2). ECE staff surveys assessed preparedness, practices, and beliefs about addressing sleep health and sleep problems in ECE programs. Semi-structured interviews with stakeholders from the ECE, pediatric and sleep communities assessed awareness, priorities, and practices at their organizations.
Of 15 websites scanned, half lacked sleep content on links to development, optimal duration, or scientific background. ECE staff (n = 31) were comfortable speaking to parents about healthy sleep, and with incorporating sleep education and guidance into ECE. Stakeholders (n = 15) rated healthy sleep as a high relevance, but lower priority issue. Within ECE settings stakeholders reported that knowledge about specific links to health and development was poor and that sleep health was often obscured by "safe sleep" issues. Their recommendations included: linking sleep health to "hot topics" such as obesity or preschool suspensions and expulsions, integrating it with the teaching of routines, and raising public awareness.
Despite understanding that healthy sleep promotes school readiness, there is insufficiently specific, actionable information in ECE training, programs, or policies. Findings suggest a need for an awareness campaign with clear, actionable messaging, dissemination of turnkey materials, and integration with policy and professional training systems.
通过多组分环境扫描，确定睡眠健康知识如何转化为早期照护和教育（ECE）计划。
网站扫描确定了组织中有关推荐实践、发展影响和“可操作”评级（0-2）的睡眠内容。ECE 工作人员调查评估了他们在 ECE 计划中准备、实践和解决睡眠健康和睡眠问题的信念。对来自 ECE、儿科和睡眠领域的利益相关者进行半结构化访谈，评估他们组织中的意识、优先事项和实践。
在扫描的 15 个网站中，有一半缺乏关于发展、最佳持续时间或科学背景的链接的睡眠内容。ECE 工作人员（n=31）对与父母谈论健康睡眠以及将睡眠教育和指导纳入 ECE 感到舒适。利益相关者（n=15）将健康睡眠评为高度相关，但优先级较低的问题。在 ECE 环境中，利益相关者报告称，他们对特定与健康和发展相关的知识了解甚少，并且睡眠健康经常被“安全睡眠”问题所掩盖。他们的建议包括：将睡眠健康与肥胖或学龄前停学和开除等“热门话题”联系起来，将其与日常工作的教学相结合，并提高公众意识。
尽管了解到健康的睡眠可以促进入学准备，但 ECE 培训、计划或政策中没有足够具体、可操作的信息。研究结果表明，需要开展一场宣传运动，提供明确、可操作的信息，传播即用型材料，并将其与政策和专业培训系统相结合。
