Flinders University, College of Education, Psychology and Social Work, Adelaide, South Australia, Australia.
Flinders University, College of Education, Psychology and Social Work, Adelaide, South Australia, Australia.
Sleep Med. 2021 Aug;84:244-252. doi: 10.1016/j.sleep.2021.05.042. Epub 2021 Jun 7.
Behavioural sleep interventions (eg, extinction-based methods) are among the most efficacious evidence-based techniques in the treatment of infant sleep problems. However, behavioural sleep interventions can be challenging for families to successfully implement. This review aims to summarise current research surrounding the potential barriers that arise when clinicians attempt to implement extinction-based methods with parents of infants. We provide a model that summarises 3 types of contextual-barriers; socio-cultural barriers, parent barriers, and infant barriers. Based on the current evidence, we propose that adopting a stepped care approach, planning ahead, increasing support, motivational interviewing, and/or emotional regulation may serve as useful tools for parents when implementing extinction-based methods. By considering these techniques, more families may receive the benefits of improved infant sleep.
行为睡眠干预（例如，基于消退的方法）是治疗婴儿睡眠问题最有效的循证技术之一。然而，行为睡眠干预对于家庭来说可能难以成功实施。本综述旨在总结当前围绕临床医生尝试与婴儿父母一起实施基于消退的方法时出现的潜在障碍的研究。我们提供了一个模型，总结了 3 种类型的情境障碍：社会文化障碍、父母障碍和婴儿障碍。基于现有证据，我们提出采用阶梯式护理方法、提前计划、增加支持、动机性访谈和/或情绪调节可能是父母在实施基于消退的方法时有用的工具。通过考虑这些技术，更多的家庭可能会受益于改善婴儿睡眠。
