Faculty of Nursing, University of Calgary, Calgary, Alberta, Canada.
School of Nursing, Faculty of Health and Social Development, The University of British Columbia, Kelowna, British Columbia, Canada.
J Clin Sleep Med. 2022 Feb 1;18(2):439-452. doi: 10.5664/jcsm.9618.
This study evaluated the effect on infant sleep of a novel intervention (Play2Sleep) that combined infant sleep information with self-modeled video feedback on parent-infant interactions.
An explanatory sequential mixed-methods design consisting of a randomized controlled trial with 63 mother-father-infant triads randomized to Play2Sleep or comparison home visit interventions was used. We used repeated measures analysis of covariance to detect changes in infant night wakings, nocturnal wakefulness, and sleep durations and Wilcoxon signed rank test to evaluate changes in perception of infant sleep problems. Family interviews (n = 20) were used to explain the quantitative findings and analyzed qualitatively using thematic analysis.
Play2Sleep was effective in reducing maternal-reported infant wakefulness, (1,55) = 5.33, = .03, partial η = .09, and the number of paternal-reported naps, (1,58) = 4.90, = .03, partial η = .08. Parents in the Play2Sleep group reported significant improvements in problematic infant sleep that were not observed in the comparison group; however, Play2Sleep was not effective in reducing the number of parent-reported night wakings. Information overwhelm, learning infant cues, and working together with a subtheme of father involvement were key qualitative themes developed to explain the quantitative results. Unplanned exploratory analyses revealed a significant improvement in maternal depression symptoms in the Play2Sleep group.
This study suggests Play2Sleep could improve infant sleep by promoting parental awareness of infant cues and father involvement and improving maternal depression. Additional research is needed to determine the optimal number and timing of sessions.
Registry: ClinicalTrials.gov; Name: Play2Sleep: Using Play to Improve Sleep; URL: https://clinicaltrials.gov/ct2/show/NCT02742155; Identifier: NCT02742155.
Keys EM, Benzies KM, Kirk VG, Duffett-Leger L. Effect of Play2Sleep on mother-reported and father-reported infant sleep: a sequential explanatory mixed-methods study of a randomized controlled trial. . 2022;18(2):439-452.
本研究评估了一种新的干预措施（Play2Sleep）对婴儿睡眠的影响，该措施将婴儿睡眠信息与父母-婴儿互动的自我模拟视频反馈相结合。
采用随机对照试验的解释性序贯混合方法设计，63 个母婴-父亲三胞胎随机分为 Play2Sleep 或对照家庭访问干预组。我们使用重复测量协方差分析来检测婴儿夜间觉醒、夜间觉醒和睡眠时间的变化，并使用 Wilcoxon 符号秩检验来评估婴儿睡眠问题感知的变化。家庭访谈（n=20）用于解释定量发现，并使用主题分析进行定性分析。
Play2Sleep 有效减少了母亲报告的婴儿觉醒次数，(1,55)=5.33, = .03, 部分 η=0.09，以及父亲报告的小睡次数，(1,58)=4.90, = .03, 部分 η=0.08。Play2Sleep 组的父母报告婴儿睡眠问题有显著改善，而对照组则没有观察到这种改善；然而，Play2Sleep 并不能有效减少父母报告的夜间觉醒次数。信息过载、学习婴儿线索以及与父亲参与的子主题一起，是解释定量结果的关键定性主题。计划外的探索性分析显示，Play2Sleep 组的母亲抑郁症状有显著改善。
本研究表明，Play2Sleep 可以通过提高父母对婴儿线索的意识和父亲的参与来改善婴儿睡眠，并改善母亲的抑郁。需要进一步研究确定最佳的会议次数和时间。
注册处：ClinicalTrials.gov；名称：Play2Sleep：使用游戏改善睡眠；网址：https://clinicaltrials.gov/ct2/show/NCT02742155；标识符：NCT02742155。
Keys EM, Benzies KM, Kirk VG, Duffett-Leger L. Play2Sleep 对母亲报告和父亲报告的婴儿睡眠的影响：一项随机对照试验的序贯解释性混合方法研究。睡眠研究杂志。2022;18(2):439-452.
