Sleep and Anxiety Center of Houston, Department of Psychology, University of Houston, USA.
Sleep and Anxiety Center of Houston, Department of Psychology, University of Houston, USA.
Child Abuse Negl. 2024 Nov;157:107083. doi: 10.1016/j.chiabu.2024.107083. Epub 2024 Oct 13.
This study presents findings from a randomized controlled trial of Sleep and Adjustment in Foster Environments for Toddlers and Preschoolers (SAFE-T), a telehealth-delivered, trauma-informed sleep intervention for children in or adopted from foster care.
N = 45 caregivers of children aged 2 to 5 years (M = 4.01; SD = 1.04) were randomized to SAFE-T or Sleep Education Support (SES), an active control condition. Assessments, including one-week parent-report sleep diaries, were completed at pre- intervention, post- intervention, and 3 months follow-up.
Results indicated improvements in multiple sleep outcomes at post-intervention and three months later, including nighttime sleep duration, nighttime awakenings, and overall sleep problems in the SAFE-T group only. Sleep-based improvements were largely maintained or strengthened over time. Several secondary outcomes, including child emotional and behavior problems and parenting stress, also improved considerably in the SAFE-T but not the SES group.
Findings suggest SAFE-T to be a promising intervention for improving sleep health among children currently or previously placed in foster care.
本研究呈现了一项针对寄养环境中幼儿和学龄前儿童睡眠与适应的随机对照试验（SAFE-T）的研究结果，这是一种通过远程医疗提供的、针对创伤后应激障碍的睡眠干预措施，适用于处于或曾被安置在寄养环境中的儿童。
N=45 名 2 至 5 岁儿童（M=4.01，SD=1.04）的照顾者被随机分配到 SAFE-T 或睡眠教育支持（SES）组，这是一个积极的对照组。评估包括一周的家长报告睡眠日记，在干预前、干预后和 3 个月随访时进行。
结果表明，在干预后和三个月后，SAFE-T 组在多个睡眠结果上都有改善，包括夜间睡眠时间、夜间觉醒次数和整体睡眠问题。基于睡眠的改善在时间上基本保持或增强。其他几个次要结果，包括儿童情绪和行为问题以及育儿压力，在 SAFE-T 组也有显著改善，但在 SES 组则没有。
研究结果表明，SAFE-T 是一种有前途的干预措施，可改善目前或以前被安置在寄养环境中的儿童的睡眠健康。
