Donovan Caroline L, Etel Evren, Uhlmann Laura, Shiels Amy, Joynt Tamsin, March Sonja, Meltzer Lisa J, McLay Laurie, Farrell Lara J, Waters Allison M, Ware Robert S, Storey Annie
School of Applied Psychology, Griffith University, Brisbane, Gold Coast, QLD, Australia.
Griffith Centre for Mental Health, Griffith University, Gold Coast, Brisbane, Australia.
Child Psychiatry Hum Dev. 2025 Apr 23. doi: 10.1007/s10578-025-01837-z.
Sleep problems in young children are highly prevalent and place children at risk for numerous detrimental child and family outcomes. This pilot study aimed to assess the feasibility of an unguided, parent-focused, online sleep intervention, the Lights Out Online program, in terms of adherence rates, acceptability to parents, and effects on (a) child sleep, anxiety, and behaviour problems, and (b) parental self-efficacy, and parent sleep, depression, anxiety. The study was a pilot, open (uncontrolled) trial with a within-group repeated measures (baseline (T1), 12-weeks post-baseline (T2)) design. Participants were 24 parents (M = 36.2, SD = 4.1) of children aged 3-6 years (M = 4.1 years, SD = 1.1) with sleep problems. Participants completed an average of 3.58 out of 4 sessions by T2, and parents reported satisfaction with program content and presentation. A series of mixed-effects linear regression models demonstrated significant improvements in child sleep, child anxiety, child behaviour problems, parent sleep, parent anxiety and parental self-efficacy, from T1 to T2. However, significant improvements were not demonstrated for parent depression and parent stress. The results of this study should be taken with caution given the small sample size and lack of control group. However, the study provides preliminary support for the feasibility of Lights Out Online.
幼儿睡眠问题非常普遍，会使儿童面临众多对儿童及其家庭产生不利影响的风险。这项试点研究旨在评估一项无指导、以家长为重点的在线睡眠干预措施——“熄灯在线”项目在依从率、家长接受度以及对以下方面的影响：(a) 儿童睡眠、焦虑和行为问题，以及 (b) 家长自我效能感、家长睡眠、抑郁和焦虑方面的可行性。该研究是一项试点开放性（非对照）试验，采用组内重复测量（基线期（T1）、基线期后12周（T2））设计。参与者为24名3至6岁（平均年龄4.1岁，标准差1.1）有睡眠问题儿童的家长（平均年龄36.2岁，标准差4.1）。到T2时，参与者平均完成了4节课程中的3.58节，家长对课程内容和呈现方式表示满意。一系列混合效应线性回归模型显示，从T1到T2，儿童睡眠、儿童焦虑、儿童行为问题、家长睡眠、家长焦虑和家长自我效能感均有显著改善。然而，家长抑郁和家长压力方面未显示出显著改善。鉴于样本量小且缺乏对照组，本研究结果应谨慎对待。不过，该研究为“熄灯在线”项目的可行性提供了初步支持。
