Anzman-Frasca Stephanie, Goldsmith Juliana, Hassinger Amanda B, Savage Jennifer S, Gupta Vaishali
Department of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, Division of Behavioral Medicine, University at Buffalo, Buffalo, NY, USA.
Center for Ingestive Behavior Research, University at Buffalo, Buffalo, NY, USA.
Nat Sci Sleep. 2025 May 24;17:1037-1048. doi: 10.2147/NSS.S501807. eCollection 2025.
Examine the implementation and effects of an interactive online intervention designed to support new parents with their young infants' sleep.
First-time parents were enrolled when infants were ~6 weeks old and randomized to a sleep intervention or general baby care control group, with intervention content provided weekly between infant ages 2 to 4 months, primarily as brief videos and infographics in private online groups.
Parents (n=74) completed online surveys at baseline (infant age ~6 weeks), midpoint (3 months), post-intervention (4 months), and follow-up (7 months), reporting on infant sleep duration and night wakings (via Brief Infant Sleep Questionnaire), as well as their own sleep duration (via Pittsburgh Sleep Quality Index), and parenting satisfaction and self-efficacy (via Perceived Sense of Competence Scale). Marginal models examined sleep intervention effects on infants' total and nightly sleep duration and night wakings, parent sleep duration, and parenting satisfaction and self-efficacy over time.
Eighty-one percent of parents joined the online groups. There was a group-by-time interaction predicting total infant sleep duration, with total sleep increasing in the intervention group relative to controls. Tests of least squares means showed that intervention group infants slept 1.4 hours longer than controls at age 4 months (p=0.004). There were no significant effects on infants' nighttime sleep, but daytime napping increased in the intervention group relative to controls (p=0.04). Group differences in parent sleep were not statistically significant but were in a consistent direction when compared with intervention impacts on infant sleep. Parenting satisfaction increased significantly in both groups.
Findings demonstrate the potential of an interactive online sleep intervention to support first-time parents with early infant sleep. Parent perspectives support acceptability of the approach and highlight the potential for further development of this scalable online intervention and examination of its impacts on additional aspects of well-being.
The study was registered prior to participant enrollment at clinicaltrials.gov (NCT05322174). URL: https://clinicaltrials.gov/study/NCT05322174.
研究一项旨在帮助初为人父母者解决其幼儿睡眠问题的交互式在线干预措施的实施情况及效果。
首次生育的父母在婴儿约6周大时登记入组，并随机分为睡眠干预组或一般婴儿护理对照组，在婴儿2至4个月大期间每周提供干预内容，主要以私人在线群组中的简短视频和信息图表形式呈现。
父母（n = 74）在基线期（婴儿约6周大）、中期（3个月）、干预后（4个月）和随访期（7个月）完成在线调查，报告婴儿的睡眠时间和夜间醒来情况（通过简短婴儿睡眠问卷），以及他们自己的睡眠时间（通过匹兹堡睡眠质量指数），还有育儿满意度和自我效能感（通过感知能力量表）。边际模型研究了睡眠干预对婴儿总睡眠时间和夜间睡眠时间、夜间醒来次数、父母睡眠时间以及育儿满意度和自我效能感随时间的影响。
81%的父母加入了在线群组。存在一个预测婴儿总睡眠时间的组×时间交互作用，干预组的总睡眠时间相对于对照组有所增加。最小二乘均值检验表明，干预组婴儿在4个月大时比对照组婴儿多睡1.4小时（p = 0.004）。对婴儿夜间睡眠没有显著影响，但干预组的白天小睡时间相对于对照组有所增加（p = 0.04）。父母睡眠的组间差异无统计学意义，但与干预对婴儿睡眠的影响相比，方向一致。两组的育儿满意度均显著提高。
研究结果表明，交互式在线睡眠干预措施有潜力帮助初为人父母者解决幼儿早期睡眠问题。父母的观点支持该方法的可接受性，并突出了进一步开发这种可扩展的在线干预措施以及研究其对幸福感其他方面影响的潜力。
该研究在招募参与者之前已在clinicaltrials.gov上注册（NCT05322174）。网址：https://clinicaltrials.gov/study/NCT05322174 。
