Correlates of a caregiver-reported child sleep problem and variation by community disadvantage

2022 ◽  
Author(s):  
Francesca Lupini ◽  
Erin S. Leichman ◽  
Russell Gould ◽  
Russel Walters ◽  
Jodi A. Mindell ◽  
...  
Keyword(s):  
Sleep Problem ◽  
Child Sleep ◽  
Community Disadvantage

scholarly journals 0946 Parent-Perceived Sleep Problems Associated with Common Medical Issues During Infancy

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A359-A360
Author(s):  
J A Mindell ◽  
E S Leichman ◽  
A A Williamson ◽  
R A Gould ◽  
H Hiscock ◽  
...  
Keyword(s):  
Medical Care ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Primary Care Providers ◽  
Care Providers ◽  
Care Needs ◽  
Medical Problems ◽  
Child Sleep ◽  
Medical Issues ◽  
Ear Infections

Abstract Introduction Sleep problems are highly prevalent during infancy. However, little research has been conducted on associations between these sleep issues and common medical concerns in early development. Thus, the purpose of this study was to assess the prevalence of parent-perceived sleep problems in infants with common medical problems. Methods Participants were 5,097 children from the Longitudinal Study of Australian Children—Birth Cohort. Caregiver-reported child sleep problems and medical concerns were assessed at ages 0-1 year. Chi-square analyses were used to examine associations between the presence of a parent-perceived sleep problem and medical concerns. Results Wheezing (29.6%), eczema (14.9%), and food/digestive allergies (5.0%) were the most commonly identified medical concerns. In addition, 17.1% of caregivers reported a moderate/severe child sleep problem. Infants who had a moderate to severe parent-identified sleep problem experienced higher rates of overall medical care/needs, wheezing, eczema, food/digestive allergies (p<.001), ear infections (p<.05), and other illnesses (p<.01) than those infants without a sleep problem. No differences were observed with regard to hearing problems, vision problems, developmental delay, diarrhea/colitis, anemia, or other (non-ear) infections. Furthermore, parents reported higher rates of sleep problems for infants with medical problems (20.0-37.5%) than for infants without medical problems (16-17%), especially related to needing medical care (sleep problems = 27%), food/digestive allergies (27%), eczema (23%), and wheezing (20%), p=.001. Conclusion Overall, common medical issues during infancy, including food/digestive allergies, eczema, and wheezing, are associated with greater parent-endorsed child sleep problems. Primary care providers should assess for and address sleep problems when treating common medical concerns during infancy. Support This project was partially supported by Johnson and Johnson Consumer Health (JAM, ESL, and RAG) and NIH K23HD094905 (AAW).

Influences on help-seeking decisions for behavioral child sleep problems: Why parents do and do not seek help

2020 ◽  
pp. 135910452096337
Author(s):  
Adam T Newton ◽  
Penny V Corkum ◽  
Sarah Blunden ◽  
Graham J Reid
Keyword(s):  
Help Seeking ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Chi Square ◽  
Professional Help ◽  
Severe Problem ◽  
Child Sleep ◽  
Problem Perception ◽  
Seeking Help ◽  
Problem Severity

Objectives: Behavioral sleep problems affect 25% of children and impact functioning, but little is known about help-seeking for these problems. We identified (1) predictors for sleep problem perception and help-seeking, using nested-logit regression and (2) reasons why parents did not seek professional help for sleep problems, using chi-square. Methods: Parents ( N = 407) of children (2–10-years-old) completed the study online. Parents indicated whether their child had no sleep problem, a mild problem, or a moderate-to-severe problem and completed additional questionnaires on parent/child functioning. Results: Overall, 5.4% ± 2.2% of parents sought professional help for a child sleep problem. Greater child sleep problem severity and greater child socioemotional problems were significant predictors of parents perceiving a sleep problem. Among parents who perceived a sleep problem, greater parental socioemotional problems significantly predicted professional help-seeking. Parents who perceived no problem or a mild sleep problem reported not needing professional help as the main reason for not seeking help; parents who perceived a moderate-to-severe problem reported logistic barriers most often (e.g. treatment unavailability, cost). Conclusions: Problem perception and help-seeking predictors resemble the children’s mental health literature. Differences in barriers, based on problem severity, suggest differential help-seeking interventions are needed (e.g. education vs access).

scholarly journals 0929 Caregiver-Reported Versus Clinician-Documented Child Sleep Problems and Sleep-Related Health Behaviors in Primary Care

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A353-A353
Author(s):  
A A Williamson ◽  
E Bhandari ◽  
O Cicalese ◽  
E Heaps ◽  
A Ostan ◽  
...  
Keyword(s):  
Primary Care ◽  
Young Children ◽  
Health Behaviors ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Pediatric Primary Care ◽  
Caffeine Consumption ◽  
Poor Child ◽  
Child Sleep ◽  
Progress Note

Abstract Introduction Sleep problems are highly prevalent in early childhood but often under-identified in pediatric primary care. This study identified the prevalence of caregiver-reported versus primary care provider (PCP)-documented sleep problems and sleep-related health behaviors in young children presenting to well child visits (WCVs). Methods Caregivers (85.4% mothers) of 198 young children (2-5 years, M = 3.3, 53.7% female, 62.9% Black) presenting to urban (74.1%) and suburban (25.9%) primary care sites for well child visits (WCVs) completed research surveys on child behavioral sleep problems, snoring, and sleep-related health behaviors (e.g., caffeine consumption) on the day of their child’s WCV. Electronic medical record review was used to identify the rate of PCP-documented sleep problems and related recommendations in the WCV progress note. Results Fifteen percent of caregivers reported a child sleep problem according to questionnaire data, which did not significantly differ from the 12.0% of children with a PCP-documented sleep problem in the WCV progress note (p = .31). However, significantly more caregivers (28.3%) reported bedtime difficulties (resistance; tantrums) on questionnaires (p <.001), which were not captured in the 12.0% of WCVs noting sleep problems. A total of 8% of WCVs included child sleep recommendations. Child snoring was reported by 17.0% of caregivers, but was less frequently documented in WCVs (4.5%, p <.001). Although many caregivers reported poor child sleep-related health behaviors, including daily child caffeine consumption (21.1%) and bedroom electronics (62.9%), significantly fewer PCPs documented these issues (caffeine: 2.0%; electronics: 6.6%) or related recommendations (decrease caffeine: 1.0%; eliminate electronics: 3.5%) in the progress note (all p-values <.001). Conclusion Although caregiver-endorsed child sleep problems on surveys did not differ from PCP-documented concerns, there are gaps in documenting other problematic sleep-related health behaviors, such as caffeine consumption and electronics use. More resources to address sleep-related health behaviors, as well as sleep problems, in pediatric primary care are needed. Support Sleep Research Society Foundation and K23HD094905 (AAW)

603 Socioeconomic Status and Caregiver Perception of Young Children’s Sleep

SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A237-A237
Author(s):  
Francesca Lupini ◽  
Ariel Williamson ◽  
Lauren Daniel ◽  
Jodi Mindell
Keyword(s):  
Socioeconomic Status ◽  
Logistic Regression ◽  
Regression Models ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Sleep Onset ◽  
Sleep Onset Latency ◽  
Onset Latency ◽  
Logistic Regression Models ◽  
Child Sleep

Abstract Introduction Socioeconomic status (SES) has been associated with variation in child sleep problems, but few studies have examined variation by SES in caregiver-reported early childhood sleep problems, patterns, and health behaviors. We hypothesized that, compared to higher-SES caregivers, lower-SES caregivers would report poorer sleep outcomes and sleep health behaviors, but lower rates of caregiver-perceived sleep problems. Methods A total of 309 caregivers (97% parents) of young children (M child age=3.59 years; 53.1% girls; 15% non-Hispanic/Latinx White, 57% non-Hispanic/Latinx Black, 20% Hispanic/Latinx White, 8% Hispanic/Latinx Black) completed the Brief Child Sleep Questionnaire. SES was measured via income level (lowest=$0-$20,000; middle= $20,001-$50,000; highest= $50,001 or greater). Results The prevalence of a caregiver-reported child sleep problem was similar across SES (17.6% of lowest SES group, 8.8% of middle, and 15.5% of highest, p>.05). However, ANCOVA models covarying for child race/ethnicity, age, caregiver age and education indicated sleep outcomes varied by SES. Caregivers in the lowest SES group reported significantly longer child sleep onset latency (SOL) than the middle or highest groups (p=.008), more frequent night wakings than those of middle SES (p=.009), and longer night waking duration than those of the highest SES, (p=.047). There were no significant differences by SES for child bedtime, total nighttime sleep, and total (24-hour) sleep duration. Logistic regression models with the same covariates showed no variation by SES for sleep behaviors, including caffeine consumption, presence of bedroom electronics, and bedtime resistance. Within each SES group, logistic regression models indicated that increased night wakings were uniquely associated with greater likelihood of endorsing a child sleep problem in the middle SES (p=.045) and highest SES groups (p=.040), but not in the lowest SES group. Conclusion Although caregiver-reported child sleep problems did not significantly differ across SES, lower-SES caregivers reported longer child sleep onset latency and increased number and duration of night wakings. Furthermore, night wakings were associated with perceived sleep problems, but only in middle and highest SES families. Clinicians should consider specific sleep parameters, such as SOL and night wakings, in addition to caregiver-reported child sleep problems when assessing and addressing child sleep problems, especially in lower-SES families. Support (if any) Funding: NIH K23HD094905 (AAW)

Child Sleep Problems Questionnaire

2014 ◽  
Author(s):  
Jochen Hochadel ◽  
Jan Frölich ◽  
Alfred Wiater ◽  
Gerd Lehmkuhl ◽  
Leonie Fricke-Oerkermann
Keyword(s):  
Sleep Problems ◽  
Child Sleep

Sustained impact of a sleep intervention and moderators of treatment outcome for children with ADHD: a randomised controlled trial

2019 ◽  
Vol 50 (2) ◽  
pp. 210-219 ◽  
Author(s):  
E. Sciberras ◽  
M. Mulraney ◽  
F. Mensah ◽  
F. Oberklaid ◽  
D. Efron ◽  
...  
Keyword(s):  
Usual Care ◽  
Sleep Problem ◽  
Controlled Trial ◽  
Parent Report ◽  
Daily Functioning ◽  
Adhd Medication ◽  
Randomised Controlled ◽  
Severe Sleep Problem ◽  
Over Time

AbstractBackgroundWe aim to (1) determine whether a behavioural sleep intervention for children with attention-deficit/hyperactivity disorder (ADHD) leads to sustained benefits; and (2) examine the factors associated with treatment response.MethodsThis study was a randomised controlled trial of 244 children (5–13 years) with ADHD from Victoria, Australia. All participants had a moderate/severe sleep problem that met American Academy of Sleep Medicine criteria for an eligible sleep disorder by parent report. The two-session intervention covered sleep hygiene and standardised behavioural strategies. The control group received usual care. Parent- and teacher-reported outcomes at 12 months included sleep, ADHD severity, quality of life, daily functioning, behaviour, and parent mental health. Adjusted mixed effects regression analyses examined 12 month outcomes. Interaction analyses were used to determine moderators of intervention outcomes over time. The trial was registered with ISRCTN, http://www.controlled-trials.com (ISRCTN68819261).ResultsIntervention children were less likely to have a moderate/severe sleep problem by parent report at 12 months compared to usual care children (28.4% v. 46.5%, p = 0.03). Children in the intervention group fared better than the usual care group in terms of parent-reported ADHD symptoms (Cohen's d: −0.3, p < 0.001), quality of life (d: 0.4, p < 0.001), daily functioning (d: −0.5, p < 0.001), and behaviour (d: −0.3, p = 0.005) 12 months later. The benefits of the intervention over time in terms of sleep were less for children not taking ADHD medication and children with parents experiencing depression.ConclusionsA behavioural sleep intervention for ADHD is associated with small sustained improvements in child wellbeing. Children who are not taking ADHD medication or have parents with depression may require follow-up booster sleep sessions.

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