Sarah Morsbach Honaker1, Jodi A Mindell2,3, James E Slaven1, A J Schwichtenberg4. 1. Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana. 2. Department of Psychology, Saint Joseph's University, Philadelphia, PA, USA. 3. Children's Hospital of Philadelphia, Philadelphia, PA, USA. 4. Department of Human Development and Family Studies, Purdue University, West Lafayette, Indiana.
Abstract
OBJECTIVE/ BACKGROUND: Behavioral Sleep Interventions (BSI) is an efficacious class of treatment approaches for infant sleep disturbance. Little is known about BSI implementation in the real world. Objectives were to a) examine the prevalence of BSI implementation and related factors in a diverse sample of US mothers; b) assess racial-ethnic group differences; and c) examine predictors of BSI implementation. PARTICIPANTS: Participants included mothers (n= 353) with an infant (6-18 months) from one of the three racial-ethnic groups: White Hispanic (n= 113), White non-Hispanic (n= 122), Black non-Hispanic (n= 118). METHODS: Respondents completed an online survey assessing BSI implementation, familiarity, barriers, sleep knowledge, cognitions, and sleep patterns. RESULTS: Approximately one-third (36%) of the sample endorsed BSI implementation and 59% reported BSI familiarity. Black non-Hispanic mothers were more likely to report stopping a BSI prior to completion (OR = 4.92, p <.05) and more likely to hear about BSI from a health-care professional (OR = 1.32, p <.05) compared to White non-Hispanic mothers. Racial-ethnic group differences were identified for a variety of sleep practices, including bedsharing, independent sleep onset, and score on a validated measure of problematic sleep. No racial-ethnic group differences were found in BSI implementation, cognitions, or barriers. BSI implementation was predicted by BSI familiarity, more maternal education, and cognitions around infant self-soothing. CONCLUSIONS: Differential BSI implementation does not appear to be a major driver of sleep disparities, although Black non-Hispanic mothers who decide to implement BSI do report notably lower completion rates. Future studies should examine alternative mechanisms of sleep disparities as well as strategies to promote sleep health in diverse families.
OBJECTIVE/ BACKGROUND: Behavioral Sleep Interventions (BSI) is an efficacious class of treatment approaches for infant sleep disturbance. Little is known about BSI implementation in the real world. Objectives were to a) examine the prevalence of BSI implementation and related factors in a diverse sample of US mothers; b) assess racial-ethnic group differences; and c) examine predictors of BSI implementation. PARTICIPANTS: Participants included mothers (n= 353) with an infant (6-18 months) from one of the three racial-ethnic groups: White Hispanic (n= 113), White non-Hispanic (n= 122), Black non-Hispanic (n= 118). METHODS: Respondents completed an online survey assessing BSI implementation, familiarity, barriers, sleep knowledge, cognitions, and sleep patterns. RESULTS: Approximately one-third (36%) of the sample endorsed BSI implementation and 59% reported BSI familiarity. Black non-Hispanic mothers were more likely to report stopping a BSI prior to completion (OR = 4.92, p <.05) and more likely to hear about BSI from a health-care professional (OR = 1.32, p <.05) compared to White non-Hispanic mothers. Racial-ethnic group differences were identified for a variety of sleep practices, including bedsharing, independent sleep onset, and score on a validated measure of problematic sleep. No racial-ethnic group differences were found in BSI implementation, cognitions, or barriers. BSI implementation was predicted by BSI familiarity, more maternal education, and cognitions around infant self-soothing. CONCLUSIONS: Differential BSI implementation does not appear to be a major driver of sleep disparities, although Black non-Hispanic mothers who decide to implement BSI do report notably lower completion rates. Future studies should examine alternative mechanisms of sleep disparities as well as strategies to promote sleep health in diverse families.
Authors: Maristella Lucchini; Louise M O'Brien; Linda G Kahn; Patricia A Brennan; Kelly Glazer Baron; Emily A Knapp; Claudia Lugo-Candelas; Lauren Shuffrey; Galit Levi Dunietz; Yeyi Zhu; Rosalind J Wright; Robert O Wright; Cristiane Duarte; Margaret R Karagas; Pakkay Ngai; Thomas G O'Connor; Julie B Herbstman; Sean Dioni; Anne Marie Singh; Carmela Alcantara; William P Fifer; Amy J Elliott Journal: Sleep Date: 2022-09-08 Impact factor: 6.313
Authors: Maristella Lucchini; Monica R Ordway; Margaret H Kyle; Nicolò Pini; Jennifer R Barbosa; Ayesha Sania; Lauren C Shuffrey; Cristina R Fernández; William P Fifer; Carmela Alcántara; Catherine E Monk; Dani Dumitriu Journal: Sleep Health Date: 2022-08-13