1. Real-World Implementation of Infant Behavioral Sleep Interventions: Results of a Parental Survey.
- Author
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Honaker SM, Schwichtenberg AJ, Kreps TA, and Mindell JA
- Subjects
- Adult, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Retrospective Studies, Sleep Deprivation physiopathology, Young Adult, Behavior Therapy methods, Child Development physiology, Parents psychology, Sleep physiology, Sleep Deprivation therapy, Surveys and Questionnaires
- Abstract
Objective: To describe parental practices implementing behavioral sleep intervention (BSI) outside a clinical setting., Study Design: Parents (n = 652), recruited through a Facebook group designed as a peer support group for parents using BSI, completed an online survey about their experience using BSI with their infant or toddler., Results: On average, parents implemented BSI when their infant was 5.6 (±2.77) months. Parents most often used modified (49.5%) or unmodified extinction (34.9%), with fewer using a parental presence approach (15.6%). Regardless of BSI type, more parents endorsed "a great deal of stress" during the first night (42.2%) than 1 week later (5.2%). The duration of infant crying was typically greatest the first night (reported by 45%; M = 43 minutes) and was significantly reduced after 1 week (M = 8.54 minutes). Successful implementation of BSI on the first attempt was reported by 83%, with a median and mode of 7 days until completion (79% by 2 weeks). Regardless of BSI type, after intervention parents reported their infant had less difficulty falling asleep, fewer night awakenings, and were more likely to sleep in their room and/or in their own crib/bed., Conclusions: The majority of parents report successfully implementing BSI, with significantly reduced infant crying by the end of 1 week and success within 2 weeks. Few differences were found between behavioral approaches., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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