Perceived Barriers and Facilitators for Bedtime Routines in Families with Young Children.

Perceived Barriers and Facilitators for Bedtime Routines in Families with Young Children.
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DOI:
10.3390/children8010050
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发表时间:
2021-01-15
期刊:
Children (Basel, Switzerland)
影响因子:
--
通讯作者:
Allan J
Allan J
中科院分区:
其他
文献类型:
--
作者:
Kitsaras G;Goodwin M;Kelly M;Pretty I;Allan J

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目的:就寝习惯是一种高度重复的家庭活动,具有重要的健康、社会和行为影响。本研究考察了在有幼儿的家庭中,对制定、建立和维持最佳就寝时间的障碍和促进因素。设计:参与者完成了基于理论领域框架(TDF)的半结构化访谈。分析采用了演绎法。参与者:共有32位家长参与了这项研究。大多数参与者(N = 30)是女性,白人(N = 25)和在家的父母(N = 12)。结果:主要障碍包括缺乏适当的知识和信息来源、有问题的技能发展、社会影响、认知超载和缺乏改变的动机。促进因素包括社会角色、资源获取、积极意图、对后果的信念和强化。特别是,当父母感到疲倦时,最佳的就寝时间不太可能被制定,而且习惯的影响很强,由于过去的经验和缺乏对良好就寝时间的重要性的认识,次优的就寝时间会随着时间的推移而保持。结论:本研究确定了最佳就寝时间的几个理论基础和潜在可修改的决定因素,为未来的干预提供了重要信息。确定的几个关键决定因素是短暂的(疲劳)和/或无意识的(习惯),这表明未来的干预措施可能需要实时部署,并且应该超越传统技术。
Objectives: Bedtime routines are a highly recurrent family activity with important health, social and behavioural implications. This study examined perceived barriers to, and facilitators of, formulating, establishing, and maintaining optimal bedtime routines in families with young children. Design: Participants completed a semi-structured interview based on the Theoretical Domains Framework (TDF). Analysis followed a deductive approach. Participants: A total of 32 parents participated in the study. Most participants (N = 30) were females, were white (N = 25) and stay at home parents (N = 12). Results: Key barriers included lack of appropriate knowledge and sources of information, problematic skills development, social influences, cognitive overload, and lack of motivation for change. Facilitators included social role, access to resources, positive intentions, beliefs about consequences and reinforcement. In particular, optimal bedtime routines were less likely to be enacted when parents were tired/fatigued and there was a strong effect of habit, with suboptimal routines maintained over time due to past experiences and a lack of awareness about the importance of a good bedtime routine. Conclusions: Several theory-based, and potentially modifiable, determinants of optimal bedtime routines were identified in this study, providing important information for future interventions. Several of the key determinants identified were transient (tiredness) and/or non-conscious (habit), suggesting that future interventions may need to be deployed in real time, and should extend beyond conventional techniques.
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