Defining and measuring bedtime routines in families with young children-A DELPHI process for reaching wider consensus.
Defining and measuring bedtime routines in families with young children-A DELPHI process for reaching wider consensus.
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DOI：
10.1371/journal.pone.0247490
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Pretty IA
中科院分区：
文献类型：
--
作者：
Kitsaras G;Goodwin M;Allan J;Pretty IA
睡前例行活动是最常见的家庭活动之一。它们影响儿童的福祉、发展和健康。尽管他们的重要性，有有限的证据和协议是什么构成了一个最佳的就寝时间。本研究旨在达成专家共识的最佳睡前惯例的定义，并提出一个测量睡前惯例。德尔菲的四步流程于2020年2月至3月完成，共有59名来自不同科学、健康和社会护理背景的专家参与。德尔菲过程从专家讨论组开始，然后继续进行3轮正式的德尔菲，在此期间，对就寝时间惯例的定义和测量的不同元素进行了迭代改进。建议的睡前常规的测量，然后验证对现有的数据后，德尔菲的过程结束。在四轮德尔菲过程结束时，一致的70%的一致性水平，实现了对2至8岁幼儿家庭就寝时间的整体定义。此外，两种方法来测量睡前例程，一个静态（一次性）和一个动态（超过7个晚上的时间段）后，提出了德尔菲过程的结束。还计算了Bland-Altman差异图，并进行了目视检查，显示测量值之间的一致性，可互换使用。睡前常规的定义和拟议的测量都是朝着捕获儿童重要健康和发育结果的行为决定因素迈出的重要的第一步。
Bedtime routines are one of the most common family activities. They affect children’ wellbeing, development and health. Despite their importance, there is limited evidence and agreement on what constitutes an optimal bedtime routine. This study aims to reach expert consensus on a definition of optimal bedtime routines and to propose a measurement for bedtime routines. Four-step DELPHI process completed between February and March 2020 with 59 experts from different scientific, health and social care backgrounds. The DELPHI process started with an expert discussion group and then continued with 3 formal DELPHI rounds during which different elements of the definition and measurement of bedtime routines were iteratively refined. The proposed measurement of bedtime routines was then validated against existing data following the end of the DELPHI process. At the end of the four round DELPHI process and with a consistent 70% agreement level, a holistic definition of bedtime routines for families with young children between the ages of 2 and 8 years was achieved. Additionally, two approaches for measuring bedtime routines, one static (one-off) and one dynamic (over a 7-night period) are proposed following the end of the DELPHI process. A Bland-Altman difference plot was also calculated and visually examined showing agreement between the measurements that could allow them to be used interchangeably. Both the definition and the proposed measurements of bedtime routines are an important, initial step towards capturing a behavioural determinant of important health and developmental outcomes in children.
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影响因子：
10.5
作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
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