INSIGHT Responsive Parenting Intervention and Infant Sleep.
INSIGHT Responsive Parenting Intervention and Infant Sleep.
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DOI：
10.1542/peds.2016-0762
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发表时间：
2016-07
期刊：
影响因子：
8
通讯作者：
Birch LL
中科院分区：
文献类型：
--
作者：
Paul IM;Savage JS;Anzman-Frasca S;Marini ME;Mindell JA;Birch LL
婴儿期睡眠不足与婴儿和家庭的不良后果有关。我们试图改善睡眠行为和持续时间，通过响应式父母（RP）干预肥胖预防设计。干预护士开始婴儿在健康轨迹上生长（INSIGHT）研究是一项随机试验，比较了RP干预与安全对照。初产的母亲-新生儿在分娩后被随机分组，研究护士在婴儿3、16、28和40周的家访和1年的研究中心访问时提供干预内容。RP睡眠成分包括关于就寝时间、睡眠位置和行为以及对唤醒的反应的发育适当的信息。在出生后2周、8周和52周进行部分婴儿睡眠问卷调查，并在16周和40周时收集与睡眠相关的扩展数据。279对夫妇完成了首次家访，90.7%完成了1年访视。与对照组相比，RP组婴儿不太可能有超过45分钟的长时间就寝时间，更可能在16周和40周时有更早的就寝时间。他们不太可能在睡前立即进食，更可能自我安慰入睡。在第8、16和40周，RP组夜间睡眠时间分别延长了35、25和22分钟（P <0.05）。两组1年时的睡眠时间相似。INSIGHT RP干预对婴儿发育适当的就寝时间、睡眠相关行为和睡眠持续时间产生了积极影响。
Inadequate sleep during infancy is associated with adverse outcomes for infants and families. We sought to improve sleep behaviors and duration through a responsive parenting (RP) intervention designed for obesity prevention. The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control. Primiparous mother-newborn dyads were randomized after childbirth, and research nurses delivered intervention content at home visits at infant ages 3, 16, 28, and 40 weeks and at a research center visit at 1 year. The RP sleep component included developmentally appropriate messages about bedtime routines, sleep location and behaviors, and responses to wakings. Portions of the Brief Infant Sleep Questionnaire were administered 2, 8, and 52 weeks after birth with expanded sleep-related data collection at 16 and 40 weeks. Two hundred and seventy-nine dyads completed the first home visit; 90.7% completed the 1-year visit. Compared with controls, RP group infants were less likely to have prolonged bedtime routines >45 minutes and more likely to have earlier bedtimes at 16 and 40 weeks. They were less likely to be fed immediately before bed and more likely to self-soothe to sleep. At 8, 16, and 40 weeks, RP group nocturnal sleep duration was longer by 35, 25, and 22 minutes, respectively (P < .05 for all). Sleep duration at 1 year was similar between groups. The INSIGHT RP intervention positively influenced developmentally appropriate bedtime routines, sleep-related behaviors, and sleep duration for infants.