Sleep Disruption in New Parents: An intervention Trial

新父母的睡眠中断：一项干预试验

• 批准号: 6923562
• 负责人: KATHRYN LEE
• 金额: $ 38.47万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-01-01 至 2007-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6923562
• 关键词: actigraphy; behavioral /social science research tag; clinical research; coping; depression; employment of women; environmental stressor; fatigue; female; human subject; human therapy evaluation; immunization; lighting; low socioeconomic status; marriage /marital status; maternal behavior; noise; nursing intervention; parents; patient oriented research; postpartum; psychological stressor; quality of life; satisfaction; single person; sleep deprivation; stress management; women' s health

DESCRIPTION (provided by applicant): Sleep Disruption in New Parents: An Intervention Trial. This competitive continuation proposal follows from a study of new fathers and mothers after the birth of their first infant. The previous sample was recruited from childbirth classes for which couples paid a fee; this sample will be recruited from free childbirth classes held for partnered and unpartnered women in lower socio-economic status. The primary aim remains to test effects of an environmental-behavioral intervention on sleep, fatigue, and measures of well-being (marital satisfaction, maternal competence, stress, and coping). The intervention will be introduced prior to delivery to allow mothers time to adapt. A stress and coping framework is again utilized to test the intervention to minimize the stress of sleep disruption for new mothers. Hypotheses will be tested using repeated measures analysis of variance to determine mean group differences. It is expected that: 1) The experimental group of low-income mothers (n=60) will have significantly higher sleep maintenance than controls (n=60) at all time points; 2) The experimental group will report significantly lower fatigue and higher role competence compared to controls at all postpartum time points (4, 8, & 12 weeks). A new hypothesis is added to address prior parental concerns about infant sleep at 8 weeks of age in relation to immunizations: Mothers who receive preparatory strategies to manage infant irritability post immunization will have infants with significantly less wake time during the night compared to controls. A secondary aim is to describe the process by which low-income mothers incorporate this intervention into their family life and evaluate its feasibility for other first-time mothers compared to the prior sample of middle and upper income parents. In the prior sample, few mothers returned to work at rigidly scheduled hours. Level of satisfaction with the intervention package will be ascertained for mothers before and after returning to work. More generalizable results from this targeted sample will be used to develop an educational intervention package for distribution to all adults preparing for parenthood.

描述（由申请人提供）：新父母的睡眠中断：干预试验。这种竞争性的继续建议是根据对新生儿父亲和母亲在第一个婴儿出生后的研究得出的。以前的样本是从夫妇付费的分娩班招募的;这个样本将从为社会经济地位较低的有伴侣和无伴侣妇女举办的免费分娩班招募。主要目的仍然是测试环境行为干预对睡眠，疲劳和幸福感（婚姻满意度，母亲能力，压力和应对）的影响。干预措施将在分娩前引入，以便母亲有时间适应。再次利用压力和应对框架来测试干预措施，以最大限度地减少新妈妈睡眠中断的压力。将使用重复测量方差分析对假设进行检验，以确定平均组差异。预计：1）低收入母亲的实验组（n=60）在所有时间点的睡眠维持率均显著高于对照组（n=60）; 2）与对照组相比，实验组在产后所有时间点（4、8和12周）的疲劳程度显著降低，角色能力显著提高。增加了一个新的假设，以解决先前父母对婴儿睡眠在8周龄与免疫接种有关的问题：母亲谁收到的准备策略，以管理婴儿过敏后免疫接种将有婴儿在夜间醒来的时间显着减少相比，控制。第二个目的是描述低收入母亲将这种干预纳入其家庭生活的过程，并评估其可行性，为其他第一次母亲相比，以前的样本中高收入的父母。在之前的样本中，很少有母亲在严格的时间表上返回工作岗位。将确定母亲在重返工作岗位前后对干预措施的满意程度。从这一有针对性的抽样中得出的更普遍的结果将用于制定一套教育干预措施，分发给所有准备为人父母的成年人。