0777 Behavioral Sleep Intervention: The Roles Of Maternal Sociodemographic, Emotional, And Informational Resources. (12th April 2019)

• Record Type: Journal Article
• Authors: Chong, Pearlynne; Honaker, Morsbach; Mindell, Jodi A; Kreps, Tamar A; Schwichtenberg, Amy Jo
• Is Part Of: Sleep. Volume 42(2019)Supplement 1
• Page Start: A312
• Page End: A312
• Publication Date: 2019-04-12
• Subjects: Sleep -- Physiological aspects -- Periodicals; Sleep disorders -- Periodicals; Sommeil -- Aspect physiologique -- Périodiques; Sommeil, Troubles du -- Périodiques; Sleep disorders; Sleep -- Physiological aspects; Sleep -- physiological aspects; Sleep Wake Disorders; Psychophysiology; Electronic journals; Periodicals; 616.8498
• DOI: 10.1093/sleep/zsz067.775
• Languages: English
• ISSNs: 0161-8105

Abstract

Abstract: Introduction: Behavioral sleep interventions (BSI) are often implemented by parents to promote independent infant sleep and reduce night wakings. In regard to efficacy, research often focuses on the type of BSI employed (e.g., unmodified extinction or modified extinction) but less work is done to understand the role(s) of sociodemographic, emotional, and informational resources. The present study investigates several maternal resources to identify mothers who may need more support when implementing BSI. Methods: Mothers ( n =538) from a Facebook-based parent support group for BSI participated in this study via an online survey. Mothers used both unmodified ( n =217) and modified extinction ( n =321). Second-order factor structural equation modeling was used to analyze their responses. BSI success was a first-order unobserved latent variable, generated from pre-post BSI indices of sleep onset latency, duration of crying, and number of wakings. Second-order factors included (1) socioeconomic resources (maternal age and education) and (2) emotional and informational resources (from family, friends, physicians, and/or support groups). Child's age and BSI satisfaction were also included in the model. Results: The overall model had good fit χ 2 (24)=28.86, p =.23; RMSEA=.02, CFI=.98, TLI=.97. Maternal socioeconomic and emotional/informational resources were correlated ( β =.19, p =.02) but only socioeconomic resources predicted the BSI success factor ( β =-.32, p =.02); wherein, having fewer socioeconomic resources was associated with greater change in the BSI success factor. This change reflected a reduction in sleep onset latency, crying, and number of night wakings. Maternal BSI satisfaction was not associated with resources but increased with greater change in the BSI success factor (i.e., a reduction in sleep onset latency, crying, and wakings) ( β =.34, p =.04). Conclusion: Regardless of BSI type and emotional or informational resources, mothers reported high levels of success and satisfaction with BSI during infancy. Mothers with both high and low socioeconomic resources reported significant reductions in their child's sleep-related behaviors (sleep onset latency, crying and waking), although this change was greater for mothers who reported fewer socioeconomic resources. Findings from this study should be interpreted within the sample context (an online support group for BSI). Support (If Any): N/A