Sleep Disorder
Conditions
Brief summary
This study will inform the field about underlying mechanisms associated with infant sleep problems and will deepen the understanding of the intervention process. The study will provide detailed information on the intervention process itself and will explore how behavioral sleep interventions affect broader infant outcome.
Interventions
BEHAVIORALpresence
constant presence of the parent in the child's room throughout the night during the first week of the intervention. In addition to sleeping near the child's crib, the parents repeat the same routines as in the checking method if the child is actively protesting or crying.
BEHAVIORALchecking
putting the child into the crib at bedtime and leaving the room with repeated quick visits every 5 minutes if the child is actively protesting or crying, providing brief reassurance, helping the child to resume a sleeping position.
Sponsors
Israel Science Foundation
U.S. National Science Foundation
Tel-Aviv Sourasky Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
BASIC_SCIENCE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
9 Months to 18 Months
Healthy volunteers
Yes
Inclusion criteria
* infants at age range 9-18 months; * healthy infants with no significant health problems; * two-parents families; * parents who master the Hebrew language. * significant sleep problem lasting more than 3 months: Our definition for a significant sleep problem in this age range is based on meeting at least one of the following three criteria for the baseline week: * an average of three or more night-wakings per night; * an average wake period of at least 30 minute per night between sleep onset and morning rise time; * more than 30 minutes to fall asleep each night with protests for attention.
Exclusion criteria
* Infants not meeting the inclusion criteria at the baseline assessment will be excluded from the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improved infant sleep | base line to one month follow-up | Less parental involvement in falling asleep, less night wakings, heightened sleep efficacy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| improvement in infant emotion regulation and in parent-infant interaction | one month follow-up to one year follow-up | infant heightened ability to regulate emotion when frustrated, a more secure infant attachment to mother, less infant withdrawal and more maternal sensitivity |
Contacts
Primary ContactAvi Sadeh, Prof.
Outcome results
None listed