Barriers to Implementing Behavioral Sleep Interventions for Infants and Toddlers: A Path Analysis of Parental Cognition and Sleeping Arrangement.

IF 2 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2026-07-01 Epub Date: 2026-02-23 DOI:10.1080/15402002.2026.2628682

Seoha Kyung, Sooyeon Suh

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引用次数: 0

Abstract

Objectives: Evidence-based behavioral sleep interventions (BSIs) effectively consolidate and improve infant sleep. While BSIs are widely implemented in Western countries, very little is known about the knowledge and use of BSIs in Asian countries where bed-sharing is common. The current study aims to explore environmental (e.g. sleep arrangements) and personal (e.g. parental cognitions) barriers in implementing BSIs among parents in South Korea.

Method: A total of 507 parents with children aged 6 to 36 months. Participants completed the Parental Understanding and Misperceptions about Baby's sleep- Questionnaire (PUMBA-Q) and Brief Infant Sleep Questionnaire-Revised (BISQ-R). Path analysis tested a model predicting BSIs implementation and child's sleep.

Results: Only 21.9% of parents reported implementing at least one BSIs. Children who received BSIs had significantly longer total sleep (t(505) = -3.422, p < .001). Path analysis indicated a direct effect of parental cognition about child's sleep (PUMBA-Q scores) and bed-sharing on implementations of BSIs, and an indirect effect on child's TST through implementation of BSIs.

Conclusions: South Korean parents reported lower BSIs implementation rates than Western parents. This study identifies both sleeping arrangement and parental cognition as barriers to implementing BSIs, which may inform tailored BSIs strategies.

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实施婴幼儿行为睡眠干预的障碍：父母认知与睡眠安排的路径分析。

目的：循证行为睡眠干预（bsi）有效巩固和改善婴儿睡眠。虽然脑梗死在西方国家被广泛实施，但在同床共枕的亚洲国家，人们对脑梗死的认识和使用却知之甚少。目前的研究旨在探讨韩国父母在实施bsi时的环境（如睡眠安排）和个人（如父母认知）障碍。方法：对507名6 ~ 36月龄儿童家长进行调查。参与者完成了《父母对婴儿睡眠的理解与误解问卷》（PUMBA-Q）和《婴儿睡眠简易问卷》（BISQ-R）。通径分析测试了一个预测bsi实施和儿童睡眠的模型。结果：只有21.9%的家长报告实施了至少一次bsi。接受bsi的儿童总睡眠时间显著延长（t(505) = -3.422, p）。结论：韩国父母报告的bsi实施率低于西方父母。本研究确定睡眠安排和父母认知都是实施bsi的障碍，这可能为量身定制的bsi策略提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.