A culturally relevant sleep intervention for New Zealand families with pēpi aged 2 to 12 months: The Moemoeā factorial trial

IF 4.8 2区医学 Q2 CLINICAL NEUROLOGY

Sleep Health Pub Date : 2026-08-01 Epub Date: 2026-06-12 DOI:10.1016/j.sleh.2026.05.006

Rachael Taylor PhD, Louise Fangupo PhD, Takiwai Russell-Camp BMVA, Talia Ellison MA, Jillian Haszard PhD, Rose Richards PhD, Stu McDonald PGDipTeach, Barbara Galland PhD, Justine Camp PhD

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引用次数: 0

Abstract

Objectives

To identify which indigenous-designed sleep components improve perception of infant sleep and family well-being when delivered online over 6 months.

Methods

A 3² optimization factorial trial was undertaken across New Zealand in caregivers with pēpi (infants) aged 2 to 12 months. Participants were randomized to one of 8 combinations of 3 intervention components (off/on conditions) in a 6-month online intervention: Rongo time (creating calm in the household prior to sleep), Uru time (promoting a smooth transition from wake to sleep), and Whānau support (enabling support from a variety of sources). Outcomes of interest included caregiver perception of infant sleep (3-item Perception of Infant and Toddler Sleep Scale, PoiTSS), caregiver well-being (WHO-5), and connectedness (11-item indigenous questionnaire). Linear regression models assessed main effects of components and interactions using effect coding.

Results

Of 503 randomized infants (6.2 [SD 2.9] months, 50.5% female, 45.7% indigenous Māori, and 38.8% high deprivation), follow-up data were available for 377 (75%) at 6 months. While qualitative data indicated good support for the program, no statistically significant improvements in well-being or connection were observed. Whānau support significantly improved caregiver perception of sleep (mean difference; 95% CI: 0.4; 0.0, 0.7), but not Uru (0.2; −0.2, 0.5) or Rongo (0.3; −0.1, 0.6) time. Both synergistic and antagonistic interactions were observed between components, but these were small.

Conclusions

An indigenous-led intervention produced few improvements in perception of infant sleep or well-being despite considerable support from participants. Further work is required to develop interventions that resonate with indigenous groups and reduce sleep inequities.

Clinical trial registration

Australian New Zealand Clinical Trials Registry (anzctr.org.au, AACTRN12622000921785, 28 June 2022).

查看原文本刊更多论文

新西兰2 - 12月龄pēpi家庭的文化相关睡眠干预：moemoeka因子试验。

目的：确定哪些本土设计的睡眠组件在6个月以上的在线交付时改善了婴儿睡眠和家庭健康的感知。方法：在新西兰对年龄在2至12个月pēpi（婴儿）的护理人员进行了32项优化析因试验。在为期6个月的在线干预中，参与者被随机分配到3个干预组件（关闭/打开条件）的8种组合中的一种：Rongo时间（在睡觉前创造家庭平静），Uru时间（促进从清醒到睡眠的平稳过渡）和Whānau支持（从各种来源获得支持）。感兴趣的结果包括照顾者对婴儿睡眠的感知（3项婴幼儿睡眠感知量表，PoiTSS），照顾者幸福感（WHO-5）和连通性（11项土著问卷）。线性回归模型利用效应编码来评估各成分的主要效应和相互作用。结果：在503名随机婴儿中（6.2 [SD 2.9]个月，50.5%为女性，45.7%为土著Māori， 38.8%为重度剥夺），377名（75%）婴儿在6个月时可获得随访数据。虽然定性数据表明该计划得到了很好的支持，但在幸福感或联系方面没有观察到统计学上的显著改善。Whānau支持显著改善照顾者对睡眠的感知（平均差异；95% CI: 0.4; 0.0, 0.7），但Uru（0.2; -0.2, 0.5）或Rongo（0.3; -0.1, 0.6）时间没有改善。成分之间存在增效和拮抗作用，但作用较小。结论：尽管得到了参与者的大力支持，但土著主导的干预措施在婴儿睡眠或健康的感知方面收效甚微。需要进一步开展工作，制定与土著群体产生共鸣的干预措施，减少睡眠不平等现象。临床试验注册：澳大利亚新西兰临床试验注册中心（anzctr.org.au, AACTRN12622000921785, 2022年6月28日）。

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

Sleep Health CLINICAL NEUROLOGY-

CiteScore

6.30

自引率

9.80%

发文量

114

审稿时长

54 days

期刊介绍： Sleep Health Journal of the National Sleep Foundation is a multidisciplinary journal that explores sleep''s role in population health and elucidates the social science perspective on sleep and health. Aligned with the National Sleep Foundation''s global authoritative, evidence-based voice for sleep health, the journal serves as the foremost publication for manuscripts that advance the sleep health of all members of society.The scope of the journal extends across diverse sleep-related fields, including anthropology, education, health services research, human development, international health, law, mental health, nursing, nutrition, psychology, public health, public policy, fatigue management, transportation, social work, and sociology. The journal welcomes original research articles, review articles, brief reports, special articles, letters to the editor, editorials, and commentaries.