Rayanne Branco Dos Santos Lima, Lorena Pinheiro Barbosa
{"title":"基于自我效能的网络和移动干预改善婴儿睡眠：巴西母亲的随机试验。","authors":"Rayanne Branco Dos Santos Lima, Lorena Pinheiro Barbosa","doi":"10.1016/j.sleep.2025.106718","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a web-based educational intervention, grounded in self-efficacy theory, on the sleep quality of infants aged 10-24 months by reducing nighttime awakenings and increasing total nighttime sleep duration.</p><p><strong>Method: </strong>A randomized controlled trial was conducted with 104 Brazilian mother-infant dyads allocated to either an intervention group (IG) or control group (CG). The IG received a structured educational intervention delivered by a sleep specialist researcher, consisting of two online sessions (50 and 30 min, respectively), combined with 30 daily motivational messages sent via WhatsApp over a 30-day period. The educational content addressed sleep hygiene, routines, sleep onset independence, and the \"camping-out\" technique, all based on the self-efficacy theoretical framework. Sleep outcomes were assessed using the Brief Infant Sleep Questionnaire (BISQ) at baseline, 15 days, and 30 days. Data were analyzed using repeated measures and a significance level of p < 0.05.</p><p><strong>Results: </strong>At baseline, infants in the IG had a mean nighttime sleep duration of 8.2 (±2.1) hours and 4.7 (±1.8) nighttime awakenings, while those in the CG had 8.6 (±1.6) hours and 4.1 (±1.1) awakenings. After 30 days, the IG showed a significant improvement, with an increase in total nighttime sleep duration to 11.2 (±0.7) hours (d = 1.96) and a reduction in nighttime awakenings to 0.5 (±0.6) (d = -3.31), compared to the CG, which remained at 8.5 (±1.3) hours and 3.7 (±1.0) awakenings. Moreover, by the end of the study, 90.9 % of infants in the IG were falling asleep independently, compared to 12 % in the CG (d = 2.63). All values are reported as mean ± standard deviation (SD).</p><p><strong>Conclusion: </strong>The web-based educational intervention, led by a sleep specialist and reinforced by mobile messaging, was effective in improving infant sleep quality. These findings support the feasibility of combining synchronous and asynchronous digital strategies to address behavioral sleep problems in early childhood, particularly in settings with limited access to in-person care.</p><p><strong>Clinical trial registration: </strong>RBR-8hvdh5r.</p>","PeriodicalId":21874,"journal":{"name":"Sleep medicine","volume":"134 ","pages":"106718"},"PeriodicalIF":3.4000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Self-efficacy-based web and mobile intervention to improve infant sleep: Randomized trial with Brazilian mothers.\",\"authors\":\"Rayanne Branco Dos Santos Lima, Lorena Pinheiro Barbosa\",\"doi\":\"10.1016/j.sleep.2025.106718\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the effectiveness of a web-based educational intervention, grounded in self-efficacy theory, on the sleep quality of infants aged 10-24 months by reducing nighttime awakenings and increasing total nighttime sleep duration.</p><p><strong>Method: </strong>A randomized controlled trial was conducted with 104 Brazilian mother-infant dyads allocated to either an intervention group (IG) or control group (CG). The IG received a structured educational intervention delivered by a sleep specialist researcher, consisting of two online sessions (50 and 30 min, respectively), combined with 30 daily motivational messages sent via WhatsApp over a 30-day period. The educational content addressed sleep hygiene, routines, sleep onset independence, and the \\\"camping-out\\\" technique, all based on the self-efficacy theoretical framework. Sleep outcomes were assessed using the Brief Infant Sleep Questionnaire (BISQ) at baseline, 15 days, and 30 days. Data were analyzed using repeated measures and a significance level of p < 0.05.</p><p><strong>Results: </strong>At baseline, infants in the IG had a mean nighttime sleep duration of 8.2 (±2.1) hours and 4.7 (±1.8) nighttime awakenings, while those in the CG had 8.6 (±1.6) hours and 4.1 (±1.1) awakenings. After 30 days, the IG showed a significant improvement, with an increase in total nighttime sleep duration to 11.2 (±0.7) hours (d = 1.96) and a reduction in nighttime awakenings to 0.5 (±0.6) (d = -3.31), compared to the CG, which remained at 8.5 (±1.3) hours and 3.7 (±1.0) awakenings. Moreover, by the end of the study, 90.9 % of infants in the IG were falling asleep independently, compared to 12 % in the CG (d = 2.63). All values are reported as mean ± standard deviation (SD).</p><p><strong>Conclusion: </strong>The web-based educational intervention, led by a sleep specialist and reinforced by mobile messaging, was effective in improving infant sleep quality. 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Self-efficacy-based web and mobile intervention to improve infant sleep: Randomized trial with Brazilian mothers.
Objective: To evaluate the effectiveness of a web-based educational intervention, grounded in self-efficacy theory, on the sleep quality of infants aged 10-24 months by reducing nighttime awakenings and increasing total nighttime sleep duration.
Method: A randomized controlled trial was conducted with 104 Brazilian mother-infant dyads allocated to either an intervention group (IG) or control group (CG). The IG received a structured educational intervention delivered by a sleep specialist researcher, consisting of two online sessions (50 and 30 min, respectively), combined with 30 daily motivational messages sent via WhatsApp over a 30-day period. The educational content addressed sleep hygiene, routines, sleep onset independence, and the "camping-out" technique, all based on the self-efficacy theoretical framework. Sleep outcomes were assessed using the Brief Infant Sleep Questionnaire (BISQ) at baseline, 15 days, and 30 days. Data were analyzed using repeated measures and a significance level of p < 0.05.
Results: At baseline, infants in the IG had a mean nighttime sleep duration of 8.2 (±2.1) hours and 4.7 (±1.8) nighttime awakenings, while those in the CG had 8.6 (±1.6) hours and 4.1 (±1.1) awakenings. After 30 days, the IG showed a significant improvement, with an increase in total nighttime sleep duration to 11.2 (±0.7) hours (d = 1.96) and a reduction in nighttime awakenings to 0.5 (±0.6) (d = -3.31), compared to the CG, which remained at 8.5 (±1.3) hours and 3.7 (±1.0) awakenings. Moreover, by the end of the study, 90.9 % of infants in the IG were falling asleep independently, compared to 12 % in the CG (d = 2.63). All values are reported as mean ± standard deviation (SD).
Conclusion: The web-based educational intervention, led by a sleep specialist and reinforced by mobile messaging, was effective in improving infant sleep quality. These findings support the feasibility of combining synchronous and asynchronous digital strategies to address behavioral sleep problems in early childhood, particularly in settings with limited access to in-person care.
期刊介绍：
Sleep Medicine aims to be a journal no one involved in clinical sleep medicine can do without.
A journal primarily focussing on the human aspects of sleep, integrating the various disciplines that are involved in sleep medicine: neurology, clinical neurophysiology, internal medicine (particularly pulmonology and cardiology), psychology, psychiatry, sleep technology, pediatrics, neurosurgery, otorhinolaryngology, and dentistry.
The journal publishes the following types of articles: Reviews (also intended as a way to bridge the gap between basic sleep research and clinical relevance); Original Research Articles; Full-length articles; Brief communications; Controversies; Case reports; Letters to the Editor; Journal search and commentaries; Book reviews; Meeting announcements; Listing of relevant organisations plus web sites.
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