Development and Preliminary Evaluation of the Bedtime Routines Questionnaire

Henderson, Jill A.; Jordan, Sara Sytsma

doi:10.1007/s10862-009-9143-3

Cited by 92 publications

(64 citation statements)

References 27 publications

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“…Further questions assessed specific behaviors related to the RP intervention’s sleep guidance. A Bedtime Routines Questionnaire 36 was completed at age 52 weeks, with questions about consistency of parenting behaviors before bedtime and consistency of the bedtime environment.…”

Section: Methodsmentioning

confidence: 99%

INSIGHT Responsive Parenting Intervention and Infant Sleep

et al. 2016

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OBJECTIVES Inadequate sleep during infancy is associated with adverse outcomes for infants and families. We sought to improve sleep behaviors and duration through a responsive parenting (RP) intervention designed for obesity prevention. METHODS The Intervention Nurses Start Infants Growing on Healthy Trajectories (INSIGHT) study is a randomized trial comparing a RP intervention with a safety control. Primiparous mother-newborn dyads were randomized after childbirth, and research nurses delivered intervention content at home visits at infant ages 3, 16, 28, and 40 weeks and at a research center visit at 1 year. The RP sleep component included developmentally appropriate messages about bedtime routines, sleep location and behaviors, and responses to wakings. Portions of the Brief Infant Sleep Questionnaire were administered 2, 8, and 52 weeks after birth with expanded sleep-related data collection at 16 and 40 weeks. RESULTS Two hundred and seventy-nine dyads completed the first home visit; 90.7% completed the 1-year visit. Compared with controls, RP group infants were less likely to have prolonged bedtime routines >45 minutes and more likely to have earlier bedtimes at 16 and 40 weeks. They were less likely to be fed immediately before bed and more likely to self-soothe to sleep. At 8, 16, and 40 weeks, RP group nocturnal sleep duration was longer by 35, 25, and 22 minutes, respectively (P < .05 for all). Sleep duration at 1 year was similar between groups. CONCLUSIONS The INSIGHT RP intervention positively influenced developmentally appropriate bedtime routines, sleep-related behaviors, and sleep duration for infants.

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Section: Methodsmentioning

confidence: 99%

INSIGHT Responsive Parenting Intervention and Infant Sleep

et al. 2016

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“…Parents completed the Parent Inventory of Children’s Sleep Habits , a sleep measure developed for this study and based on other measures of children’s sleep habits and functioning 56,57 . Parents indicated bedtime and wake time for their children (separately for school days and weekends), time to sleep onset, and the degree to which they felt their child had various sleep or waking difficulties.…”

Section: Methodsmentioning

confidence: 99%

Sleep habits in children with attention-deficit/hyperactivity disorder predominantly inattentive type and associations with comorbid psychopathology symptoms

et al. 2016

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Objectives Much of what is currently known about the sleep functioning of children with attention-deficit/hyperactivity disorder (ADHD) is based on samples of children with ADHD Combined Type, and no study to date has examined the association between sluggish cognitive tempo (SCT) and sleep functioning in children diagnosed with ADHD. Accordingly, the objectives of this study were to (1) describe the sleep habits of children diagnosed with ADHD Predominantly Inattentive Type (ADHD-I), and (2) examine whether comorbid internalizing, oppositional, and/or sluggish cognitive tempo (SCT) symptoms are associated with poorer sleep functioning in children with ADHD-I. This study extends the current literature by using a large, clinical sample of children with ADHD-I to examine the association between SCT and other psychopathology symptoms with children’s sleep functioning. Methods Participants were 147 children (ages 6–11; 59% male; 55% White) diagnosed with ADHD-I using a semi-structured diagnostic interview. Parents completed measures assessing their child’s sleep habits as well as comorbid anxiety, depression, oppositionality, and SCT symptoms. Results Fourteen percent of children obtain less sleep than recommended and 31% have a sleep onset latency of greater than 20 minutes. The few children taking medication for ADHD had a longer sleep onset latency than unmedicated children. Twenty-seven percent of parents indicated that it is “difficult” to get their child out of bed on school days and 41% of parents indicated that their child needs to catch-up on sleep on the weekend “at least a little”. Regression analyses found anxiety and SCT sleepy/tired symptoms to be the most consistent dimensions of psychopathology associated with sleep functioning, with little support for depression or oppositionality being associated with sleep. Conclusions A sizeable minority of children with ADHD-I experience impaired sleep. Comorbid anxiety, in addition to SCT sleepy/tired symptoms, were most consistently associated with poorer sleep functioning in children with ADHD-I. Importantly, SCT daydreaming and SCT working memory symptoms were unassociated with sleep functioning, and the size of the effects between SCT sleepy/tired and sleep functioning indicates that these are not overlapping constructs. Longitudinal studies are needed to evaluate the interrelations of sleep problems and comorbid psychopathology symptoms and their impact on the daytime functioning of children with ADHD-I.

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“…[26–28] We also asked parents about the child’s sleep routine using previously validated questions, including: how often the child slept alone (co-sleeping is associated with shorter sleep, more bedtime struggles, night waking and sleep problems); [29–34] typical bed and wake time on weekday and weekend days (bed and wake times have been associated with children’s activity and weight status independent of sleep duration) [33]; and how often the child had a calming nighttime routine (these bedtime routine question is consistent with components assessed in the Bedtime Routines Questionnaire, a parent-report measure with adequate reliability and validity for research instruments). [29, 35]…”

Section: Methodsmentioning

confidence: 99%

Obesity-related Behaviors of US- and Non-US-born Parents and Children in Low-income Households

Cespedes

McDonald

Haines

et al. 2013

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective To examine differences in obesity-related behaviors by parental US born status among low-income, minority families participating in Healthy Habits, Happy Homes, an intervention trial to improve household routines for childhood obesity prevention. Evidence suggests lower obesity risk among adult immigrants, but research is inconclusive regarding the influence of having a non-US born parent on childhood obesity. Method We sampled 57 US born and 64 non-US born families of children ages 2–5.9 years living in the Boston area. At baseline, parents reported their own screen time, physical activity, diet, and sleep as well as their children’s behaviors. We used linear and logistic regression to examine the association of parental US born status with obesity-related behaviors. Results Mean (SD) BMI z-score was 0.94 (1.16) and did not differ between groups. After adjusting for parental education and child race/ethnicity, children of non-US (v. US) born parents had later bedtimes (0.81 hours later; 95% CI: 0.37, 1.25) and wake-up times (0.56 hours later; 95% CI: 0.16, 0.95) and engaged in less active play (0.15 fewer hours/day; 95% CI: −0.28, −0.01). Non-US (v. US) born parents had less screen exposure. Conclusion In this cross-section of low-income, urban families, having a parent born outside the US was associated with a profile of risk and protective behavior; adjustment for education and race/ethnicity removed protective associations of parental nativity with child behavior. Obesity-related differences in behaviors and home environments should be considered when designing interventions targeting low-income communities with a high proportion of non-US born participants.

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Development and Preliminary Evaluation of the Bedtime Routines Questionnaire

Cited by 92 publications

References 27 publications

INSIGHT Responsive Parenting Intervention and Infant Sleep

INSIGHT Responsive Parenting Intervention and Infant Sleep

Sleep habits in children with attention-deficit/hyperactivity disorder predominantly inattentive type and associations with comorbid psychopathology symptoms

Obesity-related Behaviors of US- and Non-US-born Parents and Children in Low-income Households

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