Researcher Choices for Infant Sleep Assessment: Parent Report, Actigraphy, and a Novel Video System

Horger, Melissa N.; Marsiliani, Ruth; DeMasi, Aaron; Allia, Angelina M.; Berger, Sarah E.

doi:10.1080/00221325.2021.1905600

Cited by 15 publications

(14 citation statements)

References 39 publications

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“…1 for the full selection process). Thirteen of the included studies evaluated the measurement properties of accelerometer-based methods for assessing SB, PA, and/or sleep in infants [29][30][31][32][33][34][35][36][37][38][39][40][41], nine in toddlers [42][43][44][45][46][47][48][49][50], and forty in preschoolers .…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of accelerometer-based methods for 24-h physical behavior assessment in young children (0–5 years old)

Lettink

Altenburg

Arts

et al. 2022

Int J Behav Nutr Phys Act

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Background Accurate accelerometer-based methods are required for assessment of 24-h physical behavior in young children. We aimed to summarize evidence on measurement properties of accelerometer-based methods for assessing 24-h physical behavior in young children. Methods We searched PubMed (MEDLINE) up to June 2021 for studies evaluating reliability or validity of accelerometer-based methods for assessing physical activity (PA), sedentary behavior (SB), or sleep in 0–5-year-olds. Studies using a subjective comparison measure or an accelerometer-based device that did not directly output time series data were excluded. We developed a Checklist for Assessing the Methodological Quality of studies using Accelerometer-based Methods (CAMQAM) inspired by COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Results Sixty-two studies were included, examining conventional cut-point-based methods or multi-parameter methods. For infants (0—12 months), several multi-parameter methods proved valid for classifying SB and PA. From three months of age, methods were valid for identifying sleep. In toddlers (1—3 years), cut-points appeared valid for distinguishing SB and light PA (LPA) from moderate-to-vigorous PA (MVPA). One multi-parameter method distinguished toddler specific SB. For sleep, no studies were found in toddlers. In preschoolers (3—5 years), valid hip and wrist cut-points for assessing SB, LPA, MVPA, and wrist cut-points for sleep were identified. Several multi-parameter methods proved valid for identifying SB, LPA, and MVPA, and sleep. Despite promising results of multi-parameter methods, few models were open-source. While most studies used a single device or axis to measure physical behavior, more promising results were found when combining data derived from different sensor placements or multiple axes. Conclusions Up to age three, valid cut-points to assess 24-h physical behavior were lacking, while multi-parameter methods proved valid for distinguishing some waking behaviors. For preschoolers, valid cut-points and algorithms were identified for all physical behaviors. Overall, we recommend more high-quality studies evaluating 24-h accelerometer data from multiple sensor placements and axes for physical behavior assessment. Standardized protocols focusing on including well-defined physical behaviors in different settings representative for children’s developmental stage are required. Using our CAMQAM checklist may further improve methodological study quality. PROSPERO Registration number CRD42020184751.

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Section: Resultsmentioning

confidence: 99%

“…Table 3 summarizes the results for validity, of which four studies examined criterion validity [30][31][32]35], and nine studies examined convergent validity [29,33,34,[36][37][38][39][40][41] in infants.…”

Section: Infantsmentioning

confidence: 99%

Systematic review of accelerometer-based methods for 24-h physical behavior assessment in young children (0–5 years old)

Lettink

Altenburg

Arts

et al. 2022

Int J Behav Nutr Phys Act

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“…First, as JECS’s previous study mentioned, data on infant sleep and temperament were measured by maternal reports [ 20 ]. Parents often overestimated infants’ sleep time because of parental characteristics in data collection, such as education level, number of infants to care for, and level of sleep [ 39 ]. Therefore, certain infant sleep behavior may have been overlooked while the mother was unaware, and maternal characteristics can pose biases to the infant’s temperament.…”

Section: Discussionmentioning

confidence: 99%

Association of sleep quality with temperament among one-month-old infants in The Japan Environment and Children’s Study

Kikuchi

Michikawa²,

Morokuma³

et al. 2022

PLoS ONE

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This study aimed to examine the association between infant sleep quality and temperament in one-month-old infants using a large cohort study data. We used data from the Japan Environment and Children’s Study, a cohort study which follows around 100,000 women from pregnancy until their children’s development. The mothers were asked about their infants’ sleep and temperament using a structured questionnaire. Frequent crying (adjusted odds ratio [AOR]: 1.05, 95% confidence interval [CI]: 1.00–1.10) and intense crying (AOR: 1.19, 95% CI: 1.13–1.25) were positively associated with longer sleep periods during the day than at night. Female infants with longer daytime sleep periods than that at nighttime were more likely to cry frequently (AOR: 1.11, 95% CI: 1.04–1.20). Parous women with infants who had frequent night awakening believed their infants cried more intensely (AOR: 1.17, 95% CI: 1.03–1.31). The study demonstrated a specific association between sleep quality and temperament in one-month-old infants. Based on the results of this study, further sleep intervention studies are required to improve infant temperament.

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“…Videosomnography technologies, such as Nanit (Barnett et al, 2019), are another option that can document caregiving frequency (i.e., caregiver visits to the bedside) as well as provide sleep measures (e.g., SE, duration; Horger et al, 2021). Research data can be obtained from Nanit without video review to protect participant privacy, or the researcher can choose to download video data for additional analyses, such as delirium screening.…”

Section: Discussionmentioning

confidence: 99%

Sleep disruption and delirium in critically ill children: Study protocol feasibility

Kalvas

Harrison

Solove

et al. 2022

Research in Nursing & Health

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Delirium is a serious complication of pediatric critical illness. Sleep disruption is frequently observed in children with delirium, and circadian rhythm dysregulation is one proposed cause of delirium. Children admitted to the pediatric intensive care unit (PICU) experience multiple environmental exposures with the potential to disrupt sleep. Although researchers have measured PICU light and sound exposure, sleep, and delirium, these variables have not yet been fully explored in a single study. Furthermore, caregiving patterns have not often been included as a component of the PICU environment. Measuring the light and sound exposure, caregiving patterns, and sleep of critically ill children requires continuous PICU bedside data collection. This presents multiple methodological challenges. In this paper, we describe the protocol for an observational pilot study of the PICU environment, sleep, and delirium experienced by a sample of 10 critically ill children 1-4 years of age. We also evaluate and discuss the feasibility (i.e., acceptability, implementation, practicality) of the study protocol. Light and sound exposure were measured with bedside sensors. Caregiving was quantified through video recording. Sleep was measured via actigraphy and confirmed by video recording. Delirium screening with the Cornell Assessment of Pediatric Delirium was conducted twice daily, either in person or via video review. This study provides a refined measurement framework to inform future, large-scale studies and the development of nurse-driven sleep promotion interventions.

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Researcher Choices for Infant Sleep Assessment: Parent Report, Actigraphy, and a Novel Video System

Cited by 15 publications

References 39 publications

Systematic review of accelerometer-based methods for 24-h physical behavior assessment in young children (0–5 years old)

Systematic review of accelerometer-based methods for 24-h physical behavior assessment in young children (0–5 years old)

Association of sleep quality with temperament among one-month-old infants in The Japan Environment and Children’s Study

Sleep disruption and delirium in critically ill children: Study protocol feasibility

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