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Evid Based Nurs 12:9 doi:10.1136/ebn.12.1.9
  • Treatment

Mothers were less likely to be depressed after a structured behavioural intervention for infant sleep problems

H Hiscock

Dr H Hiscock, Royal Children’s Hospital, Parkville, Victoria, Australia; harriet.hiscock@rch.org.au

QUESTION

Is a structured behavioural intervention (SBI) for infant sleep problems effective for maternal depression, parenting style, and child mental health and sleep outcomes at 2 years?

METHODS

Design:

cluster randomised controlled trial (RCT).

Allocation:

concealed.

Blinding:

blinded {families, nurses, data collectors, and data analysts}.*

Follow-up period:

{17 months}.*

Setting:

49 maternal and child health centres in 6 government areas in Melbourne, Victoria, Australia.

Patients:

328 mothers (mean age 33 y) who reported infant sleep problems (mean infant age 7.4 mo, 54% boys). Infants born at < 32 weeks’ gestation and mothers who did not know sufficient English to complete questionnaires were excluded.

Intervention:

25 centres (n = 174) were allocated to SBIs to improve infant sleep, and 24 centres (n = 154) were allocated to usual well-child care. In the SBI …

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