Journal
SLEEP MEDICINE
Volume 84, Issue -, Pages 244-252Publisher
ELSEVIER
DOI: 10.1016/j.sleep.2021.05.042
Keywords
Behavioural insomnia of childhood; Behavioural treatment; Parents; Intervention challenges
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This review summarizes potential barriers clinicians may face when implementing extinction-based methods with parents of infants, and proposes effective tools and methods to help parents successfully implement behavioral sleep interventions, improving infant sleep quality.
Behavioural sleep interventions (eg, extinction-based methods) are among the most efficacious evidence-based techniques in the treatment of infant sleep problems. However, behavioural sleep interventions can be challenging for families to successfully implement. This review aims to summarise current research surrounding the potential barriers that arise when clinicians attempt to implement extinction-based methods with parents of infants. We provide a model that summarises 3 types of contextual-barriers; socio-cultural barriers, parent barriers, and infant barriers. Based on the current evidence, we propose that adopting a stepped care approach, planning ahead, increasing support, motivational interviewing, and/or emotional regulation may serve as useful tools for parents when implementing extinction-based methods. By considering these techniques, more families may receive the benefits of improved infant sleep. (C) 2021 Elsevier B.V. All rights reserved.
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