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Improving infant sleep and maternal mental health: a cluster randomised trial

Hiscock, Harriet, Bayer, Jordana, Gold, Lisa, Hampton, Anne, Ukoumunne, Obioha C and Wake, Melissa 2007, Improving infant sleep and maternal mental health: a cluster randomised trial, Archives of disease in childhood, vol. 92, no. 11, pp. 952-958.

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Title Improving infant sleep and maternal mental health: a cluster randomised trial
Author(s) Hiscock, Harriet
Bayer, Jordana
Gold, Lisa
Hampton, Anne
Ukoumunne, Obioha C
Wake, Melissa
Journal name Archives of disease in childhood
Volume number 92
Issue number 11
Start page 952
End page 958
Publisher BMJ Publishing Group
Place of publication London, England
Publication date 2007
ISSN 0003-9888
1468-2044
Summary Objectives: To determine whether a community-delivered intervention targeting infant sleep problems improves infant sleep and maternal well-being and to report the costs of this approach to the healthcare system.

Design: Cluster randomised trial.

Setting: 49 Maternal and Child Health (MCH) centres (clusters) in Melbourne, Australia.

Participants: 328 mothers reporting an infant sleep problem at 7 months recruited during October–November 2003.

Intervention: Behavioural strategies delivered over individual structured MCH consultations versus usual care.

Main outcome measures: Maternal report of infant sleep problem, depression symptoms (Edinburgh Postnatal Depression Scale (EPDS)), and SF-12 mental and physical health scores when infants were 10 and 12 months old. Costs included MCH sleep consultations, other healthcare services and intervention costs.

Results: Prevalence of infant sleep problems was lower in the intervention than control group at 10 months (56% vs 68%; adjusted OR 0.58 (95% CI: 0.36 to 0.94)) and 12 months (39% vs 55%; adjusted OR 0.50 (0.31 to 0.80)). EPDS scores indicated less depression at 10 months (adjusted mean difference –1.4 (–2.3 to –0.4) and 12 months (–1.7 (–2.6 to –0.7)). SF-12 mental health scores indicated better health at 10 months (adjusted mean difference 3.7 (1.5 to 5.8)) and 12 months (3.9 (1.8 to 6.1)). Total mean costs including intervention design, delivery and use of non-MCH nurse services were £96.93 and £116.79 per intervention and control family, respectively.

Conclusions: Implementing this sleep intervention may lead to health gains for infants and mothers and resource savings for the healthcare system.
Notes This article has been accepted for publication in Archives of disease in childhood. The definitive copyedited, typeset version : Hiscock, Harriet, Bayer, Jordana, Gold, Lisa, Hampton, Anne, Ukoumunne, Obioha C and Wake, Melissa 2007, Improving infant sleep and maternal mental health: a cluster randomised trial, Archives of disease in childhood, vol. 92, no. 11, pp. 952-958, is available online at : http://adc.bmj.com
Language eng
Field of Research 111704 Community Child Health
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2007, BMJ Publishing Group
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007206

Document type: Journal Article
Collections: School of Health and Social Development
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