Concordance in caregiver and child sleep health metrics among families experiencing socioeconomic disadvantage: A pilot study

Author(s)Covington, Lauren
Author(s)Satti, Aditi
Author(s)Brewer, Benjamin
Author(s)Blair, Rachel
Author(s)Duffy, Ilona
Author(s)Laurenceau, Jean-Phillipe
Author(s)Mayberry, Shannon
Author(s)Cordova, Angeni
Author(s)Hoopes, Elissa
Author(s)Patterson, Freda
Date Accessioned2022-09-16T18:18:09Z
Date Available2022-09-16T18:18:09Z
Publication Date2022-08-25
DescriptionThis article was originally published in Journal of Applied Research on Children. The version of record is available at: https://digitalcommons.library.tmc.edu/childrenatrisk/vol13/iss1/2en_US
AbstractPurpose: Child and caregiver sleep occurs in a family system, with socioeconomically disadvantaged families experiencing disproportionately worse sleep health than more advantaged families. The extent to which objectively measured sleep health metrics (i.e., sleep duration, midpoint, regularity, efficiency) are concordant within disadvantaged family systems, including caregiver-child dyads, is not clear. To address this gap, this study aimed to: (1) characterize sleep health metrics and (2) identify levels of sleep health concordance among caregiver-child dyads living in families experiencing socioeconomic disadvantage. Design and methods: We enrolled 20 caregivers and 26 children in this micro-longitudinal study. Eligible primary caregivers slept in the same house as the child ≥4 nights/week and had no sleep disorders. Eligible children were aged 6-14 years and reported no medical problems. Dyads wore an actigraphy device continuously for 14 consecutive days. Sleep duration, bedtime, midpoint, and efficiency were estimated, and concordance evaluated using linear mixed modeling (R v.3.5.2). Results: Most caregivers were female (85%), Non-Hispanic Black (80%), and aged 40.45 years (SD=11.82). On average, caregivers were not meeting national recommendations for sleep duration and efficiency. Similarly, sleep duration recommendations were not met by child participants. Bivariate results showed that bedtime 𝑟=0.19, p<.001), sleep efficiency (𝑟=0.24, p<.001), and sleep midpoint (𝑟=0.39, p<.001), were concordant between child and caregiver. Multivariable models showed that caregiver bedtime was predictive of child sleep midpoint (b=0.16, p<.05), and caregiver sleep midpoint was predictive of child bedtime (b=0.29, p<.01) and child sleep midpoint (b=0.31, p<.001). Conclusion: Objectively estimated caregiver sleep may be connected to the sleep timing of their children. Improving child sleep may require addressing caregiver sleep habits too. Practice Implications: Results highlight the importance of providers considering caregiver sleep health when assessing child sleep health during well child visits. KEY TAKE AWAY POINTS: In this sample of caregiver-child dyads living in families experiencing socioeconomic disadvantage, on average, caregivers were not meeting national recommendations for sleep duration (7-9 hours per night) and sleep efficiency (>85%), and children were not obtaining 9-11 hours of sleep per night. Bedtime, sleep efficiency, and sleep midpoint were significantly concordant in caregivers and children, with the strongest association observed with sleep midpoint. In multivariable models, caregiver bedtime predicted child sleep midpoint, and caregiver midpoint predicted child bedtime and midpoint; highlighting the necessity of addressing poor sleep health at the family versus individual level among families experiencing socioeconomic disadvantage.en_US
SponsorThis work was supported by National Institutes of Health [R01MD012734] (Patterson and Satti); University of Delaware General University Research Grant (Covington); University of Delaware School of Nursing SEED funding (Covington).en_US
CitationCovington, Lauren; Satti, Aditi; Brewer, Benjamin; Blair, Rachel; Duffy, Ilona; Laurenceau, Jean-Phillipe; Mayberry, Shannon; Cordova, Angeni; Hoopes, Elissa; and Patterson, Freda (2022) "Concordance in caregiver and child sleep health metrics among families experiencing socioeconomic disadvantage: A pilot study," Journal of Applied Research on Children: Informing Policy for Children at Risk: Vol. 13: Iss. 1, Article 2. Available at: https://digitalcommons.library.tmc.edu/childrenatrisk/vol13/iss1/2en_US
ISSN2155-5834
URLhttps://udspace.udel.edu/handle/19716/31378
Languageen_USen_US
PublisherJournal of Applied Research on Childrenen_US
TitleConcordance in caregiver and child sleep health metrics among families experiencing socioeconomic disadvantage: A pilot studyen_US
TypeArticleen_US
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