Evidence map›Paper›PMID 28576897›Full record

Trial reportBMJ open2017

Anticipatory guidance to prevent infant sleep problems within a randomised controlled trial: infant, maternal and partner outcomes at 6 months of age.

Barbara C Galland, Rachel M Sayers, Sonya L Cameron, Andrew R Gray, Anne-Louise M Heath, Julie A Lawrence, Alana Newlands, Barry J Taylor, Rachael W Taylor

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00892983 (Primary Prevention of Rapid Weight Gain in Early Childhood), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00892983 nacompletednot on this map

Primary Prevention of Rapid Weight Gain in Early Childhood: a Randomised Controlled Trial

TypeinterventionalSponsorUniversity of OtagoRan2009 to 2017Enrolled802ConditionsObesity, Growth, SleepArmsFAB, Sleep
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Maternal depressive symptoms and mother-infant cosleeping (including room sharing and bedsharing): a systematic review.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Pooled it
  2. Support for healthy breastfeeding mothers with healthy term babies.The Cochrane database of systematic reviews · 2022
    Pooled it
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  12. Helping parents to cope with infant regulatory disorders.Frontiers in child and adolescent psychiatry · 2024
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Barbara C GallandDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Rachel M SayersDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Sonya L CameronDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Andrew R GrayDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Anne-Louise M HeathDepartment of Human Nutrition, University of Otago, Dunedin, New Zealand.
Julie A LawrenceDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Alana NewlandsDepartment of Human Nutrition, University of Otago, Dunedin, New Zealand.
Barry J TaylorDepartment of Women's and Children's Health, University of Otago, Dunedin, New Zealand.
Rachael W TaylorDepartment of Medicine, University of Otago, Dunedin, New Zealand.
University of Otago · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of sleep education delivered antenatally and at 3 weeks postpartum to prevent infant sleep problems at 6 months of age.

designSleep intervention within a randomised controlled trial for the Prevention of Overweight in Infancy (POI) study.

participants802 families were randomly allocated to one of four groups: usual care (control), sleep intervention (sleep), food, activity and breastfeeding intervention (FAB), and combined group receiving both interventions (combination).

interventionsAll groups received standard Well Child care. The sleep intervention groups (sleep and combination) received an antenatal group education session (all mothers and most partners) emphasising infant self-settling and safe sleeping, and a home visit at 3 weeks reinforcing the antenatal sleep education. FAB and combination groups received four contacts providing education and support on breast feeding, food and activity up to 4 months postpartum. OUTCOME MEASURES: Here we report secondary sleep outcomes from the POI study: the prevalence of parent-reported infant sleep problems and night waking, and differences in sleep duration. Additional outcomes reported include differences in infant self-settling, safe sleep practices, and maternal and partner reports of their own sleep, fatigue and depression symptoms.

resultsLinear or mixed linear regression models found no significant intervention effects on sleep outcomes, with 19.1% of mothers and 16.6% of partners reporting their infant's sleep a problem at 6 months. Actigraphy estimated the number of night wakings to be significantly reduced (8%) and the duration of daytime sleep increased (6 min) in those groups receiving the sleep intervention compared with those who did not. However, these small differences were not clinically significant and not observed in 24 hours infant sleep diary data. No other differences were observed.

conclusionA strategy delivering infant sleep education antenatally and at 3 weeks postpartum was not effective in preventing the development of parent-reported infant sleep problems.

Indexed as

Breast FeedingSleepActigraphyAdultCounselingFemaleHouse CallsHumansInfantInfant CareLinear ModelsLogistic ModelsMaleMothersNew ZealandPediatric Obesityactigraphynight wakingssafe sleepsettling techniquessleep duration

Identifiers

PMID28576897
PMCPMC5623410
OpenAlexW2620803181

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.