ArticleJournal of pediatric psychology2020
Early Childhood Sleep Intervention in Urban Primary Care: Caregiver and Clinician Perspectives.
Article in Journal of pediatric psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04473222 (Implementing Evidence-based Behavioral Sleep Intervention in Urban Primary Care), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled 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.
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.
Implementing Evidence-based Behavioral Sleep Intervention in Urban Primary Care: Aim 3
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Neighborhood environments and sleep among children and adolescents: A systematic review.Sleep medicine reviews · 2021Pooled it
- Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Trial
- Community-engaged and Implementation Science-informed Pediatric Sleep Intervention Research.Current sleep medicine reports · 2026Review
- Family partnerships to support equity and cultural humility in pediatric intervention research.Journal of pediatric psychology · 2025Article
- Article
- Optimizing Attention and Sleep Intervention Study (OASIS): a protocol for a pilot randomized controlled trial to compare parent behavioral interventions with and without sleep strategies delivered in pediatric primary care for preschool-aged children at risk of childhood ADHD.Pilot and feasibility studies · 2025Article
- A pilot bedtime routine intervention for toddlers in primary care: variation by caregiver educational attainment.Frontiers in sleep · 2025Article
- Perceptions of sleep health among African American mothers regarding their preschool-aged children: A qualitative study to decrease sleep health disparities.Sleep health · 2024Article
- Promoting healthy sleep in 0-2-year-old infants: a study protocol for the development and mixed method evaluation of a sleep health program tailored to Dutch youth healthcare regions.BMC public health · 2024Article
- Healthy Life Habits in Caregivers of Children in Vulnerable Populations: A Cluster Analysis.International journal of environmental research and public health · 2024Article
- A comparison of perceived barriers to optimal child sleep among families with low and high income.Sleep health · 2024Article
- Exploration of Sex and Age as Moderators Between Social Cumulative Risk and Sleep in a Representative Sample of Children and Adolescents Living in the United States.International journal of behavioral medicine · 2024Article
- Possible unintended consequences of pediatric clinician strategies for communicating about social-emotional and developmental concerns in diverse young children.Families, systems & health : the journal of collaborative family healthcare · 2024Article
- Maternal Perceptions of Evidence-Based Early Childhood Sleep Health Promotion Recommendations: An Explanatory Sequential Study.Behavioral sleep medicine · 2024Article
- Disparities in Sleep-Disordered Breathing: Upstream Risk Factors, Mechanisms, and Implications.Clinics in chest medicine · 2023Review
- Discrepancies Between Caregiver Reported Early Childhood Sleep Problems and Clinician Documentation and Referral.Academic pediatrics · 2023Article
- Health Disparities in Pediatric Sleep.Sleep medicine clinics · 2023Review
- Health disparities in pediatric sleep-disordered breathing.Paediatric respiratory reviews · 2023Review
- Racial/ethnic disparities in infant sleep in the COVID-19 Mother Baby Outcomes (COMBO) study.Sleep health · 2022Article
- Who gets coached? A qualitative inquiry into community clinicians' decisions to use caregiver coaching.Autism : the international journal of research and practice · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDespite significant income-related disparities in pediatric sleep, few early childhood sleep interventions have been tailored for or tested with families of lower socio-economic status (SES). This qualitative study assessed caregiver and clinician perspectives to inform adaptation and implementation of evidence-based behavioral sleep interventions in urban primary care with families who are predominantly of lower SES.
methodsSemi-structured interviews were conducted with (a) 23 caregivers (96% mothers; 83% Black; 65% ≤125% U.S. poverty level) of toddlers and preschoolers with insomnia or insufficient sleep and (b) 22 urban primary care clinicians (physicians, nurse practitioners, social workers, and psychologists; 87% female; 73% White). Guided by the Consolidated Framework for Implementation Research, the interview guide assessed multilevel factors across five domains related to intervention implementation. Qualitative data were analyzed using an integrated approach to identify thematic patterns across participants and domains.
resultsPatterns of convergence and divergence in stakeholder perspectives emerged across themes. Participants agreed upon the importance of child sleep and intervention barriers (family work schedules; household and neighborhood factors). Perspectives aligned on intervention (flexibility; collaborative and empowering care) and implementation (caregiver-to-caregiver support and use of technology) facilitators. Clinicians identified many family barriers to treatment engagement, but caregivers perceived few barriers. Clinicians also raised healthcare setting factors that could support (integrated care) or hinder (space and resources) implementation.
conclusionsFindings point to adaptations to evidence-based early childhood sleep intervention that may be necessary for effective implementation in urban primary care. Such adaptations could potentially reduce significant pediatric sleep-related health disparities.
Indexed as
Identifiers
What OpenQuestion holds
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.