Tips for Infant and Parent Sleep (TIPS)
Recruitment status was Active, not recruiting
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Purpose
Infant and maternal sleep in the postpartum are related, and influenced by the mother's understanding of infant sleep behavior, the environmental and social cues for sleep presented to the infant, development of the infant's sleep physiology, maternal sleep habits and behaviors, and maternal feelings related to her sleep and her baby's sleep. These factors may be modifiable through the use of behavioral-educational interventions. A randomized controlled trial design will be used to answer whether a behavioral-educational sleep intervention and support from a nurse in the immediate postpartum improves maternal and infant sleep 6 weeks later. Sleep-wake patterns will be analyzed through the use of actigraphy, a wristwatch-like device that measures sleep-wake activity. This is a pilot study which will test the usefulness and practicality of this type of program, so that a larger scale study can be developed.
| Condition | Intervention | Phase |
|---|---|---|
|
Sleep Deprivation |
Behavioral: counselling on maternal and infant sleep behavior |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Tips for Infant and Parent Sleep (TIPS) Pilot Study |
- Sleep outcomes (nocturnal sleep duration, total daily sleep time, time awake after sleep onset, number of night wakings, length of longest sleep periods) for women and their infants will be measured using actigraphy at 6 weeks.
- Participant recording of sleep times, wake times, and events that occurred that might have affected sleep for the night
- Morning and evening fatigue measured by the Fatigue Visual Analogue Scale (Fatigue-VAS) at 6 weeks (Lee et al., 1991)
- Sleep disturbance measured using the General Sleep Disturbance Scale (GSDS) at both baseline and 6 weeks
- depressive symptomatology measured with the Edinburgh Postnatal Depression Scale (EPDS) (Cox et al., 1987)at baseline and 6 weeks
- levels of relatively transient, situation-related (state) anxiety as measured by the State-Trait Anxiety Inventory, state-anxiety subscale (Spielberger, 1970)at baseline and 6 weeks
- intervention use, perceived helpfulness of interventions, satisfaction with TIPS Pilot study involvement, and preferences for interventions and data collection methods will be assesed using a questionnaire at 6 weeks
| Estimated Enrollment: | 40 |
| Study Start Date: | September 2005 |
| Estimated Study Completion Date: | December 2005 |
Eligibility| Ages Eligible for Study: | up to 7 Days |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Singleton baby born at GA >37 weeks
- baby 8 hours to 7 days old
- Mother age 16-50 years
- Normal, healthy infant as described in newborn examination
- First time parents living in the Greater Toronto Area
- Mother planning to provide fulltime care to her infant for at least the first six weeks after discharge home
Exclusion Criteria:
- Maternal or infant complications requiring prolonged hospital stay
- Previous stillbirth or neonatal death
- Maternal chronic illness
- Maternal use of medications that affect sleep (e.g. benzodiazepines, any sleep aid)
- Known drug or alcohol use beyond occasional social use
- Smoking two packs a day or more
- Either parent has a diagnosed sleep disorder (e.g. obstructive sleep apnea, narcolepsy)
- Mother's partner is working night shifts
- Mother unable to read or understand English
- No telephone in the home
- Involvement in another research protocol involving sleep
Contacts and Locations| Canada, Ontario | |
| The Hospital for Sick Children | |
| Toronto, Ontario, Canada, M5G 1X8 | |
| Sunnybrook & Women's Health Sciences Centre - Women's College Campus | |
| Toronto, Ontario, Canada, M5S 1B2 | |
| Principal Investigator: | Robyn Stremler, RN, PhD | The Hospital for Sick Children, Toronto Canada |
More Information
No publications provided
| Responsible Party: | Robyn Stremler, The Hospital for Sick Children |
| ClinicalTrials.gov Identifier: | NCT00228215 History of Changes |
| Other Study ID Numbers: | 1000007776 |
| Study First Received: | September 26, 2005 |
| Last Updated: | March 11, 2010 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by The Hospital for Sick Children:
|
sleep neonates mothers behavioural intervention |
Additional relevant MeSH terms:
|
Sleep Deprivation Dyssomnias Sleep Disorders Nervous System Diseases |
Neurologic Manifestations Signs and Symptoms Mental Disorders |
ClinicalTrials.gov processed this record on June 17, 2013