Effectiveness of Play2Sleep with Mothers and Fathers of Infants: A Mixed Methods Study

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dc.contributor.advisorBenzies, Karen Marie
dc.contributor.authorKeys, Elizabeth
dc.contributor.committeememberDuffett-Leger, Linda A.
dc.contributor.committeememberKirk, Valerie G.
dc.date2019-06
dc.date.accessioned2019-04-26T17:11:42Z
dc.date.available2019-04-26T17:11:42Z
dc.date.issued2019-04-25
dc.description.abstractInfant sleep disturbances distress approximately one in four Canadian families and are associated with poorer parental health, family well-being, and child developmental outcomes. Assisting families to manage infant sleep disturbances may improve well-being, as well as support child development. However, addressing only sleep-related parenting behaviors and interactions may be ineffective in improving broader parenting difficulties that may underlie infant sleep disturbances. Play2Sleep combines personalized infant sleep information with examples from a self-modelled video recorded structured parent-infant play session to provide feedback aimed at enhancing parental ability to identify and respond appropriately to their infant’s specific sleep-related and social cues. This approach could help address broader parenting difficulties that may underlie infant sleep disturbances. An explanatory sequential mixed methods design combining a randomized controlled trial with thematic analysis of semi-structured family interviews was used to answer the following research questions: Quantitative - Does one dose of Play2Sleep delivered during home visits with mothers and fathers of 5-month-old infants with infant sleep disturbances reduce the number of night wakings at age 7 months? Qualitative - What are parental perceptions of family experiences, processes, and contexts related to Play2Sleep and infant sleep disturbances? Mixed Methods - How do parental perceptions of family experiences, processes, and contexts related to infant sleep explain the effectiveness of Play2Sleep? Play2Sleep was not effective in reducing parent-reported night wakings; however, it was effective in reducing maternal-reported infant nocturnal wakefulness and the number of paternal-reported naps. With Play2Sleep, there were significant subjective improvements in problematic infant sleep that were not observed in the comparison group. Three themes (information overwhelm, learning infant cues, and working together with a sub-theme of father involvement) were developed to propose a potential mechanism for Play2Sleep. Six themes describe broader parental experiences of infant sleep disturbances: developing routines; changed attitudes and beliefs; fears, concerns, and anxieties; support; sleep associations; and context of infant sleep disturbance. Play2Sleep shows promise to reduce infant sleep disturbances. Including fathers was novel and the qualitative analysis contributed to understanding the how and why of intervention effects. Areas for future research are prevention, precision-care models, workforce development, and parent engagement.en_US
dc.identifier.citationKeys, E. (2019). Effectiveness of Play2Sleep with Mothers and Fathers of Infants: A Mixed Methods Study (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/36408
dc.identifier.urihttp://hdl.handle.net/1880/110223
dc.language.isoengen_US
dc.publisher.facultyNursingen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectinfanten_US
dc.subjectmothersen_US
dc.subjectfathersen_US
dc.subjectparent-child interactionen_US
dc.subjectsleepen_US
dc.subjectmixed methodsen_US
dc.subject.classificationEducation--Early Childhooden_US
dc.subject.classificationEducation--Healthen_US
dc.subject.classificationIndividual and Family Studiesen_US
dc.subject.classificationNursingen_US
dc.titleEffectiveness of Play2Sleep with Mothers and Fathers of Infants: A Mixed Methods Studyen_US
dc.typedoctoral thesisen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameDoctor of Philosophy (PhD)en_US
ucalgary.item.requestcopytrue
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