S18: Pediatric prevention of sleep problems: Approaches from infancy to adolescence

S18: Pediatric prevention of sleep problems: Approaches from infancy to adolescence
Sunday, April 29 | 4:10pm-5:40pm | Room Bordeaux

Chair: Julia Dewald-Kaufmann (Germany)

The calming response of infants: How do infants respond to swaddling, sound and movement?
Eline Möller (The Netherlands)

A smart crib at home: Potential effects on crying and sleep in infants and the relationships with maternal fatigue and symptoms of downheartedness
Roos Rodenburg (The Netherlands)

Why do children have unhealthy sleeping behavior? Child-, parent-, child health care professional- and sleep expert perceived determinants
Laura Belmon (The Netherlands)

A brief psychoeducative primary intervention to decrease electronic media use at night in adolescents: A randomized controlled trial
Ahuti Das (England)

A preventive adolescent sleep intervention for teachers of secondary schools
Ed de Bruin (The Netherlands)


Summary of symposium:
To date, different sleep treatments for infants, children and adolescents exist (e.g., behavioral treatments, cognitive behavioral therapy, bright light therapy). These treatments usually aim at improving sleep once sleep disorders (e.g., insomnia) are diagnosed or severe sleep problems occur. Although these treatments seem to be effective, they are usually only applied in clinical groups. However, less severe sleep problems, including excessive crying and frequent night awakenings during infancy or insufficient sleep or poor sleep hygiene behavior during childhood and adolescence, are prevalent problems, which are often overseen. Still, they can have severe negative effects on daytime functioning and increase the risk of sleep disorders later in life. Therefore, the identification of risk and protective factors for sleep problems and the development and evaluation of prevention programs that improve children’s and adolescents’ sleep prior to the onset of sleep disorders are of high importance. The proposed international symposium will demonstrate and discuss several programs and approaches, all aiming at identifying risk and protective factors for sleep problems and/or applying sleep-prevention programs from infancy to adolescence. The structure of the symposium is as follows: After the chair’s brief introduction, speaker 1 will present an experimental study, which investigates infants’ calming responses and sleeping behavior as response to a combination of swaddling, sound and motion. In this study, three calming conditions and their effects on sleep are compared: (1) a parent condition, in which the parent soothes the baby by shushing and swinging the baby while the baby is swaddled, (2) a smart crib condition using swaddling, motion and white noise and (3) two ‘supine’ conditions, in which the baby is put on his back. Based on the risk and protective factors that are identified by speaker 1, speaker 2 will present a series of single case designs, in which the potential effects of the smart crib at home are investigated as prevention approach for infants’ sleep. Following these presentations concerning infant sleep, speaker 3 will demonstrate results from a large Dutch program, which aims at developing a preventative intervention to stimulate healthy sleeping behavior among children aged 4-12 years. More specifically, concept mapping is used to explore and map the perspectives of children, parents and professionals on determinants of children’s unhealthy sleeping behavior in a structured and organized way. Finally, speaker 4 and speaker 5 will focus on preventive school programs for adolescents: Speaker 4 will show results from a psychoeducative school-intervention randomized controlled trial in Switzerland. In this study electronic media consumption in bed before sleep is reduced in order to prevent sleep problems and its negative daytime consequences. Finally, speaker 5 will show results from a pilot study, in which the authors developed and evaluated a workshop directed at teachers and coordinators of secondary schools. This study aims at increasing sleep knowledge pertinent to adolescents and at providing tools for early detection and intervention of sleep problems in the long run.

Learning Objectives:
Upon Completion of this CME activity, participants should be able to:
1 Have knowledge about potential risk and protective factors for sleep problems in infancy, childhood and adolescence
2 Have knowledge about prevention approaches of sleep problems in infancy and childhood
3 Have knowledge about school-based prevention programs for adolescents

Target Audience:
Sleep researchers, clinicians who are interested in prevention of sleep problems, teachers and other professionals working in the educational setting