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Replacing home visits with telephone calls to support parents implementing a sleep management intervention : findings from a pilot study and implications for future research

机译:通过电话取代家访,以支持父母实施睡眠管理干预:试点研究的结果和对未来研究的影响

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摘要

Background - Resource constraints may inhibit the provision of appropriate interventions for children with neurodisabilities presenting with behavioural sleep problems. Telephone calls (TC), as opposed to home visits (HV), may be a more resource efficient means of supporting these families. Objective - To conduct a preliminary investigation exploring the feasibility and acceptability of replacing HV with TC to support parents implementing sleep management strategies and to gather evidence to inform the design and methods of a full trial. Methods - Parents referred to a sleep management intervention routinely delivered by a community paediatric team were alternately allocated to receive implementation support via HV (n = 7) or TC (n = 8). Activity logs recorded the frequency, duration and mode of support. Parents and practitioners were interviewed about their experiences of receiving/delivering the intervention. Results - Intervention drop-out was low, the frequency, number of contacts and intervention duration appeared comparable. Parents allocated TC received less contact time. Parents valued implementation support irrespective of delivery mode and practitioners reported that despite initial reservations, implementation support via TC appeared to work well. Conclusions - TC appears an acceptable and convenient mode of delivering sleep support, valued by both parents and practitioners. We recommend a full-scale trial to investigate effectiveness.
机译:背景-资源限制可能会阻止对表现出行为睡眠问题的神经残疾儿童提供适当的干预措施。与家庭访问(HV)相比,电话(TC)可能是支持这些家庭的一种更节省资源的手段。目的-进行初步调查,探讨以TC替代HV的可行性和可接受性,以支持父母实施睡眠管理策略,并收集证据以为全面试验的设计和方法提供依据。方法-轮流分配由社区儿科小组常规提供的睡眠管理干预措施的父母通过HV(n = 7)或TC(n = 8)获得实施支持。活动日志记录了支持的频率,持续时间和模式。家长和从业人员接受了关于他们接受/提供干预措施的经历的采访。结果-干预辍学率低,接触的频率,接触次数和干预持续时间均具有可比性。分配了TC的父母得到的联系时间更少。家长们重视实施支持,而不论分娩方式如何,从业者报告说,尽管最初有所保留,但通过TC实施的支持似乎效果很好。结论-TC似乎是一种可接受且方便的提供睡眠支持的方式,受到父母和从业者的重视。我们建议进行全面试验以调查有效性。

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