Effectiveness of an mHealth Intervention for Infant Sleep Disturbances

Both problem sleepers and non-problem sleepers showed comparable reductions in sleep onset latency following use of the mHealth behavioral sleep intervention, with no significant difference in magnitu

Effect: improvement; reduction from 34.49 min to 26.01 min (combined groups), ES = 0.09

Problem sleeper infants showed significant reductions in both night waking frequency and night waking duration following use of the mHealth behavioral sleep intervention, while non-problem sleepers di

Effect: improvement; night waking frequency decreased from M = 3.01 to M = 2.58 (ES = 0.02); night waking duration reduced by 17.03 min (ES = 0.01)

Both problem sleepers and non-problem sleepers gained significantly more total nighttime sleep following the mHealth behavioral sleep intervention, with the problem sleeper group gaining nearly twice

Effect: improvement; PS group gained 50.43 min (ES = 0.14); NPS group gained 26.96 min (ES = 0.02)

Both problem sleepers and non-problem sleepers significantly improved their global sleep quality score (BISQ-R Total) following the mHealth intervention, with the problem sleeper group showing a subst

Effect: improvement; PS group: baseline M = 47.10, follow-up M = 57.48 (ES = 0.35); NPS group: baseline M = 65.10, follow-up M = 68.70 (ES = 0.03)

Following the mHealth intervention, caregivers of problem sleeper infants significantly reduced feeding to sleep, overnight feeding, and picking up overnight, and 30.4% of problem sleepers were reclas

Effect: improvement; 30.4% of PS infants reclassified as non-problem sleepers; feeding to sleep reduced (chi-squared = 28.89, p < .001); overnight feeding red

The mHealth behavioral sleep intervention was not associated with any change in daytime nap duration for either problem sleepers or non-problem sleepers, consistent with the prior CSP efficacy trial.

Effect: null

Problem sleeper infants had significantly earlier bedtimes and bedtime routine start times following the mHealth intervention, shifting bedtime by about 15 minutes earlier and routine start by about 1

Effect: improvement; bedtime shifted earlier by 15.6 min in PS group (ES = 0.03); bedtime routine start shifted earlier by 13.2 min in PS group (ES = 0.03)