Sleep Disruption in New Parents: An Intervention Trial. This competitive continuation proposal follows from a study of new fathers and mothers after the birth of their first infant. The previous sample was recruited from childbirth classes for which couples paid a fee; this sample will be recruited from free childbirth classes held for partnered and unpartnered women in lower socio-economic status. The primary aim remains to test effects of an environmental-behavioral intervention on sleep, fatigue, and measures of well-being (marital satisfaction, maternal competence, stress, and coping). The intervention will be introduced prior to delivery to allow mothers time to adapt. A stress and coping framework is again utilized to test the intervention to minimize the stress of sleep disruption for new mothers. Hypotheses will be tested using repeated measures analysis of variance to determine mean group differences. It is expected that: 1) The experimental group of low-income mothers (n=60) will have significantly higher sleep maintenance than controls (n=60) at all time points; 2) The experimental group will report significantly lower fatigue and higher role competence compared to controls at all postpartum time points (4, 8, & 12 weeks). A new hypothesis is added to address prior parental concerns about infant sleep at 8 weeks of age in relation to immunizations: Mothers who receive preparatory strategies to manage infant irritability post immunization will have infants with significantly less wake time during the night compared to controls. A secondary aim is to describe the process by which low-income mothers incorporate this intervention into their family life and evaluate its feasibility for other first-time mothers compared to the prior sample of middle and upper income parents. In the prior sample, few mothers returned to work at rigidly scheduled hours. Level of satisfaction with the intervention package will be ascertained for mothers before and after returning to work. More generalizable results from this targeted sample will be used to develop an educational intervention package for distribution to all adults preparing for parenthood. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR005345-06
Application #
7096666
Study Section
Special Emphasis Panel (ZRG1-NSCF (01))
Program Officer
Mann Koepke, Kathy M
Project Start
2001-01-01
Project End
2008-07-31
Budget Start
2006-08-01
Budget End
2008-07-31
Support Year
6
Fiscal Year
2006
Total Cost
$336,298
Indirect Cost
Name
University of California San Francisco
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
094878337
City
San Francisco
State
CA
Country
United States
Zip Code
94143
Torres, Rosamar; Goyal, Deepika; Burke-Aaronson, Amanda C et al. (2017) Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers. J Obstet Gynecol Neonatal Nurs 46:814-823
Doan, Therese; Gay, Caryl L; Kennedy, Holly P et al. (2014) Nighttime breastfeeding behavior is associated with more nocturnal sleep among first-time mothers at one month postpartum. J Clin Sleep Med 10:313-9
Van, Paulina (2012) Conversations, coping, & connectedness: a qualitative study of women who have experienced involuntary pregnancy loss. Omega (Westport) 65:71-85
Franck, Linda; Gay, Caryl L; Lynch, Mary et al. (2011) Infant sleep after immunization: randomized controlled trial of prophylactic acetaminophen. Pediatrics 128:1100-8
Lee, Kathryn A; Gay, Caryl L (2011) Can modifications to the bedroom environment improve the sleep of new parents? Two randomized controlled trials. Res Nurs Health 34:7-19
Goyal, Deepika; Gay, Caryl; Lee, Kathryn A (2010) How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in first-time mothers? Womens Health Issues 20:96-104
Lee, Kathryn A (2008) In search of sleep: it's a family affair. J Obstet Gynecol Neonatal Nurs 37:705
Kennedy, Holly Powell; Gardiner, Annelise; Gay, Caryl et al. (2007) Negotiating sleep: a qualitative study of new mothers. J Perinat Neonatal Nurs 21:114-22
Gay, Caryl L; Lee, Kathryn A; Lee, Shih-Yu (2004) Sleep patterns and fatigue in new mothers and fathers. Biol Res Nurs 5:311-8
Lee, Kathryn A; Gay, Caryl L (2004) Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol 191:2041-6