Most evidence-based sleep interventions (e.g., graduated extinction of nighttime crying) are in opposition to many parents’ values. This warrants taking a step back and asking the parents about their main concerns regarding their baby's sleep and the type of help they would be likely to use. This study aimed to describe and identify, among mothers of a 0- to 24-month-old child, the perceived impact of lack of sleep, sleep-related help-seeking behaviors as well as the most concerning aspects of the child's sleep, and preferred sleep intervention modalities. Another objective was to identify the factors associated with a negative impact of postpartum sleep, concerns for the child's sleep, and interest in sleep interventions. Canadian mothers (N = 932) were recruited by email snowball sampling and through Facebook to complete an online questionnaire designed for the purposes of the study. Most mothers reported a negative impact of postpartum sleep on their romantic relationship (79.4%) and quality of life (76.7%). Low parental self-efficacy (PSE) about managing the child's sleep was the best predictor of a negative impact of lack of sleep and sleep-related concerns, above and beyond any other child's or mother's characteristics. The preferred intervention modalities were reliable websites and online courses on child sleep, with a greater interest in home visits among mothers who need help the most (low self-efficacy, high concerns). Interventions should aim at increasing PSE about the child's sleep in both parents and include home visits for those who need it the most.

中文翻译：

---

产后头两年产妇睡眠不足：感知影响和求助行为

大多数循证睡眠干预措施（例如，夜间哭闹逐渐消失）与许多父母的价值观背道而驰。这需要退后一步，询问父母他们对婴儿睡眠的主要担忧以及他们可能使用的帮助类型。本研究旨在描述和确定 0 至 24 个月大孩子的母亲对睡眠不足的感知影响、与睡眠相关的寻求帮助行为以及孩子睡眠中最重要的方面，以及首选睡眠干预方式。另一个目标是确定与产后睡眠的负面影响、对儿童睡眠的担忧以及对睡眠干预的兴趣相关的因素。加拿大妈妈 ( N = 932) 通过电子邮件滚雪球抽样和 Facebook 招募，以完成为研究目的而设计的在线问卷。大多数母亲报告产后睡眠对其浪漫关系 (79.4%) 和生活质量 (76.7%) 产生负面影响。父母关于管理孩子睡眠的低自我效能感 (PSE) 是睡眠不足和睡眠相关问题的负面影响的最佳预测指标，其负面影响超出了任何其他孩子或母亲的特征。首选的干预方式是关于儿童睡眠的可靠网站和在线课程，对最需要帮助的母亲（低自我效能感、高度关注）的家访更感兴趣。干预措施应旨在提高父母双方对孩子睡眠的 PSE，并包括对最需要的人进行家访。