A comparison of actigraphy and sleep diaries for infants' sleep behavior

Frontiers in Psychiatry
W A HallR A Saunders

Abstract

Detecting the effectiveness of behavioral interventions to reduce infant night-waking requires valid sleep measures. Although viewed as an objective measure, actigraphy has overestimated night-waking. Sleep diaries are criticized for only documenting night-waking with infant crying. To support potential outcome measure validity, we examined differences between sleep diaries and actigraphy in detecting night-waking and sleep duration. We recruited 5.5 to 8-month-old infants for a behavioral sleep intervention trial conducted from 2009 to 2011. Intervention (sleep education and support) and control groups (safety education and support) collected infant diary and actigraphy data for 5 days. We compared night-time sleep actigraphy with diary data at baseline (194 cases), and 6 weeks (166 cases) and 24 weeks post-education (118 cases). We hypothesized numbers of wakes and wakes of ≥20 min would be higher and longest sleep time and total sleep time shorter by actigraphy compared with diaries. Using paired t-tests, there were significantly more actigraphy night wakes than diary wakes at baseline (t = 29.14, df = 193, p < 0.001), 6 weeks (t = 23.99, df = 165, p < 0.001), and 24 weeks (t = 22.01, df = 117, p < 0.001); and significantly ...Continue Reading

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Citations

Aug 8, 2018·Sleep·Marie CamerotaCathi B Propper
Oct 20, 2020·Frontiers in Pediatrics·Catarina PerpétuoManuela Veríssimo
Oct 31, 2020·JMIR Pediatrics and Parenting·Arika YoshizakiMasako Taniike
Jul 11, 2020·Academic Pediatrics·Carol Duh-LeongRachel S Gross

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Clinical Trials Mentioned

NCT00877162

Software Mentioned

Action
SPSS

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