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    Hózhó: Promoting sleep health among Navajo caregivers

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    SLEEP_HEALTH_FINAL_12_10_19.pdf
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    Author
    Russell, Maureen
    Baldwin, Carol M
    Quan, Stuart F
    Affiliation
    Univ Arizona, Coll Med
    Issue Date
    2020-04
    Keywords
    american indian
    Caregivers
    Developmental disabilities
    health equity
    Sleep intervention
    
    Metadata
    Show full item record
    Publisher
    ELSEVIER INC
    Citation
    Russell, M., Baldwin, C. M., & Quan, S. F. (2020). Hózhó: Promoting sleep health among Navajo caregivers. Sleep Health. https://doi.org/10.1016/j.sleh.2019.12.008
    Journal
    SLEEP HEALTH
    Rights
    Copyright © 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Objectives: This study explored the feasibility and acceptability of a sleep health education intervention for caregivers of children with developmental disabilities (DD). Design: This mixed-methods pilot study utilized repeated measures and caregiver interviews. Setting: The intervention occurred in the homes of caregivers who live on the Navajo Nation. Participants: Fifteen caregivers of children with DD aged from birth to 3 years old participated. Intervention: The intervention consisted of three 1-hour home-based sessions. Educational modules were tailored to specific sleep issues of the caregiver and their child(ren), as well as the unique environmental and cultural features of Navajo families. Measurements: Quantitative measures included a sleep habits questionnaire, pre- and postmeasures of learning, and the SF-12 HRQoL. Quantitative data were analyzed with frequencies and repeated measures analyses with p.05. Qualitative comments regarding facilitators and detractors to healthy sleep were transcribed verbatim and categorized into themes. Results: Caregiver sleep duration increased by 2 hours (5.8 +/- 1.8 to 7.8 +/- 1.9, p = .005). Caregivers also reported improved physical (45.0 +/- 8.2 to 52.8+8.7 p = .001) and mental HR-QoL (41.8 +/- 8.9 to 49.3 +/- 10.9, p = .002), and enhanced knowledge of sleep disorders (13.4 +/- 4.0 to 20.7 +/- 5.6) and healthy sleep habits (15.7 +/- 4.1 to 25.4 +/- 3.4 each p = .005). Many participants reported better sleep quality in their children with earlier bedtimes and less night waking. Conclusions: Findings suggest that this tailored sleep education programis a culturally responsive approach to promoting caregiver sleep health and HR-QoL, as well as the sleep health of their children. Caregivers credited improved sleep to the support they received during visits and text messaging. (C) 2019 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.
    Note
    12 month embargo; published online: 8 February 2020
    ISSN
    2352-7218
    EISSN
    2352-7226
    PubMed ID
    32044276
    DOI
    10.1016/j.sleh.2019.12.008
    Version
    Final accepted manuscript
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.sleh.2019.12.008
    Scopus Count
    Collections
    UA Faculty Publications

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