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Table 2 Study designs and instruments used to study sleep and health

From: Sleep and its relationship to health in parents of preterm infants: a scoping review

Author Year Country

Design

Sample

Context

Time data collection

Instruments used to study sleep

Instruments used to study health

Lee & Kimble (2009), USA

Quantitative, cross sectional

20 mothers of LBW infants

NICU

Second week postpartum

Self-report: Sleep rated for the past week (GSDS), sleep diary (2 days)

Objective: actigraphy for 2 days.

Fatigue: NRS-F

Depression: EPDS

Health related quality of life: SF36v2

Lee & Hsu (2012a), USA

Quantitative, cross sectional

55 mothers of LBW infants

NICU

Second week postpartum

Self-report: Sleep rated for the past week (GSDS), SDI, sleep diary.

Objective: Actigraphy 2 days (N = 20) and 3 days (N = 35)

Fatigue: LFS

Depression: EPDS

Stress: PSS and IES

Health related quality of life: SF36v2

Lee et al. (2012b), USA

Quantitative, cross sectional, comparative

51 mothers of preterm infants

NICU

Second week postpartum

Self-report: Sleep rated for the past week (GSDS), sleep diary.

Objective: Actigraphy 2–3 days

Fatigue: LFS

Depression: EPDS

Health related quality of life: SF36v2

Activity: actigraphy to measure rest/activity pattern

Lee & Hsu (2016), USA

Quantitative, cross sectional, comparative

30 mothers of LBW infants

NICU

Second week postpartum

Subjective: Sleep rated for the past week (GSDS), sleep diary. Objective: Actigraphy 3 days

Depression: EPDS

Stress: PSS

Serum: Test serotonin transporter polymorphism (5 HTTLPR) genotype.

Shelton et al. (2014), USA

Quantitative, cross sectional comparative design

55 mothers of preterm infants

NICU

Second week postpartum

Self-report: Sleep rated for the past week (GSDS), sleep diary (2–3 days). Objective: Actigraphy 2–3 days

Fatigue: LFS

Depression: EPDS

Stress: PSS

Health related quality of life: SF36v2

Schaffer (2012), USA

Quantitative Prospective descriptive data analysis Clinical trial

20 mothers of preterm infants

NICU

Repeated measures over eight weeks postpartum

Self-report: PSQI

Anxiety: STAI

Depression: CES-D

Stress: PSS

Social support: FSSQ + A brief semi structured interview on the acceptability of the R-GI intervention.

Lee et al. (2013), USA

Quantitative, clinical trial

30 mothers of LBW infants randomized to a treatment or control group.

NICU

Data collected at pretreatment (second week postpartum) and after 3-week intervention.

Self-report: Sleep rated for the past week (GSDS), sleep diary for 3 days

Objective: Actigraphy 3 days

Fatigue: LFS

Depression: EPDS

Stress: PSS

Health related quality of life: SF36v2

Maternal perceived support: FSS

Williams & Williams (1997), USA

Quantitative, cohort, comparative

74 mothers of preterm infants

NICU and home

T1/Baseline = NICU

T2 = one-week post-discharge

T3 = one-month post-discharge.

Data were collected at three-time periods; baseline, one-week post discharge and one-month post discharge

Self-report: Subscale of the VHS Sleep Scale.

Stress: PSS

Fatigue: MAF, Reframe: FCOPES, Cohesion: FACES II

Gennaro & Fehder (2000), USA

Quantitative, longitudinal, comparative

124 mothers, 64 with a VLBW preterm infant and 60 with a full-term infant

NICU and home

Data collected within 24 h after birth, + home (1 month, 2 months, and 4 months postpartum)

Self-report: SWAI and SSS.

Maternal weight loss, Nutritional intake: 24-h diet recall, Exercise: FWPA

McMillen et al. (1993), Australia

Quantitative, cohort, comparative

Mothers of 23 term infants and 22 preterm infants

Home

Up to 5 months after either birth (term group) or arrival of the infant home (preterm group).

Self-report: 24-h sleep/wake chart for infant and mother (completed by mother).

Saliva: Melatonin and cortisol tests.

Wollenhaupt (2010), USA

Qualitative, Natural inqury design

Mothers and fathers in 10 families.

Home

3–5 weeks following discharge from NICU

Semi-structured interviews

 
  1. Abbreviations: SDI Sleep deviation Index, LFS Lee Fatigue Scale, PSS Perceived Stress Scale, MAF Multidimensional Assessment of Fatigue, FCOPES subscale of the Family Crisis Oriented Personal Evaluation Scale, FACES II Cohesion subscale of the Family Adaptability and Cohesion Scale, FWPA the four-week physical activity questionnaire, SF36v2 The Medical Outcomes Short Form 36 version 2, FSS Family Support scale, EPDS Edinburgh Postpartum Depression scale, FSSQ The Duke University of North Carolina Functional Social Support Questionnaire, STAI State-Trait Anxiety Inventory, CES-D Center for Epidemiological Studies Depression Scale, SWAI Sleep Wake Activity Inventory scale, SSS Stanford Sleepiness Scale 52, GSDS General Sleep Disturbance scale, VHS sleep scale Verran and Snyder-Halpern Sleep Scale (VSH), PSQI The Pittsburgh Sleep Quality Index, NICU neonatal intensive care unit, LBW low birth weight, VLBW very low birth weight