Efficacy of Sleep Hygiene Education to Mothers on Nutritional Behavior of Toddlers (Randomized Controlled Trial) Based on Theory of Planned Behavior

maryam, javadi and sima, maree (2019) Efficacy of Sleep Hygiene Education to Mothers on Nutritional Behavior of Toddlers (Randomized Controlled Trial) Based on Theory of Planned Behavior. Masters thesis, qazvin university of medical sciences, qazvin,iran.

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Backgroundand and aim: The prevalence of childhood nutritional problems is 20% and childhood sleep problems is 20-41%. Paying attention to children's sleep hygiene is important because observing sleep hygiene improves child behavior beyond sleep modification. There is some evidence of the effect of sleep patterns on eating behavior. Training according to the theory of planned behavior while ensuring educational effectiveness and creating lasting effects on nutritional behavior. Materials and methods: The present study is a randomized controlled trial was performed in the second half of the year 1396 and the beginning of the year 1397 in Razan city of Hamadan province in Iran.120 toddlers (12 to 36 months) were selected through multi-stage random sampling. They randomly divided into three groups of 40 people. Samples completed a demographic questionnaire (10-question), 33-item children sleep health questionnaire, toddler eating behavior questionnaire (61-question), and a researcher-made 37-item questionnaire based on theory of planned behavior in two periods before and two months after intervention. "Children Sleep Hygiene Education" classes were conducted in 2-hour and 5 sessions for 15 to 10 samples in each experimental group. Training in Experimental Group One was done by trained Behvarz. Experimental group 2 focuses on basic principles of child sleep hygiene by the researcher. Descriptive statistics include mean and standard deviation along with Chi-square and independent t-test to compare between groups, ANOVA test to compare differences between multiple means and paired-t-tests to compare before and after values in one group.The data were analyzed by SPSS software version 23 at the confidence level of 0.95. Homogeneity of the variables was assessed by Chi-square and Fisher exact tests. The relationship between nutrition behavior, sleep patterns and sleep health of children was assessed using Pearson correlation. Significance level was considered less than 0.05. Results: Mean age of children was 22.8 ± 7.5 months, 55% (66) male. Paired t-test results were used to evaluate the effectiveness of the intervention. Comparison of mean scores of children feeding behaviors in the experimental group 1 showed a significant change in child tention scores when eating from 27.6 ± 7.7 to 23.5 ± 5.6 and child food diversity scores from 37.6 ± 11.9 to 6.29 ± 11.4. In the control group, the mean scores of child behaviors at meal was significantly different from 26 ± 5.8 to 24.8 ± 5 and food diversity from 34.3 ± 9 to 32.3 ± 7.8 . In experimental group 2, mean scores of children tention when eating changed significantly from 25.8 ± 7.8 to 20.9 ± 4.7, maternal satisfaction from eating from 32.9 ± 10.5 to 26.8 ± 6, children's physical signs when eating from 12.9 ± 3.5 to 11.9 ± 3.1, children's behaviors when eating from 25.4 ± 5.3 to 20.1 ± 3.4, and food diversity from 34.1 ± 10.3 to 27.9 ± 4.3 and total children eating behavior scores from 131.3 ± 28.2 to 125.8 ± 12.6, respectively (P <0.05). Conclusion: sleep hygiene education was effective in reducing sleep problems and improving eating behavior of toddlers and theory-based training was more effective than theory-free education, so using theory-based approaches and applying toddler sleep education to mothers are suggested to reduce their sleep problems and improve their eating behavior in health centers. Keywords: Education, children Sleep Health, Behavioral Nutrition, Toddler, Theory of Planned Behavior, attitude.

Item Type: Thesis (Masters)
Subjects: R Medicine > RN Health > RN1005 Health Sciences in Nutrition
Divisions: University Thesis > Faculty of Health > Health Science in Nutrition
Depositing User: Health School Students
Date Deposited: 07 Nov 2019 05:33
Last Modified: 07 Nov 2019 05:33
URI: http://eprints.qums.ac.ir/id/eprint/9143

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