NCT06769841

Brief Summary

Sleep plays a crucial role in supporting a child's healthy development, growth, and overall well-being. While many children develop healthy sleep patterns, 20-30% of infants experience sleep problems. Beyond biological processes, sleep is influenced by environmental, psychosocial, and cultural factors. Understanding the relationship between parental factors and child sleep-wake patterns, alongside identifying potential developmental shifts during this period, is essential. However, existing research, often limited to cross-sectional or short-term longitudinal studies, has mostly focused on mothers, with few studies considering the transactional nature between infants' sleep patterns and the bidirectional influences exerted by other important parental factors. This longitudinal study aims to understand how parent-infant interactions influence infant sleep patterns across the first three years of life for both mothers and fathers. The study will further examine the effects of parental factors, including (1) the co-parenting relationship, (2) maternal self-efficacy, (3) maternal/paternal depression, (4) maternal/paternal anxiety, (5) paternal involvement, (6) maternal/paternal sleep, and (7) parental stress, along with child factors such as temperament and socio-emotional development, on infants' sleep-wake patterns. Additionally, this study will investigate the dynamic, bidirectional relationships between these factors, providing valuable insights into infant and family well-being.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
475

participants targeted

Target at P75+ for all trials

Timeline
31mo left

Started Jan 2025

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress33%
Jan 2025Dec 2028

First Submitted

Initial submission to the registry

January 6, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 10, 2025

Completed
11 days until next milestone

Study Start

First participant enrolled

January 21, 2025

Completed
3.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2028

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

August 22, 2025

Status Verified

June 1, 2025

Enrollment Period

3.9 years

First QC Date

January 6, 2025

Last Update Submit

August 16, 2025

Conditions

Keywords

sleepparentinfant

Outcome Measures

Primary Outcomes (1)

  • Infant sleep-wake patterns

    Infant sleep wake patterns will be measured using the Revised-Brief Infant Sleep Questionnaire (BISQ-R). The BISQ-R is a parent-reported screening tool designed to evaluate sleep patterns in infants and young children. This scale consists of 33 questions with 19 questions for scoring. There are 3 subscales including infant sleep, parent perception and parent behavior. The total and each subscale score ranges from 0 to 100. Total score is the average of the 3 subscale scores. Higher scores indicate better sleep quality, more positive perception of infant sleep, and parental behaviors that promote healthy and independent sleep. The survey has been validated in Turkish.

    3rd, 6th, 12th, 18th, 24th and 36th months

Secondary Outcomes (10)

  • Prenatal co-parenting relationship

    Baseline

  • Co-parenting relationship

    3rd, 6th, 12th, 18th, 24th and 36th months

  • Maternal Self Efficacy

    3rd, 6th, 12th, 18th, 24th and 36th months

  • Maternal and Paternal Depression Symptoms

    Baseline, 3rd, 6th, 12th, 18th, 24th and 36th months

  • Paternal Involvement

    12th. And 36th. months

  • +5 more secondary outcomes

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Healthy pregnant women aged 18 and above and their partners

You may qualify if:

  • Being pregnant with the first child Gestational age\>12 weeks Parents over the age 18 Fluent in Turkish Parents living in Istanbul

You may not qualify if:

  • Suicidal ideation in Patient Health Questionnaire-9 (PHQ-9) No internet access

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Marmara University

Istanbul, Turkey (Türkiye)

Location

Related Publications (15)

  • Karabekiroglu K, Rodopman-Arman A, Ay P, Ozkesen M, Akbas S, Tasdemir GN, Boke O, Peksen Y. The reliability and validity of the Turkish version of the brief infant-toddler social emotional assessment (BITSEA). Infant Behav Dev. 2009 Jun;32(3):291-7. doi: 10.1016/j.infbeh.2009.03.003. Epub 2009 May 2.

    PMID: 19411111BACKGROUND
  • Williamson AA, Mindell JA, Hiscock H, Quach J. Longitudinal sleep problem trajectories are associated with multiple impairments in child well-being. J Child Psychol Psychiatry. 2020 Oct;61(10):1092-1103. doi: 10.1111/jcpp.13303. Epub 2020 Jul 26.

    PMID: 32713013BACKGROUND
  • Teti DM, Gelfand DM. Behavioral competence among mothers of infants in the first year: the mediational role of maternal self-efficacy. Child Dev. 1991 Oct;62(5):918-29. doi: 10.1111/j.1467-8624.1991.tb01580.x.

    PMID: 1756667BACKGROUND
  • Feinberg ME, Brown LD, Kan ML. A Multi-Domain Self-Report Measure of Coparenting. Parent Sci Pract. 2012 Jan 1;12(1):1-21. doi: 10.1080/15295192.2012.638870. Epub 2012 Jan 20.

    PMID: 23166477BACKGROUND
  • Sadeh A. A brief screening questionnaire for infant sleep problems: validation and findings for an Internet sample. Pediatrics. 2004 Jun;113(6):e570-7. doi: 10.1542/peds.113.6.e570.

    PMID: 15173539BACKGROUND
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4.

    PMID: 2748771BACKGROUND
  • Yazici Gulec M, Gulec H, Simsek G, Turhan M, Aydin Sunbul E. Psychometric properties of the Turkish version of the Patient Health Questionnaire-Somatic, Anxiety, and Depressive Symptoms. Compr Psychiatry. 2012 Jul;53(5):623-9. doi: 10.1016/j.comppsych.2011.08.002. Epub 2011 Oct 13.

    PMID: 22000476BACKGROUND
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

    PMID: 11556941BACKGROUND
  • Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

    PMID: 16717171BACKGROUND
  • Cook F, Conway LJ, Giallo R, Gartland D, Sciberras E, Brown S. Infant sleep and child mental health: a longitudinal investigation. Arch Dis Child. 2020 Jul;105(7):655-660. doi: 10.1136/archdischild-2019-318014. Epub 2020 Mar 9.

    PMID: 32152038BACKGROUND
  • Boran P, Ergin A, Us MC, Dinleyici M, Velipasaoglu S, Yalcin SS, Barutcu A, Gokcay G, Gur E, Camurdan Duyan A, Aydin A, Celep G, Almis H, Savci G, Kondolot M, Nalbantoglu B, Unver Korgali E, Yendur O, Orhon Simsek F, Kara Uzun A, Bag O, Koc F, Bulbul S. Young children's sleep patterns and problems in paediatric primary healthcare settings: a multicentre cross-sectional study from a nationally representative sample. J Sleep Res. 2022 Dec;31(6):e13684. doi: 10.1111/jsr.13684. Epub 2022 Jul 5.

    PMID: 35790464BACKGROUND
  • Sadeh A, Tikotzky L, Kahn M. Sleep in infancy and childhood: implications for emotional and behavioral difficulties in adolescence and beyond. Curr Opin Psychiatry. 2014 Nov;27(6):453-9. doi: 10.1097/YCO.0000000000000109.

    PMID: 25247458BACKGROUND
  • Mindell JA, Sadeh A, Wiegand B, How TH, Goh DY. Cross-cultural differences in infant and toddler sleep. Sleep Med. 2010 Mar;11(3):274-80. doi: 10.1016/j.sleep.2009.04.012. Epub 2010 Feb 6.

    PMID: 20138578BACKGROUND
  • Meltzer LJ, Williamson AA, Mindell JA. Pediatric sleep health: It matters, and so does how we define it. Sleep Med Rev. 2021 Jun;57:101425. doi: 10.1016/j.smrv.2021.101425. Epub 2021 Jan 19.

    PMID: 33601324BACKGROUND
  • Covington LB, Patterson F, Hale LE, Teti DM, Cordova A, Mayberry S, Hauenstein EJ. The contributory role of the family context in early childhood sleep health: A systematic review. Sleep Health. 2021 Apr;7(2):254-265. doi: 10.1016/j.sleh.2020.11.010. Epub 2021 Jan 10.

    PMID: 33436342BACKGROUND

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 6, 2025

First Posted

January 10, 2025

Study Start

January 21, 2025

Primary Completion (Estimated)

December 1, 2028

Study Completion (Estimated)

December 1, 2028

Last Updated

August 22, 2025

Record last verified: 2025-06

Locations