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Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus
INTRODUCTION: Bedtime routines are one of the most common family activities. They affect children’ wellbeing, development and health. Despite their importance, there is limited evidence and agreement on what constitutes an optimal bedtime routine. This study aims to reach expert consensus on a defin...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904169/ https://www.ncbi.nlm.nih.gov/pubmed/33626107 http://dx.doi.org/10.1371/journal.pone.0247490 |
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author | Kitsaras, George Goodwin, Michaela Allan, Julia Pretty, Iain A. |
author_facet | Kitsaras, George Goodwin, Michaela Allan, Julia Pretty, Iain A. |
author_sort | Kitsaras, George |
collection | PubMed |
description | INTRODUCTION: Bedtime routines are one of the most common family activities. They affect children’ wellbeing, development and health. Despite their importance, there is limited evidence and agreement on what constitutes an optimal bedtime routine. This study aims to reach expert consensus on a definition of optimal bedtime routines and to propose a measurement for bedtime routines. METHOD: Four-step DELPHI process completed between February and March 2020 with 59 experts from different scientific, health and social care backgrounds. The DELPHI process started with an expert discussion group and then continued with 3 formal DELPHI rounds during which different elements of the definition and measurement of bedtime routines were iteratively refined. The proposed measurement of bedtime routines was then validated against existing data following the end of the DELPHI process. RESULTS: At the end of the four round DELPHI process and with a consistent 70% agreement level, a holistic definition of bedtime routines for families with young children between the ages of 2 and 8 years was achieved. Additionally, two approaches for measuring bedtime routines, one static (one-off) and one dynamic (over a 7-night period) are proposed following the end of the DELPHI process. A Bland-Altman difference plot was also calculated and visually examined showing agreement between the measurements that could allow them to be used interchangeably. DISCUSSION: Both the definition and the proposed measurements of bedtime routines are an important, initial step towards capturing a behavioural determinant of important health and developmental outcomes in children. |
format | Online Article Text |
id | pubmed-7904169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-79041692021-03-02 Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus Kitsaras, George Goodwin, Michaela Allan, Julia Pretty, Iain A. PLoS One Research Article INTRODUCTION: Bedtime routines are one of the most common family activities. They affect children’ wellbeing, development and health. Despite their importance, there is limited evidence and agreement on what constitutes an optimal bedtime routine. This study aims to reach expert consensus on a definition of optimal bedtime routines and to propose a measurement for bedtime routines. METHOD: Four-step DELPHI process completed between February and March 2020 with 59 experts from different scientific, health and social care backgrounds. The DELPHI process started with an expert discussion group and then continued with 3 formal DELPHI rounds during which different elements of the definition and measurement of bedtime routines were iteratively refined. The proposed measurement of bedtime routines was then validated against existing data following the end of the DELPHI process. RESULTS: At the end of the four round DELPHI process and with a consistent 70% agreement level, a holistic definition of bedtime routines for families with young children between the ages of 2 and 8 years was achieved. Additionally, two approaches for measuring bedtime routines, one static (one-off) and one dynamic (over a 7-night period) are proposed following the end of the DELPHI process. A Bland-Altman difference plot was also calculated and visually examined showing agreement between the measurements that could allow them to be used interchangeably. DISCUSSION: Both the definition and the proposed measurements of bedtime routines are an important, initial step towards capturing a behavioural determinant of important health and developmental outcomes in children. Public Library of Science 2021-02-24 /pmc/articles/PMC7904169/ /pubmed/33626107 http://dx.doi.org/10.1371/journal.pone.0247490 Text en © 2021 Kitsaras et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Kitsaras, George Goodwin, Michaela Allan, Julia Pretty, Iain A. Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title | Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title_full | Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title_fullStr | Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title_full_unstemmed | Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title_short | Defining and measuring bedtime routines in families with young children—A DELPHI process for reaching wider consensus |
title_sort | defining and measuring bedtime routines in families with young children—a delphi process for reaching wider consensus |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7904169/ https://www.ncbi.nlm.nih.gov/pubmed/33626107 http://dx.doi.org/10.1371/journal.pone.0247490 |
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