Table 3.
Descriptive statistics and correspondence between caregiver-reported and clinician-documented child sleep outcomes
| Sleep problems | Caregiver-reported [95% CI] | Clinician documentation [95% CI] | McNemar comparisons* |
|---|---|---|---|
| Habitual snoring | 17.6% [11.9%, 23.3%] | 4.1% [1.1%, 7.1%] | p < .001 |
| Any insomnia symptom+ | 65.7% [58.5%, 72.9%] | 10.1% [5.6%, 14.6%] | p < .001 |
| Sleep onset latency >30 min | 48.5% [41.0%, 56.0%] | -- | |
| Bedtime resistance | 29.4% [22.6%, 36.2%] | -- | |
| Night awakenings >3 times/week | 25.3% [18.8%, 31.8%] | -- | |
| Difficulty falling asleep >3 times/week | 20.6% [14.5%, 26.7%] | -- | |
| Sleep problem | 14.7% [9.4%, 20.0%] | -- | |
| Poor sleep health behaviors | |||
| Caffeine consumption | 21.9% [15.7%, 28.1%] | 2.9% [0.4%, 5.6%] | p < .001 |
| Electronics use before bed | 63.5% [56.3%, 70.7%] | 7.1% [3.2%, 11.0%] | p < .001 |
| TV < 1 hour before bed | 55.9% [48.4%, 63.4%] | -- | |
| Fall asleep to TV | 32.4% [25.4%, 39.4%] | -- | |
| Insufficient sleep | 38.0% [30.4%, 45.6%] | 0% [0%, 1.9%] | p < .001 |
|
| |||
| Clinician management | McNemar comparisons* | ||
|
| |||
| ENT referral | 0.6% [0%, 6.0%] | p < .001 | |
| Sleep clinic consultation | 0% [0%, 1.8%] | p < .001 | |
| Polysomnography order | 0.6% [0%, 6.0%] | p < .001 | |
| Behavioral sleep recommendation | 8.3% [4.1%, 12.5%] | p < .001 | |
| Sleep health recommendations | |||
| Caffeine | 1.2% [0%, 2.8%] | p < .001 | |
| Electronics in bedroom | 4.1% [1.1%, 7.1%] | p < .001 | |
| Sleep duration | 0% [0%, 1.9%] | p < .001 | |
Note.
reflects 1 or more child insomnia symptoms for caregiver-reported data and any progress note indication of a child behavioral sleep problem documented by clinicians.
Clinician management was compared against caregiver-reported child sleep problems, see Table 2 for details.