Special Section: Sleep Medicine Education based on NIH Sleep Academic Award ProgramUse of the ‘BEARS’ sleep screening tool in a pediatric residents' continuity clinic: a pilot study
Section snippets
Subjects
This study was conducted in a pediatric residents' continuity clinic in a children's teaching hospital in Rhode Island, which serves a multi-ethnic, primarily low-income population. The clinic has approximately 21,000 primary care visits per year. Patients are primarily seen for clinic visits by pediatric residents, as well as by pediatric nurse practitioners on the clinic staff and occasionally by pediatric attending faculty. Because of resident turnover and scheduling considerations, patients
Results
A total of 195 children had both a documented pre-BEARS and BEARS WCC visit. As expected, the average age at the BEARS visit was significantly older at 5.60 SD 2.85 years than the average age at the pre-BEARS visit of 4.35 SD 2.77 years (t=−20.586, P<0.001). Half (52%) of the sample was male, 44% was Hispanic, 27% was African-American, 16% Caucasian, 1% Asian, and 12% other. Eighty percent was at poverty or low-income level, based on Rhode Island zip code information.
Table 1 compares pre-BEARS
Discussion
The results of this study suggest that the use of a simple 5-question screening tool for pediatric sleep problems is significantly more likely than the use of a standard single chart prompt to yield sleep information in general, as well to yield information about specific sleep domains. There was a 2–ten-fold difference in the amount of information recorded during the BEARS visits in each of the five sleep domains and parasomnias. In addition, the information obtained with the BEARS screen was
Acknowledgements
This project was supported by the Sleep Academic Award grant program of the National Heart, Lung, and Blood Institute of the National Institute of Health.
References (37)
- et al.
Development features of sleep
Child Adoles Psychiatr Clin NA
(1999) - et al.
Sleep problems in toddlers: effects of treatment on their daytime behavior
J Am Acad Child Adolesc Psychiatry
(1994) - et al.
Dopaminergic therapy in children with restless legs/periodic limb movements in sleep and ADHD. Dopaminergic Therapy Study Group
Pediatr Neurol
(2000) - et al.
Effect of medical records' checklists on implementation of periodic health measures
Am J Med
(1987) - et al.
Performance of sleep histories in an ambulatory medicine clinic
Chest
(1999) - et al.
Pediatric Sleep Questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems
Sleep Med
(2000) - et al.
Snoring, sleep disturbance, and behaviour in 4–5 year olds
Arch Dis Child
(1993) - et al.
Risk factors for sleep-disordered breathing in children. Associations with obesity, race, and respiratory problems
Am J Respir Crit Care Med
(1999) - et al.
Sleep habits and sleep disturbance in elementary school-aged children
Dev Behav Pediatr
(2000) - et al.
Sleep and behavior problems among pre-schoolers
J Dev Behav Pediatr
(1999)
Child temperament, parenting discipline style, and daytime behavior in childhood sleep disorders
Dev Behav Pediatr
Sleep and its relationship to pain, dysfunction, and disease activity in juvenile rheumatoid arthritis
J Rheumatol
Sleep problems in early childhood: continuities, predictive factors, and behavioral correlates
Pediatrics
Patterns of sleep and sleepiness in adolescents
Pediatrician
Natural history of snoring and related behaviour problems between the ages of 4 and 7 years
Arch Dis Child
Sleep schedules and daytime function in adolescents
Child Dev
Sleep problems in healthy preadolescents
Pediatrics
A case-crossover study of sleep and childhood injury
Pediatrics
Cited by (279)
Screening and Evaluation of Sleep Disturbances and Sleep Disorders in Children and Adolescents
2024, Psychiatric Clinics of North AmericaPediatric Insomnia
2024, Psychiatric Clinics of North AmericaWhen Night Falls Fast: Sleep and Suicidal Behavior Among Adolescents and Young Adults
2024, Psychiatric Clinics of North AmericaSleep and Circadian Disturbances in Children With Neurodevelopmental Disorders
2023, Seminars in Pediatric Neurology