Music and Sleep Hygiene Interventions for Pregnancy-Related Insomnia: An Online Randomized Controlled Trial.

Nadia Flensted Hoegholt, Camilla Eva Krænge, Peter Vuust, Morten Kringelbach, Kira Vibe Jespersen
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Abstract

Introduction: Approximately 50% to 60% of all pregnant women suffer from insomnia during pregnancy. Pregnancy-related insomnia has been associated with severe outcomes for both mother and child postnatally. Currently, the treatment of pregnancy-related insomnia is often neglected due to a lack of suitable treatments. This online assessor-masked randomized controlled trial aimed to evaluate the effectiveness of music listening and sleep hygiene for treating pregnancy-related insomnia.

Methods: We recruited first-time pregnant women at the end of the second trimester with a report of poor sleep. Participants in the music and sleep hygiene (MSH) group received standard sleep hygiene advice and were instructed to listen to music daily at bedtime for 4 weeks. They could choose from 6 sleep playlists of different genres. Participants randomized to the sleep hygiene alone (SH) group received standard sleep hygiene only. Primary outcomes were sleep quality measured with the Pittsburgh Sleep Quality Index (PSQI) and insomnia severity measured with the Insomnia Severity Index.

Clinicaltrials: gov Identifier: NCT04633395.

Results: Among the 98 participants receiving the online intervention, 31 participants in the MSH group (62%) and 40 participants in the SH group (80%) completed the postintervention measurements. Both groups experienced improved sleep quality during the intervention period (PSQI change, -2.10; 95% CI, -3.27 to -0.93; P < .001), with no significant difference between the groups. Similarly, insomnia symptoms were reduced (Insomnia Severity Index change, -3.42; 95% CI, -5.02 to -1.83; P < .001) with no significant difference in the effect between groups. There was a significant difference in adherence to sleep hygiene between the MSH and SH groups (42% vs 8%; P = .007).

Discussion: Sleep quality and insomnia severity can be improved in pregnant women with relatively simple interventions like music listening and sleep hygiene advice. These results align with previous research, but larger trials are recommended to support introduction into clinical practice.

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妊娠期失眠的音乐和睡眠卫生干预:在线随机对照试验。
简介约有 50% 至 60% 的孕妇在怀孕期间失眠。与妊娠相关的失眠症与母婴产后的严重后果有关。目前,由于缺乏合适的治疗方法,妊娠相关失眠症的治疗往往被忽视。这项在线评估者掩蔽随机对照试验旨在评估聆听音乐和睡眠卫生对治疗妊娠相关失眠症的效果:方法:我们招募了妊娠后三个月末首次怀孕并报告睡眠不佳的孕妇。音乐和睡眠卫生(MSH)组的参与者接受了标准的睡眠卫生建议,并被要求在4周内每天睡前听音乐。他们可以从 6 个不同类型的睡眠播放列表中进行选择。被随机分配到单纯睡眠卫生(SH)组的参与者只接受标准的睡眠卫生建议。主要结果是以匹兹堡睡眠质量指数(PSQI)衡量的睡眠质量和以失眠严重程度指数(Insomnia Severity Index)衡量的失眠严重程度:NCT04633395.结果:在接受在线干预的 98 名参与者中,有 31 名 MSH 组参与者(62%)和 40 名 SH 组参与者(80%)完成了干预后的测量。在干预期间,两组参与者的睡眠质量均有所改善(PSQI变化为-2.10;95% CI为-3.27至-0.93;P 讨论:睡眠质量和失眠的严重程度会影响患者的睡眠质量:通过听音乐和睡眠卫生建议等相对简单的干预措施,可以改善孕妇的睡眠质量和失眠严重程度。这些结果与之前的研究一致,但建议进行更大规模的试验,以支持将其引入临床实践。
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Adapting Group Prenatal Care for Telehealth: A COVID-Era Innovation to Address Barriers to Care for Latinx Clients. Acute Cystitis in a Transfeminine Patient: Assessment and Treatment of Urinary Tract Symptoms. Implementing Best Practice When Screening Birthing People for a Substance Use Disorder. Societal Discrimination, Vigilance, and Patient-Provider Relationships Among Perinatal Women: A Mixed Methods Study. Music and Sleep Hygiene Interventions for Pregnancy-Related Insomnia: An Online Randomized Controlled Trial.
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