The Management of Common Childhood Bedtime Problems by Pediatric Nurse Practitioners

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Abstract
Pediatric health care providers have been encouraged to manage common behavior problems in children during routine well-child care. In this study, pediatric nurse practitioners advised parents about how to manage common childhood bedtime problems such as excessive crying. The nurses advised the parents during a single clinic visit and gave them a written handout which described procedures for managing bedtime problems. This intervention was introduced in a staggered multiple base-line fashion across six children. Audiotape data were collected on child crying/whining and talking and parent talking. Data were also collected on a sample of four nonproblem children for comparison purposes. The results of the study showed a decrease in the rate of crying and whining for three of the six problem-sample children following treatment. One problem-sample child exhibited similar rates of crying and whining and the other two children continued to cry and whine intermittently at higher rates following treatment. Several parameters that may have influenced the results of the study are discussed such as parental compliance with treatment.

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