Journal CME: The contributory role of the family context in early childhood sleep health: A systematic review

ARTICLE: The contributory role of the family context in early childhood sleep health: A systematic review

The primary aim of this systematic review was to elucidate family-level constructs (outside of bedtime parenting) that contribute to early childhood (age 0-5 years) sleep health. We identified empirical research articles that investigate these relationships through systematically searching PubMed, Web of Science, and PsycINFO databases. The transactional model of sleep-wake regulation guided the selection of family-level search terms, including socioeconomic status (SES), family structure, household chaos, marital, co-parenting, and social relationships. Sleep search terms included sleep problems, duration, timing, and variability. We searched sleep and family terms in combination with infant, toddler, or preschool developmental age. Sixteen studies satisfied criteria for inclusion. Results indicated that the presence of household chaos and poor quality marital relationships were directly associated with early childhood sleep problems and variable sleep timing. Higher marital satisfaction and the presence of household routines were positively associated with sleep duration. 

To register for this course:

  1. Login or register a new account.
  2. Click the Register tab, and click "Add to Cart"
  3. Click "Take Course"
  4. Complete all course components


  1. Free - Non-CME
  2. $25- To Download CME Certificate (Upon completion of the course, enter your PayPal login information, or click "Pay with Debit or Credit Card" to complete payment)


Target Audience

Primary care physicians with specialties of Internal Medicine, Family Physician, and other health professionals.

Learning Objectives

Develop and understanding of family-level factors that can affect early childhood sleep health and identify strategies providers can offer families to improve early childhood sleep-wake development; particularly in low SES families.

Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance
Course opens: 
Course expires: 
Disclosure Policy: 

As required by the Accreditation Council for Continuing Medical Education (ACCME) and in accordance with National Sleep Foundation (NSF) policy, the faculty, staff, and all individuals who are in a position to control the content of this activity are required to disclose to the NSF and to learners any relevant financial relationship(s) of the individual or spouse/partner that have occurred within the last 12 months with any commercial interest(s) whose products or services are related to the CME content. Financial relationships are defined by remuneration in any amount from the commercial interest(s) in the form of grants; research support; consulting fees; salary; ownership interest (e.g., stocks, stock options, or ownership interest excluding diversified mutual funds); honoraria or other payments for participation in speakers' bureaus, advisory boards, or boards of directors; or other financial benefits. The intent of this disclosure is not to prevent CME planners with relevant financial relationships from planning or delivery of content, but rather to provide learners with information that allows them to make their own judgments of whether these financial relationships may have influenced the educational activity.  The National Sleep Foundation has reviewed all disclosures and resolved or managed all identified conflicts of interest, as applicable.


Lauren B. Covington, PhD, RN ; Freda Patterson, PhD; Lauren E. Hale, PhD; Angeni Cordova, BS; Shannon Mayberry, BS; Emily J. Hauenstein, PhD, LCP, MSN, FAAN


Nothing to disclose.

Educational Grants:

No educational grants were received for this course.


The National Sleep Foundation is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. 


The National Sleep Foundation designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 1.00 AMA PRA Category 1 Credit(s)™
  • 1.00 Attendance


Please login or register to take this course.