Impact of Beds for Kids Program on Child Sleep

Many lower-socioeconomic status (SES) children live in crowded homes and lack their own bed,
which can contribute to insufficient and poor quality sleep and related poor child and family
functioning. The Beds for Kids program provides beds and bedding to disadvantaged children in
Philadelphia, and has been found to positively impact parent-reported child sleep in a
previous pilot study. However, there is a need to determine the impact of the Beds for Kids
program on objectively assessed child sleep, as well as on daily child behavior and caregiver
functioning (mood and sleep). The primary objective of this study is to evaluate the impact
of provision of a child bed through the Beds for Kids program on objectively measured child
sleep, and on daily child behavioral functioning and caregiver functioning over a 14-day
period for preschool-aged children. This is a randomized controlled trial (RCT).
Caregiver-child dyads will be assigned to the intervention group, in which they receive a bed
through the Beds for Kids program after a 7-day period, or to the waitlist control group, in
which they receive a bed after a 14-day period. The primary study outcome is the difference
between study conditions in actigraph-derived and caregiver-reported child sleep (bedtime,
bedtime variability, sleep quality, night wakings, total sleep duration) for days 7 to 14
(bed vs control), as well as compared to baseline. Thus, this is a mixed between (bed vs
waitlist) and within (days 1-7 vs days 8-14) group design.

Inclusion Criteria:

- Males or females ages 2 to 5 years (24-71 months) and their male or female caregiver
reporter (legal guardian)

- Eligible for the Beds for Kids program: (a) living without individual bedding
(sleeping on the floor, on a sofa, or crowded into one bed with family members); (b)
living in a household whose income is at or below 100 percent of the Federal Poverty
Guideline.

- Parent/guardian is English-speaking.

- Caregiver is legal guardian and can complete informed consent.

Exclusion Criteria:

- Presence of a chronic medical (e.g., cancer, sickle cell disease) or
neurodevelopmental (e.g., autism, Trisomy 21) that would impact sleep, including a
pre-existing sleep disorder diagnosis (e.g., obstructive sleep apnea) in child.

- Child or caregiver use of prescription (e.g., clonidine) or over-the-counter
medication (e.g., Benadryl; melatonin) that could impact the child's sleep or
caregiver report of child's sleep.

- Caregivers/guardians or subjects who, in the opinion of the Investigator, may be
non-compliant with study schedules or procedures.