0897 Acceptability and Feasibility of Implementing a Bedtime Routine for Newborns

Abstract Introduction Bedtime routines are associated with better sleep outcomes in newborns, as well as improved sleep and other outcomes in infants. However, no studies have investigated bedtime routines instituted as early as the first few weeks of life. Thus, the aim of this study was to assess caregiver acceptability and feasibility of implementation of a recommended bedtime routine for newborns. Methods 127 mothers of newborns (2-6 wks; M =4.5 wks) were randomly assigned to a bedtime routine intervention, which included a recommended 3-step bedtime routine (i.e.,washing up/bath, application of lotion, and quiet activities; n = 67) versus control (n = 60). Measures of acceptability and feasibility were collected at 1-week, 2-weeks, and follow-up at 3-months, and 6-months. Results Mothers in the intervention group were more likely to report having a bedtime routine at 1-week, 2-week, 3-month, and 6-month follow-up (80% vs 43%, 80% vs 53%, 97% vs 80%, 93% vs 83%, respectively). For those in the intervention group, a majority of the mothers indicated that they were doing the recommended 3-step routine (69%, 74%, 73%, and 77%). They also indicated (“strongly agree” and “agree”) that they liked it (83%, 92%, 92%, 93%), it helped them bond with their baby (89%, 94%, 93%, 97%), and they would continue to do a bedtime routine in the future (91%, 92%, 93%, 88%). Conclusion Overall, a recommended bedtime routine that included washing up/bath, massage, and quiet activities was feasible, acceptable, and considered supportive of bonding for mothers of newborns, with the majority continuing to implement the recommended routine at 6-month follow-up. A bedtime routine is a simple recommendation that can be made by healthcare providers from as early as 2 weeks of age. Support (if any) Kenvue Brands LLC, Summit, NJ, USA