SAFE-T

Sleep and Adjustment in Foster Environments for Toddlers and Preschoolers (SAFE-T) is built upon the same principles and strategies as SAFE, but is designed for caregivers of 2- to 5-year old children currently or formerly in foster care. The 3-session SAFE-T intervention is delivered via telehealth to caregivers alone at a time that is convenient.

The efficacy of SAFE-T was recently tested in a randomized controlled trial among foster and adoptive foster caregivers in Texas. Caregivers were randomly assigned to receive the SAFE-T intervention or given an informational booklet about healthy sleep in young children to keep (Sleep Education Support; SES group).

Results based on the first 40 families to participate indicate that SAFE-T, but not SES, is effective not only in improving children’s sleep but positively impacts children’s daytime behavior and parenting stress.

Child Sleep Problems

Children who received SAFE-T showed a significantly greater decrease in parent-reported sleep problems compared to the control group.

Parenting Stress

Child Sleep Problems

Caregivers of children who received SAFE-T reported a significant decrease in parenting stress, whereas parenting stress increased in the control group.

Difficult Child Behaviors

Children who received SAFE-T showed a significant decrease in daytime behavior problems whereas behavior problems increased in the control group.

Child Daily Sleep

Difficult Child Behaviors

Children who received SAFE-T extended their daily sleep by an average of 40 minutes per day whereas total sleep duration decreased in the control group.

SAFE-T

Child Sleep Problems

Child Sleep Problems

Child Sleep Problems

Parenting Stress

Child Sleep Problems

Child Sleep Problems

Difficult Child Behaviors

Difficult Child Behaviors

Difficult Child Behaviors

Child Daily Sleep

Difficult Child Behaviors

Difficult Child Behaviors

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