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.
Children who received SAFE-T showed a significantly greater decrease in parent-reported sleep problems compared to the control group.
Caregivers of children who received SAFE-T reported a significant decrease in parenting stress, whereas parenting stress increased in the control group.
Children who received SAFE-T showed a significant decrease in daytime behavior problems whereas behavior problems increased in the control group.
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.
Sleep and Adjustment in Foster Environments (SAFE)
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