Infant Night Wakings in Pediatric Primary Care

This study aims to: 1. identify which single item or combination of two items perform best in identifying problematic infant night wakings and 2. describe current practices by pediatricians in addressing problematic infant night wakings. Using a novel computer decision support system in several primary care clinics, caregivers accompanying their child to a health visit will be randomly assigned to receive two of five items assessing night wakings and/or sleep problems, followed by a validated questionnaire for infant night wakings. If caregiver responses to the items suggest a possible sleep problem, pediatricians will receive a prompt in the electronic health record identifying a possible infant sleep problem. A sub-sample of caregivers will then be interviewed regarding the content of the visit that day.