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An online intervention based on self-efficacy theory improves maternal sleep quality and reduces anxiety in mothers of infants aged 10 to 24 months.

In a randomized clinical trial with 104 mothers of infants aged 10-24 months, an online intervention involving two virtual meetings on sleep, relaxation, and anxiety management plus motivational messages significantly improved sleep quality (PSQI from 10.4 to 4.9) and reduced both trait-anxiety (38.2 to 33.5) and state-anxiety (36.4 to 33.8) after 30 days, compared to a control group that received only monitoring. All improvements were statistically significant (p<0.05).

Last updated: Aug 11, 2026โ€ข1 RCTsโ€ข๐Ÿ“– Read as article โ†’

Evidence Score

Evidence Score42/100
Human RCTโ˜…โ˜…โ˜†โ˜†โ˜†
Meta-analysisโ˜†โ˜†โ˜†โ˜†โ˜†
Mechanismโ˜…โ˜…โ˜…โ˜…โ˜…
Safetyโ˜…โ˜…โ˜…โ˜…โ˜†
Confidencelow

Study Evidence

Study 1. Internet-based intervention on maternal sleep and anxiety: a randomized clinical trial.

observational

Lima RBDS, Jesus CF, Barbosa LP ยท Revista brasileira de enfermagem (2026)

Participants: N/A
Duration: 30 days
Intervention: Online intervention based on self-efficacy theory: two virtual meetings with guidance on sleep, relaxation, and anxiety management, plus motivational messages.
Outcome: Sleep quality (Pittsburgh Sleep Quality Index), trait-anxiety and state-anxiety (State-Trait Anxiety Inventory)
Effect Size: N/A
Population: Mothers of infants aged 10 to 24 months

Result:

Mechanism Graph

Enhance maternal self-efficacy through virtual guidance and motivational messages
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Teach sleep hygiene and relaxation techniques
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Provide anxiety management strategies
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Result: Improved sleep quality and reduced anxiety

Limitations

  • โš No long-term follow-up beyond 30 days
  • โš Self-reported outcomes may be subject to bias
  • โš Limited generalizability to other populations or settings

Frequently Asked Questions

What was the sample size of the study?โ–ผ

The study included 104 participants, randomly allocated to intervention and control groups.

How long did the intervention last?โ–ผ

The intervention involved two virtual meetings and motivational messages, with outcomes assessed at baseline, 15 days, and 30 days.

What were the main outcomes measured?โ–ผ

Sleep quality was measured using the Pittsburgh Sleep Quality Index, and anxiety was measured using the State-Trait Anxiety Inventory (both state and trait components).

Was the intervention effective?โ–ผ

Yes, after 30 days the intervention group showed significant improvements in sleep quality and reductions in both trait and state anxiety compared to baseline, with p<0.05.

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References

  1. 1.Lima RBDS, Jesus CF, Barbosa LP. "Internet-based intervention on maternal sleep and anxiety: a randomized clinical trial.." Revista brasileira de enfermagem, 2026. PMID: 42561252 DOI: 10.1590/0034-7167-2025-0410
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.