{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T08:16:09Z","timestamp":1788509769874,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T00:00:00Z","timestamp":1778198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Sleep health supports child development and family well-being. Toddlers with Down syndrome experience elevated sleep difficulties, yet few studies have examined their sleep within a multidimensional framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To apply the Pediatric Sleep Health framework (Peds B\u2013SATED) to characterize multidimensional sleep health and sleep-related practices of toddlers with Down syndrome (12\u201336 mo).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Secondary analysis of cross-sectional descriptive data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Clinics and organizations serving families of children with Down syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Twenty-four mothers of children with Down syndrome were recruited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Parent-reported Brief Infant Sleep Questionnaire items mapped onto the Peds B\u2013SATED domains (Behavior, Satisfaction, Alertness, Timing, Efficiency, Duration). Descriptive statistics summarized sleep profiles and parental practices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty percent of the sample demonstrated multidomain sleep difficulties; 33% had difficulties in a single domain, and 17% had none. Behavior was the most problematic domain (63%), followed by satisfaction and efficiency (29% each), timing (25%), and duration (13%). Most children had structured sleep behaviors (consistent bedtimes\/routines \u226580%; falling asleep independently, 70%; limited prebedtime screen exposure, 67%) and high parental satisfaction. Most children woke up happy and took one daytime nap (&gt;90%). Sleep timing and efficiency were characterized by early bedtimes (median lights-out 8 p.m.; median wake 7 a.m.), no night awakenings (71%), and mean sleep latency of 13.5 min. Mean 24-hr sleep duration was 12.5 hr.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>A multidimensional approach to characterizing sleep health reveals heterogeneous sleep profiles across domains and offers clinicians and researchers an in-depth view of intervention targets for toddlers with Down syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051493","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T18:26:51Z","timestamp":1778264811000},"page":"603-611","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Multidimensional Sleep Health of Toddlers With Down Syndrome: A Descriptive Study Guided by the Pediatric Sleep Health Framework"],"prefix":"10.1177","volume":"80","author":[{"given":"Waad","family":"Aljurayyad","sequence":"first","affiliation":[{"name":"Waad Aljurayyad, MSc, OT, is PhD Student, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA, and Lecturer, Department of Occupational Therapy, School of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela R.","family":"Caldwell","sequence":"additional","affiliation":[{"name":"Angela R. Caldwell, PhD, OTR\/L, FAOTA, is Assistant Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy G.","family":"Hartman","sequence":"additional","affiliation":[{"name":"Amy G. Hartman, PhD, OTR\/L, is Assistant Professor, Department of Occupational Therapy, School of Health and Rehabilitation Sciences, University of Pittsburgh, Pittsburgh, PA;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/17446295231219618"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.a.37096"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cppeds.2016.12.001"},{"key":"e_1_3_1_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1155850"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2022.2143359"},{"key":"e_1_3_1_7_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4326"},{"key":"e_1_3_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.14120"},{"key":"e_1_3_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2023.104366"},{"key":"e_1_3_1_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci11091170"},{"key":"e_1_3_1_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1193176"},{"key":"e_1_3_1_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.943516"},{"key":"e_1_3_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2011.06.001"},{"key":"e_1_3_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.05.003"},{"key":"e_1_3_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2019.101226"},{"key":"e_1_3_1_16_1","first-page":"260","article-title":"Early childhood sleep patterns and cognitive development at age 6 years: The generation R study","volume":"42","author":"Kocevska D.","year":"2017","unstructured":"Kocevska D., Rijlaarsdam J., Ghassabian A., Jaddoe V. 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