LAUSR

Key Points Question Does a sleep health education program for children and parents in Head Start improve childhood sleep and related outcomes? Findings This stepped-wedge cluster randomized clinical trial of 519 parent-child (aged 3 years at enrollment) dyads assessing the effects of a 2-week classroom curriculum for children, 1-hour parent workshop, and 1-on-1 parent discussions at home or school yielded largely negative 9- and 12-month outcomes for children’s sleep duration and difficulties and caregiver sleep, attitudes, self-efficacy and beliefs. Meaning These findings, although negative, provide direction for future research on the sustained impact, focus, and potential population-level effects of sleep education programs.