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Table 1 Study and sample characteristics

From: A scoping review of non-pharmacological perinatal interventions impacting maternal sleep and maternal mental health

Author, Year, Country

Intervention Focus

Gestational (GE)/ Postnatal (PN) Recruitment Age

(mean)

Maternal Age, years

(Mean, SD)

Parity (% primiparous)

Education Level

Relationship (% married/ partnered)

Socioeconomic Position

Race/Ethnicity

Physical, Mental and Sleep Health Eligibility Criteria

- Healthy

 - Unknown/No restrictions

 - Unhealthy

Avalos et al. (2020), USA [32]

Mindfulness

0–6 months PN (12 weeks)

30.9 ± 5.2

48%

56% less than college

44% college/university

70%

22% receiving Medicaid

30% Non-Hispanic White

19% Non-Hispanic Black

1% Asian

33% Hispanic

15% Multiracial

Mental Health (PHQ-9 = 10 to 19)

Physical Health

Sleep Health

Chang et al. (2015), Taiwan [42]

Chamomile Tea

6 weeks PN

Intervention

33.2

Control

32.7

(SD not reported)

56%

8% high school

92% college/university

Not reported

51% high

40% middle

9% low

Not reported

Mental Health

Physical Health

Sleep Health (PSQS ≥16)

Chen et al. (2015), Taiwan [43]

Lavender Tea

6 weeks PN

Intervention

32.1 ± 4.0

Control

32.7 ± 3.9

61%

9% high school

91% college/university

Not reported

51% high

40% middle

9% low

Not reported

Mental Health

Physical Health

Sleep Health (PSQS ≥16)

Field et al. (1999), USA [44]

Massage

14–30 weeks GE (23 weeks)

29.5 ± 2.7

Not reported

Not reported

Not reported

27% high

50% upper middle

23% middle

46% White

38% African-American

12% Hispanic

4% Other

Mental Health

Physical Health

Sleep Health

Field et al. (2013), USA [45]

Tai chi/Yoga

13–40 weeks GE (22 weeks)

26.6 ± 5.5

Not reported

Not clearly described

65%

Not clearly described

60% Hispanic

38% African-American

2% Non-Hispanic White

Mental Health (Depression on SCID-I for DSM-IV)

Physical Health

Sleep Health

Forsell et al. (2017), Sweden [46]

CBT

12–28 weeks GE (16 weeks intervention, 19 weeks control)

Intervention

31.2 ± 3.7

Control

30.8 ± 5.3

48%

26% high school

74% college/university

98%

Not reported

Not reported

Mental Health (MDD on DSM-IV and MADRS-S = 15–35 (but no/low suicide risk or other psychiatric disorder)

Physical Health

Sleep Health

Galland et al. (2017), New Zealand [47]

Infant sleep education

28–30 weeks GE

32.0

(SD not reported)

48%

8% did not finish high school

16% high school

76% college/university

Not reported

35% low deprivation

44% medium deprivation

21% high deprivation

85% White

8% Māori/Pacifica

4% Asian

2% Other

1% Middle Eastern/Latin American/ African

Mental Health

Physical Health

Sleep Health

Hiscock et al. (2002), Australia [41]

Infant sleep education

6–12 months PN

(8.9 months intervention, 8.6 months control)

Intervention

34.1 ± 3.6

Control

33.3 ± 5.6

Not reported

66% college/university

77%

Not reported

Not reported

Mental Health

Physical Health

Sleep Health

Hiscock et al. (2007), Australia [48]

Infant sleep education

7–12 months PN

(7.3 months intervention, 7.4 months control)

Intervention

32.8 ± 4.3

Control

33.2 ± 4.8

47%

17% did not finish high school

32% high school

51% college/university

97%

18% low deprivation

44% medium deprivation

21% high deprivation

80% Australian/New Zealand born

(race/ethnicity not reported)

Mental Health

Physical Health

Sleep Health

Kempler et al. (2020), Australia [49]

Infant and maternal sleep education

28–40 weeks GE

(mean not reported)

Intervention

33.3 ± 4.0

Control

33.3 ± 4.0

100%

9% high school or diploma

91% college/university

Not reported

Not reported

67% Australian/New Zealand born

33% Other (not specified

(race/ethnicity not reported)

Mental Health (no history of major depression)

Physical Health

Sleep Health

Kubo et al. (2021), USA [50]

Mindfulness

9–30 weeks GE (17 weeks)

31.0 yrs.

(SD not reported)

70%

11% high school or less

22% some college

67% college graduated

77%

20% Medicaid recipient

59% White

15% Hispanic

11% African-American

4% Asian

11% Other

Mental Health (PHQ-9 = 10 to 19)

Physical Health

Sleep Health

Ladyman et al. (2020) New Zealand [29]

Maternal sleep education

0–14 weeks GE (11.5 weeks)

Intervention

31.5 ± 5.2

Control

31.4 ± 5.1

100%

7% high school

93% college/university

Not reported

Not reported

100% White

Mental Health (previous history but not current)

Physical Health

Sleep Health (no diagnosed sleep disorder)

Lee et al. (2013), USA [51]

Bright Light Therapy

5–10 days PN

(mean gestational age of infants when born was 28 weeks)

26.6 ± 6.4

Not reported

Not reported

57%

Not reported

73% Black

13% White

10% Hispanic

Mental Health (no affective illness)

Physical Health

Sleep Health (no diagnosed sleep disorder, shift work or sleep medications)

Lewis et al. (2014), USA [52]

Physical activity

0–8 weeks PN (6 weeks)

31.5 ± 5.0

24%

69% college/university graduated

82%

Not reported

82% White

7% African-American

11% Other

Mental Health (previous history but not current)

Physical Health (no hypertension, diabetes, musculoskeletal problems, asthma or any other condition making exercise unsafe)

Sleep Health

Liu et al (2016), Taiwan [53]

Music therapy

18–34 weeks GE

(mean not reported)

Not reported

55%

10% less than senior high school

90% more than senior high school

Not reported

65% high class

28% middle class

7% low class

Not reported

Mental Health

Physical Health

Sleep Health (PSQI > 5)

Liu et al. (2021), Taiwan [54]

Physical activity

6 weeks PN

Intervention

32.2 ± 3.4

Control

33.0 ± 3.3

58%

14% high school

64% college/university

23% graduate

Not reported

52% high

38% middle

10% low

Not reported

Mental Health

Physical Health

Sleep Health (PSQS ≥16)

Liu et al. (2021), China [31]

CBT

Newly delivered, (week not specified)

Intervention

26.9 ± 4.1

Control

27.3 ± 4.6

Not reported

19% junior high school or less

61% senior high school or polytechnic

20% college or above

Not reported

Not reported

Not Reported

Mental Health (EPDS ≥9 and < 13, but no history)

Physical Health

(no serious underlying disease or severe postpartum complications)

Sleep Health

Manber et al. (2019), USA [30]

CBT

18–32 weeks GE (25 weeks)

Intervention

33.4 ± 5.2

Control

32.6 ± 4.9

57%

Not reported

Not reported

Not reported

48% White

3% African American

15% Asian

28% Other

6% Unknown

  Mental Health (no major depressive, bipolar, panic, posttraumatic stress disorder or thought disorders)

Physical Health

Sleep Health (DSM-V criteria for insomnia but no other comorbid sleep disorders and not taking medications or having treatment)

Mendelson et al. (2018), USA [55]

Mindfulness

Newly delivered (NICU) at 24–39 weeks gestation

(mean 31 weeks gestation)

31.0 ± 5.4

Not reported

25% high school

17% some college

8% college associate

17% college graduate

33% graduate school

78%

Not reported

42% African-American

54% White

4% Asian/Pacifica

Mental Health

Physical Health

Sleep Health

Mindell et al. (2018), USA [56]

Massage

3–18 months PN

(9 months)

30.6 ± 5.2

Not reported

Not reported

Not reported

Not reported

Not Reported

Mental Health

Physical Health (no current acute or chronic illness)

Sleep Health

Ozcan et al. (2020), Turkey [57]

Breastfeeding, personal hygiene, fatigue, sleep, nutrition and Pilates exercises

Newly delivered, (week not specified)

Intervention

25.2 ± 4.0

Control

25.1 ± 4.5

100%

16% primary school

32% high school

52% college/university

Not reported

Not reported

Not reported

Mental Health

Physical Health

Sleep Health

Parry et al. (2019), USA [58]a

Sleep Restriction

≤34 weeks GE & 0–52 weeks PN (mean not reported)

Not reported

Not reported

Not reported

Not reported

Not reported

Not reported

Mental Health (no bipolar or primary anxiety disorders)

Physical Health (no significant medical illness or medication)

Sleep Health

Rouzafzoon et al. (2021), Iran [59]

Infant sleep education

2–4 months PN

(3.2 months intervention, 2.8 months control)

Intervention

30.2 ± 4.6

Control

29.1 ± 2.2

52%

26% primary or high school

74% college/university

Not reported

28% high

67% middle

4% low

Not reported

Mental Health (no diagnosis of depression

Physical Health (no uncontrolled chronic disease

Sleep Health (no diagnosed sleep disorder)

Skouteris et al. (2016), Australia [60]

Health coaching

0–18 weeks GE (16 weeks)

Intervention

31.4 ± 4.9

Control

31.6 ± 4.5

43%

11% high school

89% college/university

92%

Not reported

69% Australian/New Zealander

18% Asian

10% European

2% American

1% African/middle Eastern

Mental Health

Physical Health

Sleep Health

Smart et al. (2007), Australia [61]

Infant sleep education

2–30 weeks PN (15 weeks)

32.6 ± 4.3

65%

92% high school

48% college/university

97%

Not reported

77% Australian/New Zealander (race/ethnicity not reported)

Mental Health

Physical Health

Sleep Health

Stremler et al. (2006), Canada [62]

Infant and maternal sleep education

Newly delivered

(week not specified

Intervention

31.1 ± 3.5

Control

32.6 ± 3.5

100%

7% secondary/high school

93% college/university

100%

Not reported

77% White

17% Asian

3% Hispanic

3% Other

Mental Health

Physical Health (no poorly controlled chronic illness)

Sleep Health (no diagnosed sleep disorders or sleep medications)

Stremler et al. (2013), Canada [63]

Infant and maternal sleep education

Newly delivered

(mean 1 day postnatal)

Intervention

32.6 ± 5.0

Control

31.8 ± 4.9

100%

2% primary school

7% high school

91% college/university

97%

Not reported

63% White

20% Asian

7% Black

5% Mixed

3% Hispanic

2% Other

Mental Health

Physical Health (no poorly controlled chronic illness or postpartum complications)

Sleep Health (no diagnosed sleep disorders or sleep medications)

Sun et al. (2021), China [64]

Mindfulness

12–20 weeks GE (14 weeks)

29.9 ± 4.0

65%

15.4 yrs. year of schooling (mean)

100%

Not reported

99% Han

1% Hui

Mental Health (EPDS > 9 or PHQ-9 > 4 but no/low suicide risk or other psychiatric disorder and no psychiatric medication or treatment)

Physical Health

Sleep Health

Swanson et al. (2013), USA [65]

CBTi

0–12 months PN (6 months)

30.0 ± 7.0

Not reported

42% some college

42% college graduate

17% postgraduate

83%

Not reported

67% White

17% African-American

8% Native American

8% Multiracial

Mental Health (MINI = MDD and EPDS> 11 but no other psychiatric disorders)

Physical Health

Sleep Health (ISI > 7, daytime impairment, TWT-N= > 60 min 3 nights/week for at least 1 month)

Swanson et al. (2018), USA [66]

Bright Light Therapy

0–6 months PN (14 weeks)

32.3 ± 3.3

Not reported

20% some college

80% bachelor’s degree or higher

90%

Not reported

80% White

20% African-American

Mental Health (DSM-V = MDD and SIGH-SAD ≥20 but no other psychiatric disorders)

Physical Health

Sleep Health (ISI > 7)

Teychenne et al. (2020), Australia [67]

Physical activity

3–9 months PN

(mean not reported)

Intervention

33.6 ± 3.7

Control

33.0 ± 3.7

Not reported

26% no tertiary education

74% tertiary education

97%

Not reported

Not reported

Mental Health (EPDS ≥10, but not taking antidepressants)

Physical Health

Sleep Health

Tomfohr-Madsen et al. (2017), Canada [68]

CBTi

12–28 weeks GE (19 weeks)

31.0 ± 3.7

62%

69% bachelor degree or higher

100%

Not reported

77% White

Mental Health (no bipolar or psychotic disorders and no antidepressant or hypnotic medications)

Physical Health

Sleep Health (ISI > 12, but no OSA or RLS)

Wilson et al. (2019), Australia [69]

Infant sleep education

3–23 months PN

(9 months)

34.5 ± 4.2

54%

88% tertiary degree or higher

90%

Not reported

Not reported

Mental Health

Physical Health

Sleep Health

Wilson et al. (2019), Australia [70]

Infant sleep education

3–23 months PN

(9 months)

*Note: Same sample as above

Mental Health

Physical Health

Sleep Health

Xue et al. (2020), China [71]

Magnolia tea

Newly delivered

(week not specified

25.4 ± 4.6

80%

28% high school or less

56% college/university

16% graduate school

95%

Not reported

Not Reported

Mental Health

Physical Health

Sleep Health (PSQS ≥16)

Yang et al. (2018), Taiwan [72]

Physical activity

6 weeks PN

31.9 yrs.

(SD not reported)

67%

10% high school

71% college/university

19% graduate school

Not reported

50% high

43% middle

7% low

Not Reported

Mental Health

Physical Health

Sleep Health

Zhao et al. (2017), China [73]

Maternal mental health education

0–28 weeks GE

(21 weeks intervention, 22 weeks control)

Intervention

30.4 ± 3.6

Control

30.6 ± 3.9

100%

2% elementary school or lower

8% middle school

31% vocational college

59% college/university

Not reported

Not reported

Not Reported

Mental Health (EPDS ≥9 or PDSS ≥60 but not MDD)

Physical Health (obstetric complication)

Sleep Health

Zhao et al. (2020), China [74]

Maternal mental health education

28–35 weeks GE (30 weeks)

Intervention

30.7 ± 3.4

Control

30.0 ± 3.2

100%

10% middle school or lower

22% vocational college

51% college/university degree

17% masters degree or above

100%

Not reported

Not Reported

Mental Health (EPDS ≥9 but not MDD)

Physical Health

Sleep Health

  1. DSM-IV Diagnostic and Statistical Manual of Mental Disorders, fourth edition, DSM-V Diagnostic and Statistical Manual of Mental Disorders, fifth edition, EPDS Edinburgh Postnatal Depression Scale, ISI Insomnia Severity Index, MADRS-S Montgomery-Åsberg Depression Rating Scale - self report, MINI Mini-International Neuropsychiatric Interview, MDD Major Depressive Disorder, OSA Obstructive Sleep Apnea, PDSS Postpartum Depression Screen Scale, PHQ-9 9-item Patient Health Questionnaire, PSQI 19-item Pittsburgh Sleep Quality Inventory, PSQS 14-item Postpartum Sleep Quality Scale, RLS Restless Leg Syndrome, SIGH-SAD Structured Interview Guide for the Hamilton Depression Rating, TWT-N Total Wake Time Nocturnal