Effectiveness of an individualized multidisciplinary programme for managing unsettled infants

J Paediatr Child Health. 2002 Dec;38(6):563-7. doi: 10.1046/j.1440-1754.2002.00042.x.


Objective: To ascertain the effectiveness of an individualized multidisciplinary residential programme for managing young unsettled infants and whether changes in unsettled behaviour were maintained.

Methods: One hundred and nine clients of a Tresillian residential unit with singleton infants aged less than 20 weeks were studied before, during and after intervention. Mothers completed a 24 h infant activity record prior to admission, during the stay and 1 month after discharge. Intervention consisted of settling techniques, parent education, support and counselling.

Results: By day 4 of admission, the mean duration of unsettled (fussing, crying) behaviour had decreased significantly and mean sleeping time and awake/content times both increased significantly (P < 0.001). These changes were maintained 1 month after discharge. Changes in behaviour were particularly marked for very unsettled infants.

Conclusions: In the absence of formal controls, the individualized programme appears effective in managing the behaviour of unsettled infants.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Colic / prevention & control*
  • Crying
  • Family Nursing / methods*
  • Female
  • Humans
  • Infant
  • Maternal-Child Health Centers
  • New South Wales
  • Parenting*
  • Residential Facilities
  • Sleep