0189 Integrating Healthy Sleep Into A Self-compassion And Care Toolkit For Caregivers With Integral Feedback From Peer Navigators

Abstract

Introduction: One in ten grandparents live with their grandchildren (GRG). Our previous work demonstrated GRG suffer higher rates of sleep problems and sleep aid use than those not providing care to children. The recent passage of the Family First Prevention Services Act (2018) made kinship navigator programs a new federally reimbursable program for GRGs. To improve the evidence-base for this new health program, we worked with peer navigators, those who were also caregiving for their own grandchildren, to design a sleep and self-compassion and care toolkit called Time for Me (TFM). Method(s): Using a Community Based Participatory Research (CBPR) approach, researchers, program administrators, and peer navigators met biweekly over the course of twelve months to co-develop a sleep health and self-compassion and self-care toolkit (TFM). Adding sleep to other well established self-care pillars, the CBPR team used qualitative content analysis and quantitative surveys to pilot test each pillar to determine which were especially important for 25 GRGs. ANOVA was used to determine how different sleep prioritization in self-care and self-efficacy were compared to other self care strategies for GRGs. Result(s): Qualitative content analysis revealed that including peer in the development of intervention is critical to understanding how to incorporate sleep into the self-care model. Additionally, self-compassion was identified as an essential component, because it allowed caregivers an opportunity to give themselves permission to focus on sleep. Descriptive baseline results from 25 middle- aged (m=48 years), single (68.6%), African-American (52%), low income (m=$21,000) grandparents (92% female) participants reported that although sleep was the most important pillar of selfcare, caregivers reported that they were the least self-efficacious at healthy sleep [F(1, 24) = 4.96, p =