Study protocol: the sleeping sound with attention-deficit/hyperactivity disorder project.

Area of Science:

• Pediatric Sleep Medicine
• Child Psychology
• Behavioral Interventions

Background:

• Up to 70% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience significant sleep problems.
• Sleep difficulties in children with ADHD negatively impact daily functioning, school attendance, behavior, and parental well-being.
• Previous pilot studies indicate the feasibility and acceptability of a behavioral sleep program for this population.

Purpose of the Study:

• To investigate the efficacy of a behavioral sleep program in treating sleep problems in children with ADHD.
• To assess the program's impact on ADHD symptoms, sleep quality, behavior, and daily functioning.
• To provide a feasible, non-pharmacological intervention for improving sleep and ADHD symptoms.

Main Methods:

• A randomized controlled trial (RCT) involving 198 children (5-12 years) with ADHD and moderate to severe sleep problems.
• Families were randomized to a behavioral sleep intervention (two consultations, one phone call) or usual care.
• Primary outcome: parent- and teacher-reported ADHD symptoms. Secondary outcomes: child sleep, behavior, functioning, school attendance, working memory, and parental mental health.

Main Results:

• This section is not available in the provided abstract.

Conclusions:

• This is the first RCT evaluating a behavioral intervention for sleep problems in children with ADHD.
• If proven effective, the program offers a feasible and acceptable non-pharmacological approach.
• The intervention has the potential to improve sleep and reduce ADHD symptoms in affected children.