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Study protocol: the sleeping sound with attention-deficit/hyperactivity disorder project
Emma Sciberras1, Daryl Efron, Bibi Gerner
1Centre for Community Child Health, Murdoch Childrens Research Institute, Royal Children’s Hospital, Flemington Road, Parkville, Victoria, Australia.
Insights
This study investigates a behavioral sleep program for children with Attention-Deficit/Hyperactivity Disorder (ADHD) and sleep problems. The program aims to improve sleep and ADHD symptoms, offering a non-pharmacological treatment option.
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.
Background:
Up to 70% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience sleep problems including difficulties initiating and maintaining sleep. Sleep problems in children with ADHD can result in poorer child functioning, impacting on school attendance, daily functioning and behaviour, as well as parental mental health and work attendance. The Sleeping Sound with ADHD trial aims to investigate the efficacy of a behavioural sleep program in treating sleep problems experienced by children with ADHD. We have demonstrated the feasibility and the acceptability of this treatment program in a pilot study.
Methods/Design:
This randomised controlled trial (RCT) is being conducted with 198 children (aged between 5 to 12 years) with ADHD and moderate to severe sleep problems. Children are recruited from public and private paediatric practices across the state of Victoria, Australia. Upon receiving informed written consent, families are randomised to receive either the behavioural sleep intervention or usual care. The intervention consists of two individual, face-to-face consultations and a follow-up phone call with a trained clinician (trainee consultant paediatrician or psychologist), focusing on the assessment and management of child sleep problems. The primary outcome is parent- and teacher-reported ADHD symptoms (ADHD Rating Scale IV). Secondary outcomes are child sleep (actigraphy and parent report), behaviour, daily functioning, school attendance and working memory, as well as parent mental health and work attendance. We are also assessing the impact of children's psychiatric comorbidity (measured using a structured diagnostic interview) on treatment outcome.
Discussion:
To our knowledge, this is the first RCT of a behavioural intervention aiming to treat sleep problems in children with ADHD. If effective, this program will provide a feasible non-pharmacological and acceptable intervention improving child sleep and ADHD symptoms in this patient group.
Trial Registration:
Current Controlled Trials ISRCTN68819261. ISRCTN: ISRCTN68819261.
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