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Published on: July 31, 2017
Effects of a standardized pamphlet on insomnia in children with autism spectrum disorders
Karen W Adkins1, Cindy Molloy, Shelly K Weiss
1Sleep Disorders Division, Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA.
Insights
A sleep education pamphlet did not improve insomnia in children with autism spectrum disorders (ASDs). Parents found the information helpful but desired practical examples for implementation.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
Background:
- Sleep difficulties are a significant concern for children with autism spectrum disorders (ASDs).
- Parents frequently seek medical help for insomnia in children with ASDs.
Purpose of the Study:
- To evaluate the effectiveness of a standalone sleep education pamphlet in managing childhood insomnia.
- To determine if a pamphlet alone could reduce sleep latency in children with ASDs.
Main Methods:
- Thirty-six children (ages 2-10) with ASD and prolonged sleep latency (≥30 minutes) were enrolled.
- Parents were randomized to receive a sleep education pamphlet or no intervention.
- Sleep latency was measured using actigraphy before and 2 weeks after intervention.
Main Results:
- No statistically significant difference in the mean change of sleep-onset latency was observed between the pamphlet and no-intervention groups.
- Parents reported the pamphlet's information was good but lacked practical application examples.
Conclusions:
- A sleep education pamphlet, used alone, did not demonstrate efficacy in improving sleep latency for children with ASDs.
- Future interventions may benefit from incorporating practical, actionable strategies alongside educational materials.
Objective:
Sleep difficulties are common reasons why parents seek medical intervention in children with autism spectrum disorders (ASDs). We determined whether a pamphlet alone could be used by parents to help their child's insomnia.
Methods:
Thirty-six children with ASD, ages 2 to 10 years, were enrolled. All had prolonged sleep latency confirmed by actigraphy showing a mean sleep latency of 30 minutes or more. Parents were randomly assigned to receive the sleep education pamphlet or no intervention. Children wore an actigraphy device to record baseline sleep parameters, with the primary outcome variable being change in sleep latency. Actigraphy data were collected a second time 2 weeks after the parent received the randomization assignment and analyzed by using Student's t test. Parents were also asked a series of questions to gather information about the pamphlet and its usefulness.
Results:
Although participants randomized to the 2 arms did not differ statistically in age, gender, socioeconomic status, total Children's Sleep Habits Questionnaire score, or actigraphy parameters, some differences may be large enough to affect results. Mean change in sleep-onset latency did not differ between the randomized groups (pamphlet versus no pamphlet). Parents commented that the pamphlet contained good information, but indicated that it would have been more useful to be given specific examples of how to take the information and put it into practice.
Conclusions:
A sleep education pamphlet did not appear to improve sleep latency in children with ASDs.
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