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Better Nights/Better Days-Distance Intervention for Insomnia in School-Aged Children With/Without ADHD: A Randomized

Penny Corkum1, Patricia Lingley-Pottie2, Fiona Davidson3

  • 1Department of Psychology and Neuroscience, Department of Psychiatry, Department of Pediatrics, Dalhousie University, penny.corkum@dal.ca.

Journal of Pediatric Psychology
|May 19, 2016
PubMed

Insights

The Better Nights/Better Days program effectively reduced sleep problems and improved psychosocial functioning in school-aged children, including those with attention-deficit/hyperactivity disorder (ADHD). This accessible intervention shows promise for childhood insomnia.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Behavioral Health Interventions

Background:

  • Childhood insomnia is prevalent and impacts psychosocial functioning.
  • Effective, accessible interventions are needed for school-aged children with and without ADHD.

Purpose of the Study:

  • To evaluate the effectiveness of the Better Nights/Better Days distance intervention for childhood insomnia.
  • To assess impacts on sleep and psychosocial functioning in children with and without ADHD.

Main Methods:

  • A randomized controlled trial with parents randomized to intervention or waitlist control.
  • Utilized phone-administered questionnaires and actigraphy at baseline, 2 months, and 6 months.
  • Intervention involved a five-session manual and weekly telephone coaching.

Main Results:

  • Significant reductions in sleep problems and improved psychosocial functioning were observed post-intervention and at follow-up.
  • Actigraphy showed improved sleep onset but not sleep duration.
  • Children with and without ADHD showed similar positive responses; parent satisfaction was high.

Conclusions:

  • The Better Nights/Better Days program is a promising, accessible, and sustainable intervention for childhood insomnia.
  • The intervention effectively addresses sleep issues and improves psychosocial well-being in school-aged children.
  • The findings support the use of this program for children with and without ADHD.
Abstract

Keywords:
ADHDchildreninterventionparaprofessionalsservice deliverysleeptelephonetreatment barriers

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