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Associations Among Behavioral Sleep Disturbance, Family Functioning, and Controller Medication Adherence in Children

Jennifer T Sonney1, Chris Segrin, Teresa M Ward

  • 1*Department of Family and Child Nursing, School of Nursing, University of Washington, Seattle, WA; †Department of Communication, University of Arizona, Tucson, AZ.

Journal of Developmental and Behavioral Pediatrics : JDBP
|March 24, 2017
PubMed

Insights

Child sleep disturbances negatively impact family functioning, which in turn affects asthma medication adherence in children. Behavioral sleep interventions may improve adherence by enhancing family dynamics.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Behavioral Pediatrics

Background:

  • Persistent asthma affects school-aged children, requiring consistent controller medication adherence.
  • Child sleep disturbances are common and can impact overall family functioning.
  • The relationship between sleep, family dynamics, and asthma management remains an area for investigation.

Purpose of the Study:

  • To investigate the associations among child sleep disturbances, family functioning, and asthma controller medication adherence.
  • To explore the mediating role of family functioning in the relationship between sleep disturbances and medication adherence.

Main Methods:

  • A study involving 34 school-aged children (6-11 years) with persistent asthma and their parents.
  • Independent reports on asthma control, controller medication adherence, family functioning (behavior control), and child sleep disturbances (bedtime resistance, daytime sleepiness).
  • Hierarchical linear regression and mediation models were used to analyze the data.

Main Results:

  • Despite adequate sleep duration, 73% of children experienced clinically significant sleep disturbances.
  • Bedtime resistance significantly predicted family behavior control, accounting for 32% of the variance.
  • Family behavior control mediated the link between sleep disturbance and medication adherence for both parent and child reports.

Conclusions:

  • Childhood behavioral sleep disturbances significantly impact family behavior control.
  • Compromised family functioning due to sleep issues indirectly affects asthma controller medication adherence.
  • Behavioral sleep interventions targeting family functioning may enhance adherence in children with asthma.
Abstract

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