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Evaluation of an Internet-Based Behavioral Intervention to Improve Psychosocial Health Outcomes in Children With

Penny V Corkum1,2,3, Graham J Reid4,5,6,7, Wendy A Hall8

  • 1Department of Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada.

JMIR Research Protocols
|March 28, 2018
PubMed

Insights

A new internet-based program, Better Nights, Better Days (BNBD), aims to treat childhood insomnia. This randomized controlled trial will assess its effectiveness in improving sleep and daytime functioning for children and parents.

Area of Science:

  • Pediatric sleep medicine
  • Digital health interventions
  • Behavioral sleep medicine

Background:

  • Childhood insomnia affects up to 25% of children aged 1-10 years, impacting behavior, mood, attention, and learning.
  • Despite effective behavioral treatments, access is limited due to resource shortages.
  • The Better Nights, Better Days (BNBD) program offers an accessible eHealth solution for parents.

Purpose of the Study:

  • To evaluate the effectiveness of the BNBD internet-based program in treating insomnia in children aged 1-10 years.
  • To assess the impact of the intervention on children's sleep and daytime functioning, as well as parental daytime functioning.

Main Methods:

  • A 2-arm randomized controlled trial (RCT) involving 500 primary caregivers of children with insomnia in Canada.
  • Participants are assigned to either the BNBD intervention group or a usual care group.
  • The BNBD program is a fully automated, evidence-based intervention.

Main Results:

  • The study will assess the effects of the BNBD intervention at 4 and 8 months post-randomization.
  • Outcomes include objective sleep measures (actigraphy, sleep diary) and subjective reports of children's and parents' daytime functioning.
  • Results will adhere to Consolidated Standards of Reporting Trials (CONSORT) guidelines.

Conclusions:

  • If proven effective, the BNBD program will be commercialized for widespread, low-cost availability to families with internet access.
  • This initiative aims to improve access to evidence-based insomnia treatment for children.
  • The study seeks to provide a sustainable solution for childhood insomnia management.
Abstract

Keywords:
InternetchildreneHealthinsomniarandomized controlled trialsleeptreatment

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