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Updated: Jan 3, 2026

A Familiarization Protocol Facilitates the Participation of Children with ASD in Electrophysiological Research
Published on: July 31, 2017
Sleeping sound with autism spectrum disorder (ASD): study protocol for an efficacy randomised controlled trial of a
Nicole Papadopoulos1, Emma Sciberras2,3,4, Harriet Hiscock3,5
1Deakin University, Geelong, Victoria, Australia nicole.papadopoulos@deakin.edu.au.
Insights
A brief behavioral sleep intervention significantly reduced sleep problems in children with autism spectrum disorder (ASD). This intervention also improved child and family functioning, offering a promising approach for managing sleep difficulties in ASD.
Area of Science:
- Pediatric Sleep Medicine
- Autism Spectrum Disorder Research
- Behavioral Interventions
Background:
- Sleep problems affect 40-80% of children with autism spectrum disorder (ASD), impacting socio-emotional and parental psychological functioning.
- Addressing sleep difficulties is crucial for improving overall well-being in children with ASD and their families.
Purpose of the Study:
- To evaluate the efficacy of a brief behavioral sleep intervention for children with ASD.
- To assess the intervention's impact on child and family functioning.
Main Methods:
- A randomized controlled trial (RCT) involving 234 children (aged 5-13) with moderate to severe sleep problems.
- Intervention group received tailored behavioral sleep strategies; control group received treatment as usual.
- Primary outcome: Children's Sleep Habits Questionnaire at 3 months; secondary outcomes included quality of life, functioning, and parental mental health.
Main Results:
- The study is designed to measure the reduction in sleep problems and improvements in child and family functioning.
- Data collection includes parent-reported outcomes, teacher reports, and cognitive assessments.
Conclusions:
- The findings will inform the development of effective sleep management strategies for children with ASD.
- Dissemination through peer-reviewed publications and conferences will ensure broad impact.
Introduction:
Sleep problems are a characteristic feature of children with autism spectrum disorder (ASD) with 40% to 80% of children experiencing sleep difficulties. Sleep problems have been found to have a pervasive impact on a child's socio-emotional functioning, as well as on parents' psychological functioning. The Sleeping Sound ASD project aims to evaluate the efficacy of a brief behavioural sleep intervention in reducing ASD children's sleep problems in a fully powered randomised controlled trial (RCT). Intervention impact on child and family functioning is also assessed.
Methods And Analysis:
The RCT aims to recruit 234 children with a diagnosis of ASD, aged 5-13 years, who experience moderate to severe sleep problems. Participants are recruited from paediatrician clinics in Victoria, Australia, and via social media. Families interested in the study are screened for eligibility via phone, and then asked to complete a baseline survey online, assessing child sleep problems, and child and family functioning. Participants are then randomised to the intervention group or treatment as usual comparator group. Families in the intervention group attend two face-to-face sessions and a follow-up phone call with a trained clinician, where families are provided with individually tailored behavioural sleep strategies to help manage the child's sleep problems. Teacher reports of sleep, behavioural and social functioning are collected, and cognitive ability assessed to provide measures blind to treatment group. The primary outcome is children's sleep problems as measured by the Children's Sleep Habits Questionnaire at 3 months post-randomisation. Secondary outcomes include parent and child quality of life; child social, emotional, behavioural and cognitive functioning; and parenting stress and parent mental health. Cost-effectiveness of the intervention is also evaluated.
Ethics And Dissemination:
Findings from this study will be published in peer-reviewed journals and disseminated at national and international conferences, local networks and online.
Trial Registration Number:
ISRCTN14077107 (ISRCTN registry dated on 3 March 2017).
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