An eHealth insomnia intervention for children with neurodevelopmental disorders: Results of a usability study
Kim M Tan-MacNeill1, Isabel M Smith2, Shelly K Weiss3
1Department of Psychology & Neuroscience, Dalhousie University, Canada.
Insights
Parents found the online Better Nights, Better Days (BNBD) intervention usable and feasible for children with neurodevelopmental disorders (NDD). Modifications are suggested to enhance its suitability for this population.
Area of Science:
- Pediatric Sleep Medicine
- Neurodevelopmental Disorders
- Digital Health Interventions
Background:
- Sleep problems, especially insomnia, are common in children with neurodevelopmental disorders (NDD), impacting their health and development.
- eHealth interventions offer a scalable solution to improve access to evidence-based insomnia care for children with NDD.
- The Better Nights, Better Days (BNBD) is an existing online, parent-implemented program for pediatric insomnia.
Purpose of the Study:
- To assess the usability, acceptability, and feasibility of the original BNBD intervention for parents of children with NDD.
- To identify necessary modifications for adapting BNBD for children with NDD.
Main Methods:
- Twenty Canadian parents/caregivers of children aged 4-10 years with NDD and insomnia participated.
- Parents implemented the BNBD intervention with their children.
- Usability questionnaires were analyzed using descriptive statistics and thematic analysis.
Main Results:
- Parents reported the BNBD intervention as usable, useful, acceptable, and feasible.
- Several modifications were suggested to improve the intervention's appropriateness and acceptability for children with NDD.
Conclusions:
- The findings support a transdiagnostic approach to treating sleep issues in children with NDD.
- Results will guide the development of a tailored BNBD for Children with Neurodevelopmental Disorders (BNBD-NDD).
Background:
Sleep problems, particularly insomnia, are highly prevalent in children with neurodevelopmental disorders (NDD) and can negatively affect health and development. eHealth interventions may increase access to evidence-based care for insomnia for children with NDD, as programs are rare in most communities. Better Nights, Better Days (BNBD) is an online, parent-implemented intervention for pediatric insomnia in typically developing 1- to 10-year-olds.
Aims:
The present study examined whether parents of children with NDD perceived the original BNBD to be usable, acceptable, and feasible, and what modifications might be necessary to adapt it for children with NDD.
Methods And Procedures:
Twenty Canadian parents/caregivers of children aged 4-10 years with NDD and insomnia implemented the BNBD intervention with their children, and completed usability questionnaires. Questionnaire data were analyzed quantitatively (descriptive statistics) and qualitatively (thematic analysis).
Outcomes And Results:
Participants reported the intervention to be usable, useful, acceptable, and feasible. Several modifications were suggested to make the intervention more appropriate and acceptable for use with children with NDD.
Conclusions And Implications:
Results support a largely transdiagnostic approach to treating sleep in children with NDD, and will inform the development of BNBD for Children with Neurodevelopmental Disorders (BNBD-NDD).
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