Sleep problems and solution seeking for children with cerebral palsy and their parents
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Published on: February 2, 2024
Sacha Petersen1,2,3,4, Kate L Francis5, Dinah S Reddihough1,2,3
1Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.
Insights
Sleep problems are prevalent in children with cerebral palsy (CP) and their parents. Seeking help for these issues often proves unsuccessful, highlighting a need for better solutions.
Area of Science:
- Pediatric Neurology
- Sleep Medicine
- Rehabilitation Medicine
Background:
- Sleep problems are frequently observed in school-aged children with cerebral palsy (CP).
- Sleep disturbance and deprivation significantly impact affected children and their families.
- Research addressing sleep issues in pediatric CP is limited.
Purpose of the Study:
- To determine the prevalence of sleep problems in children with CP and their parents.
- To explore parental experiences when seeking healthcare professional assistance for their child's sleep difficulties.
Main Methods:
- A prospective cohort study was conducted.
- An online survey was distributed to parents/caregivers of children aged 6-12 years with CP.
- Validated sleep assessment tools and custom questions were utilized.
Main Results:
- Data from 126 parents/caregivers were analyzed.
- Nearly half (46%) of parents reported sleep problems in their children.
- Only 21 out of 64 parents who sought help found it successful; parental sleep issues correlated with child's sleep problems.
Conclusions:
- Sleep problems are common in children with CP and their parents.
- Parents may not always seek help, and successful interventions are not guaranteed.
- Further research is needed to effectively prioritize sleep problem management for children with CP and their families.
Aim:
Sleep problems are common in school-aged children with cerebral palsy (CP). Despite the significant impact of sleep disturbance and deprivation, there is a paucity of research in the area. The aims of this study were to (i) investigate the frequency of sleep problems in children with CP and their parents and (ii) understand what happens when parents ask for help with sleep problems from their health-care professionals.
Methods:
This was a prospective cohort study using an online survey sent to parents/primary care givers of children with CP aged 6-12 years recruited through the Victorian Cerebral Palsy Register. The following sleep assessment tools: The Children's Sleep Habits Questionnaire, the Pittsburgh Sleep Quality Index and the Gross Motor Function Classification System Parent Rating Tool were administered along with custom-designed questions that were informed by a preceding qualitative scoping study.
Results:
Complete data sets were received from 126 parents/care givers. Almost half (46%) of the parents reported their child had sleep problems. Of the 64 parents who reported seeking help for a child's sleep problem, only 21 indicated that their attempt was successful. If a child had poor sleep, the parent was more likely to have a sleep problem than parents who did not report poor child sleeping.
Conclusion:
Sleep problems are common in children with CP and their parents. Parents do not always seek help, and those who do may not find an effective solution. Future research should explore how sleep problems can be effectively prioritised for children with CP and their parents/care givers.
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