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Pilot Trial of a Sleep-Promoting Intervention for Children With Type 1 Diabetes

Sarah S Jaser1, Erin M Bergner1, Emily R Hamburger1

  • 1Department of Pediatrics, Vanderbilt University Medical Center.

Journal of Pediatric Psychology
|November 12, 2020
PubMed

Insights

The Sleep Coach Jr. intervention was feasible and acceptable for children with type 1 diabetes (T1D) and their parents. While not improving child outcomes, parental sleep quality and well-being saw improvements.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Behavioral Health

Background:

  • Type 1 diabetes (T1D) management in children requires consistent self-care, which can be impacted by sleep disturbances.
  • Poor sleep quality is common in children with T1D and can affect glycemic control and overall well-being.
  • There is a need for accessible interventions to improve sleep in this population.

Purpose of the Study:

  • To assess the feasibility and acceptability of the Sleep Coach Jr. intervention.
  • To evaluate the impact of an educational sleep-promoting intervention on school-aged children (5-9 years) with T1D and their parents.

Main Methods:

  • A randomized controlled trial involving 39 parent-child dyads.
  • Intervention group received educational materials and three phone calls; control group received standard care.
  • Objective sleep measures via actigraphy and subjective measures via parent questionnaires were collected at baseline and 3 months. Clinical data (HbA1c, glucose) were also obtained.

Main Results:

  • High feasibility and acceptability were demonstrated, with 80% of parents completing all intervention sessions and 90% completing follow-up.
  • Parents reported high satisfaction and identified participation barriers.
  • No significant changes were observed in children's sleep or diabetes outcomes, but parental sleep quality and well-being improved.

Conclusions:

  • The Sleep Coach Jr. intervention is a feasible and acceptable approach for school-aged children with T1D and their families.
  • Further research with a larger sample size is warranted to investigate the intervention's efficacy.
  • The intervention shows promise for improving parental well-being in the context of pediatric T1D.
Abstract

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