SLEEP: intervention with weighted blankets for children with attention deficit hyperactivity disorder (ADHD) and

Ingrid Larsson1,2,3, Katarina Aili4, Jens M Nygren4

  • 1School of Health and Welfare, Halmstad University, Halmstad, Sweden ingrid.larsson@hh.se.

BMJ Open
|January 5, 2022
PubMed

Insights

Weighted blankets may improve sleep for children with attention deficit hyperactivity disorder (ADHD). This study investigated their effectiveness and cost-effectiveness, offering insights into non-pharmacological sleep interventions.

Area of Science:

  • Pediatric Sleep Medicine
  • Neurodevelopmental Disorders
  • Non-pharmacological Interventions

Background:

  • Children with attention deficit hyperactivity disorder (ADHD) experience higher rates of sleep disturbances.
  • Weighted blankets are a potential non-pharmacological sleep aid for this population.
  • Existing research on weighted blanket effectiveness for pediatric ADHD sleep issues is limited.

Purpose of the Study:

  • To evaluate the efficacy of weighted blankets in improving sleep in children with ADHD.
  • To assess the cost-effectiveness of weighted blankets as a sleep intervention.
  • To explore the subjective experiences of children with ADHD and their parents regarding weighted blanket use.

Main Methods:

  • A randomized, placebo-controlled crossover trial involving 100 children (aged 6-13) with ADHD and diagnosed sleep problems.
  • Comparison between weighted fiber blankets (active) and non-weighted fiber blankets (control) over 4-week periods per condition, followed by an 8-week follow-up.
  • Primary outcomes included sleep parameters and cost per quality-adjusted life years; secondary outcomes covered quality of life, ADHD symptoms, distress, and anxiety. Qualitative interviews were also conducted.

Main Results:

  • Data analysis is pending, as the study is ongoing.
  • The study is designed to provide robust evidence on the effectiveness and cost-effectiveness of weighted blankets.
  • Qualitative data will offer insights into user satisfaction and adherence.

Conclusions:

  • The findings will inform clinical practice regarding non-pharmacological interventions for sleep problems in children with ADHD.
  • This research aims to establish the role of weighted blankets in managing pediatric ADHD-related sleep issues.
  • Results will contribute to understanding the patient-centered benefits and economic viability of this intervention.
Abstract

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