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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.
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.
Introduction And Objectives:
Children with attention deficit hyperactivity disorder (ADHD) have an increased risk of sleep problems. Weighted blankets are one possible non-pharmacological intervention for these problems in this group of children. However, the effectiveness of weighted blankets is insufficiently investigated. This study aims to investigate the effectiveness of weighted blankets in terms of sleep, health-related outcomes and cost-effectiveness as well as to explore children's and parents' experiences of a sleep intervention with weighted blankets.
Methods And Analysis:
This study is a randomised placebo-controlled crossover trial comparing the effect of weighted fibre blankets (active) with fibre blankets without weight (control). Children aged 6-13 years, recently diagnosed with uncomplicated ADHD with verified sleep problems, were included in the study. The study period is 4 weeks for each condition, respectively, and then an 8-week follow-up. A total of 100 children diagnosed with ADHD and sleep problems will enter the study. The primary outcomes are sleep and cost per quality-adjusted life years. The secondary outcomes are health-related quality of life, ADHD symptoms, psychological distress and anxiety. Interviews with a subsample of the participating children and parents will be conducted for exploring the experiences of the intervention.
Ethics And Dissemination:
Ethical approval of the trial has been obtained from the Swedish Ethical Review Authority (number 2019--2158) and conforms to the principles outlined in the Declaration of Helsinki (WMA, 2013). Results will be reported as presentations at peer-review conferences, in articles in peer-review journals and meetings with healthcare providers.
Trial Registration Number:
NCT04180189.
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