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Efficacy of auricular plaster therapy for sleep disorders in preschool children with autism spectrum disorders: Study
Duoxi Duan1, Lin He2, Hong Chen1
1Department of Integrated Traditional Chinese and Western Medicine, The Second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, China.
Insights
This study investigates auricular plaster therapy (APT) for sleep disorders in children with autism spectrum disorder (ASD). Results may offer a new treatment alternative for this common comorbidity.
Area of Science:
- Pediatric Sleep Medicine
- Autism Spectrum Disorders Research
- Complementary and Alternative Medicine
Background:
- Sleep disorders are highly prevalent in children with autism spectrum disorders (ASDs).
- Current clinical treatments for sleep disturbances in ASD lack proven safety and efficacy.
- There is a significant need for novel therapeutic interventions for pediatric ASD-related sleep issues.
Purpose of the Study:
- To evaluate the clinical effectiveness of auricular plaster therapy (APT) for treating sleep disorders in children diagnosed with ASD.
- To determine if APT offers a safe and viable treatment option for improving sleep in this population.
Main Methods:
- A single-center, patient-assessor blind, randomized controlled trial involving 44 preschool children with ASD and sleep disorders.
- Participants were randomized to receive either active APT or sham APT for 30 sessions over 30 days.
- Primary outcome measured by the Children's Sleep Habits Questionnaire (CSHQ); secondary outcomes include the Autism Behavior Checklist (ABC) and polysomnography (PSG).
Main Results:
- Data collection included assessments at multiple time points up to 120 days post-randomization.
- Polysomnography was used to objectively measure sleep parameters like total sleep time and sleep latency.
- Analysis focused on changes in CSHQ and ABC scores, alongside PSG data, to determine treatment efficacy.
Conclusions:
- The study aims to provide evidence regarding the efficacy of APT in managing sleep disorders in children with ASD.
- Findings could introduce APT as a potential new therapeutic avenue for addressing sleep problems in this vulnerable group.
Background:
Children with autism spectrum disorders (ASDs) suffer from sleep disorders to a considerable degree; however, there is no safe and effective treatment available in clinical practice. The objective of the trial is to assess the clinical effectiveness of auricular plaster therapy (APT) in treating sleep disorders in children with ASD.
Method:
This is a single-center, patient-assessor blind, randomized controlled trial. A total of 44 preschool children with sleep disorders with ASD will be included in this study. Eligible participants will be randomly assigned to either the auricular plaster group or the sham auricular plaster group in a 1:1 ratio. Participants in the different groups will receive APT or sham APT, respectively, for a total of 30 sessions over 30 days. The primary outcome includes the Children's Sleep Habits Questionnaire (CSHQ), while secondary outcomes include the Autism Behavior Checklist (ABC) and polysomnography (PSG) for total sleep time, sleep latency, awakening duration, and sleep structures. The CSHQ and ABC will be assessed at baseline, 10, 20, 30, 60, 90, and 120 days after randomization, whereas PSG will be assessed at baseline and 30 days after randomization. The follow-up period will be scheduled to be 60, 90, and 120 days after randomization.
Discussion:
The results of this study may provide evidence of the efficacy of APT, as well as offer new alternatives for the treatment of sleep disorders in children with ASD.
Trial Registration:
CHiCTR.org.cn (ChiCTR2100048257). Registered on July 5, 2021.
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