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Program to Support Child Sleep from the Occupational Therapy Perspective during the COVID-19 pandemic

Lorena Leive1, Daniela Melfi2, José Lipovetzky3

  • 1Universidad Nacional de Río Negro, San Carlos de Bariloche, Argentina.

Archivos Argentinos De Pediatria
|September 4, 2023
PubMed

Insights

The Program to Support Child Sleep from the Occupational Therapy Perspective (PASITO) intervention improved sleep in children with neurodevelopmental disorders (NDDs). This occupational therapy approach led to better sleep habits and duration for children experiencing insomnia.

Area of Science:

  • Pediatric Occupational Therapy
  • Child Neurodevelopmental Disorders
  • Sleep Medicine

Background:

  • Insomnia is prevalent in children with neurodevelopmental disorders (NDDs).
  • Occupational therapy offers a potential framework for addressing sleep disturbances in this population.
  • The Program to Support Child Sleep from the Occupational Therapy Perspective (PASITO) was developed to target these sleep issues.

Purpose of the Study:

  • To evaluate the interim effectiveness of the PASITO program.
  • To assess the impact of occupational therapy on sleep problems in children with NDDs and insomnia.

Main Methods:

  • A pre- and post-intervention quasi-experimental design was employed.
  • Involved an intervention group and a control group of children aged 3-10 years with NDDs.
  • Utilized the Sleep Habits Questionnaire (SHQ) and Consensus Sleep Diary (CSD) for data collection.

Main Results:

  • Significant improvement in overall SHQ scores for the intervention group (p < 0.001).
  • Intervention group scores moved closer to the established reference range.
  • CSD data indicated increased sleep duration, earlier sleep onset, and reduced night wakings.

Conclusions:

  • Interim results suggest PASITO is a promising intervention for managing sleep problems in children with NDDs.
  • Occupational therapy-based interventions can positively impact sleep in this vulnerable group.
  • Further research and long-term follow-up are warranted to confirm these findings.

Keywords:
autismneurodevelopmental disordersoccupational therapypediatricssleep

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