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An Open-Label Pilot Trial of a Brief, Parent-Based Sleep Intervention in Children With ADHD
Xiao Li1, Fanny Lok Fan Lau1, Waiyan Vivian Chiu1
1Sleep Research Clinic and Laboratory, Department of Psychology, The University of Hong Kong, Hong Kong SAR.
Insights
A brief parent-based sleep intervention significantly improved sleep and ADHD symptoms in children. These positive effects on children
Area of Science:
- Pediatric Sleep Medicine
- Child Psychology
- Behavioral Interventions
Background:
- Attention-Deficit/Hyperactivity Disorder (ADHD) is frequently associated with sleep disturbances in children.
- Parent-reported sleep problems are common in children with ADHD, impacting overall well-being.
- Behavioral interventions targeting parental strategies can be effective in managing childhood sleep issues.
Purpose of the Study:
- To evaluate the efficacy of a brief, parent-focused behavioral sleep intervention for children diagnosed with ADHD.
- To assess the intervention's impact on the child's sleep quality, ADHD symptoms, and parental stress.
Main Methods:
- A cohort of families with a child with ADHD and sleep problems participated.
- The intervention comprised two parent consultations and one telephone follow-up.
- Assessments of child sleep, ADHD symptoms, and parental sleep/functioning occurred at baseline, 2 weeks, and 3 months post-intervention.
Main Results:
- The intervention led to significant improvements in the child's sleep and ADHD-related clinical symptoms.
- Parents reported notable enhancements in their own sleep quality and reduced parenting stress.
- These benefits were largely sustained at the 3-month follow-up assessment.
Conclusions:
- A brief parent-based behavioral sleep intervention shows promise for improving sleep and symptoms in children with ADHD.
- The intervention positively affects parental sleep and stress levels.
- Further research, including randomized controlled trials with extended follow-up, is warranted to confirm effectiveness.
Objective:
To assess the effects of a brief parent-based behavioral sleep intervention in children with ADHD.
Methods:
Families with a child with ADHD and parent-reported sleep problems received a brief parent-based sleep intervention, which involved two one-to-one consultation sessions and one telephone follow-up with the parent/caregiver. Child's sleep and clinical symptoms, and parental sleep and daytime functioning were assessed at baseline, 2-week post-intervention, and 3-month follow-up.
Results:
Sixty eligible families (mean age of the child: 9.4 ± 1.5 years; boys: 75%) were recruited, and 43 (72%) completed the whole intervention. The intervention resulted in significant improvements in the child's sleep, clinical symptoms, and parental sleep and parenting stress, and these improvements were generally maintained at 3-month follow-up.
Conclusion:
The findings supported the promising effects of a brief parent-based sleep intervention on improving sleep and clinical symptoms in children with ADHD and parental sleep and parenting stress. Further randomized clinical trials with long-term follow-up are needed to test the robustness of the effectiveness of the intervention.
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