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Updated: Sep 11, 2025

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A Pilot Pre-Post Study of an Internet-Based Sleep Education Program for Parents of Children with Autism Spectrum

Honami Koyama1,2, Tomohisa Yamanaka1,3, Yoshihiro Maegaki4

  • 1Department of Doctoral Course, Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan.

Yonago Acta Medica
|August 14, 2025
PubMed

Insights

An internet-based sleep education program improved sleep quality and reduced behavioral issues in children with autism spectrum disorder. Parents reported increased confidence and better family dynamics, highlighting the program's effectiveness.

Area of Science:

  • Pediatric Sleep Medicine
  • Autism Spectrum Disorder Research
  • Digital Health Interventions

Background:

  • Children with autism spectrum disorder (ASD) often experience persistent sleep difficulties.
  • These sleep problems are associated with negative outcomes, including behavioral issues and parental stress.
  • Early intervention is crucial for managing sleep challenges in this population.

Purpose of the Study:

  • To assess an internet-based sleep education program for parents of children with ASD.
  • To evaluate the program's potential to improve sleep quality and behavioral outcomes.
  • To examine the impact on parental mental health and parenting attitudes.

Main Methods:

  • Eighteen parent-child pairs participated in the internet-based sleep education program.
  • Outcomes were assessed at baseline, 4 weeks, and 10 weeks post-intervention.
  • Validated tools measured sleep parameters, behavior problems, parental mental health, and parenting attitudes.

Main Results:

  • The program reduced sleep onset latency and improved sleep efficiency at 4 weeks.
  • Parental mental health improved at 4 weeks post-intervention.
  • Children's externalizing behaviors improved at 10 weeks, with parents reporting increased confidence and positive family impact.

Conclusions:

  • The internet-based sleep education program shows promise as an effective and acceptable intervention for sleep difficulties in children with ASD.
  • This study supports the use of digital health interventions for improving sleep management in pediatric populations.
  • Findings contribute to the literature on non-pharmacological approaches for ASD-related sleep issues.
Abstract

Keywords:
autism spectrum disordersdyssomniashealth educationinternet-based interventionprogram development

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