Related Experiment Video

Updated: Jan 10, 2026

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
08:20

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood

Published on: October 2, 2019

12.4K

Does Delivery Mode Matter? A Randomised Controlled Trial of the Sleeping Sound Intervention: Predicting Sleep

Maya K Malkani1, Andrew M C Sheridan1, Alison J Crichton2

  • 1School of Psychological Science, University of Western Australia, Perth, Australia.

Journal of Attention Disorders
|November 26, 2025
PubMed

Insights

Telehealth interventions for Attention Deficit Hyperactivity Disorder (ADHD) sleep problems are as effective as in-person treatments. Attachment security and family functioning influence sleep in children with ADHD.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Psychology
  • Behavioral Health Interventions

Background:

  • Behavioral interventions effectively improve sleep in children with Attention Deficit Hyperactivity Disorder (ADHD).
  • Most ADHD sleep interventions are delivered in-person, with limited research on telehealth effectiveness.
  • Telehealth approaches may improve access for families facing geographical or structural barriers.

Purpose of the Study:

  • To evaluate the ADHD Sleeping Sound© intervention comparing in-person and telehealth delivery modalities.
  • To investigate if baseline sleep problems and treatment response in children with ADHD are predicted by symptom presentation, attachment security, and family functioning.

Main Methods:

  • A randomized controlled trial involving children aged 5-12 years with ADHD.
  • Participants received either in-person (n=40) or telehealth (n=38) treatment.
  • Sleep was assessed using subjective (Children's Sleep Habits Questionnaire) and objective (actigraphy) measures at baseline, post-intervention, and follow-up.

Main Results:

  • Subjective sleep disturbance significantly improved post-treatment in both modalities, with no significant difference between in-person and telehealth.
  • Higher attachment insecurity and lower family functioning were associated with greater baseline subjective sleep problems.
  • Attachment security predicted changes in sleep duration, underscoring the role of relational family factors.

Conclusions:

  • Telehealth ADHD sleep interventions are a viable and effective alternative to in-person treatments.
  • Telehealth enhances health equity and access for families facing barriers to in-person care.
  • Considering relational family factors is crucial for optimizing sleep interventions in children with ADHD.
Abstract

Keywords:
ADHDattachment securitybehavioural treatmentrandomised controlled trialsleep interventiontelehealth

More Related Videos

Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD10:02

Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD

Published on: March 12, 2020

16.6K
Multi-Modal Home Sleep Monitoring in Older Adults07:40

Multi-Modal Home Sleep Monitoring in Older Adults

Published on: January 26, 2019

8.1K

Related Concept Videos

Substance Use Disorders Affecting Sleep01:24

Substance Use Disorders Affecting Sleep

Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
381
Blind Procedures02:07

Blind Procedures

Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
12.8K
REM Sleep Behavior Disorder01:15

REM Sleep Behavior Disorder

REM Sleep Behavior Disorder (RBD) is a sleep disorder characterized by the absence of muscle paralysis that normally occurs during the REM phase of sleep. This absence allows individuals to physically act out their dreams, which are often vivid and disturbing. Common behaviors exhibited during episodes include kicking, punching, and yelling. These actions can be dangerous, potentially leading to injuries for the person with RBD or their bed partner.
RBD is significantly associated with...
1.3K
Management of Insomnia01:19

Management of Insomnia

The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
514
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
722
Insufficient Sleep and Sleep Deprivation01:13

Insufficient Sleep and Sleep Deprivation

Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
812