Preschool attention and sleep support (PASS): protocol for a pilot feasibility randomized clinical trial

科学分野:

• Pediatric Psychology
• Neurodevelopmental Disorders
• Sleep Medicine

背景:

• Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms frequently emerge in preschool, necessitating early preventative interventions.
• Current behavioral parent training (BPT) for ADHD primarily addresses daytime symptoms, overlooking sleep dysregulation.
• Integrating behavioral sleep medicine (BSM) into BPT may enhance interventions by targeting 24-hour behavioral patterns and underlying biological mechanisms.

研究 の 目的:

• To evaluate the feasibility and acceptability of a combined BPT and BSM intervention (Preschool Attention and Sleep Support, PASS) for preschoolers at risk for ADHD.
• To assess the impact of the PASS intervention on ADHD symptoms and sleep patterns compared to standard BPT.
• To gather preliminary data for a larger clinical trial of the PASS intervention.

主な方法:

• A randomized trial involving 44 children aged 3-5 years with elevated ADHD symptoms.
• Participants were assigned to either standard BPT or the combined PASS intervention (BPT + BSM).
• Assessments of ADHD symptoms, sleep, and functional outcomes were conducted at baseline, post-treatment, and 3-month follow-up.

主要な成果:

• Key outcomes measured include changes in ADHD symptoms via clinical and caregiver ratings.
• Sleep patterns were assessed using actigraphy and caregiver reports.
• Exploratory outcomes include changes in comorbid symptoms and parenting stress.

結論:

• Findings will inform the design of a large-scale clinical trial for the PASS intervention.
• The study aims to improve functional outcomes in preschoolers at risk for ADHD.
• Early, biologically-focused preventative interventions are crucial for modifying ADHD trajectories.