A systematic review to explore the feasibility of a behavioural sleep intervention for insomnia in children with neurodevelopmental disorders: A transdiagnostic approach

Rigney, Gabrielle; Ali, Nicole; Corkum, Penny; Brown, Cary A.; Constantin, Evelyn; Godbout, Roger; Hanlon‐Dearman, Ana; Ipsiroglu, O.; Reid, Graham J.; Shea, Sarah; Smith, Isabel M.; Loos, H. F. Machiel Van der; Weiss, Shelly K.

doi:10.1016/j.smrv.2018.03.008

Cited by 80 publications

(40 citation statements)

References 67 publications

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“…Adolescents with neurodevelopmental disorders other than ADHD are also at risk for sleep difficulties [ 54 , 55 ]. This includes Autism Spectrum Disorders, Cerebral Palsy, Fetal Alcohol Syndrome, Down Syndrome, and other conditions manifesting early in childhood with significant cognitive and emotional/behavioral difficulties.…”

Section: Contributing Factors and Comorbiditiesmentioning

confidence: 99%

Insomnia in Adolescence

Donskoy

Loghmanee

2018

Medical Sciences

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Adolescent insomnia is a common condition that negatively impacts a developing young adult’s mental and physical health. While the treatment of adult insomnia has been standardized, the treatment of pediatric insomnia is very practitioner-dependent and few large-scale studies are available to determine a standard recommended practice. There is great hope that as the adolescent medicine and sleep medicine fields flourish, larger cohort analyses will be performed to determine the prevalence and precipitating factors of adolescent insomnia, allowing for standardized treatment recommendations and systematic efforts to make these recommendations available to all adolescents.

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Section: Contributing Factors and Comorbiditiesmentioning

confidence: 99%

Insomnia in Adolescence

Donskoy

Loghmanee

2018

Medical Sciences

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“…Despite the promising evidence to support the use of behavioural sleep interventions for children with ASD, few studies have examined their efficacy 8 40. A recent systematic review of behavioural sleep interventions to treat insomnia in children with neurodevelopmental disorders identified 19 ASD studies; only 3 studies employed an RCT design 41. Findings of the three studies are mixed.…”

Section: Introductionmentioning

confidence: 99%

Sleeping sound with autism spectrum disorder (ASD): study protocol for an efficacy randomised controlled trial of a tailored brief behavioural sleep intervention for ASD

et al. 2019

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IntroductionSleep problems are a characteristic feature of children with autism spectrum disorder (ASD) with 40% to 80% of children experiencing sleep difficulties. Sleep problems have been found to have a pervasive impact on a child’s socio-emotional functioning, as well as on parents’ psychological functioning. The Sleeping Sound ASD project aims to evaluate the efficacy of a brief behavioural sleep intervention in reducing ASD children’s sleep problems in a fully powered randomised controlled trial (RCT). Intervention impact on child and family functioning is also assessed.Methods and analysisThe RCT aims to recruit 234 children with a diagnosis of ASD, aged 5–13 years, who experience moderate to severe sleep problems. Participants are recruited from paediatrician clinics in Victoria, Australia, and via social media. Families interested in the study are screened for eligibility via phone, and then asked to complete a baseline survey online, assessing child sleep problems, and child and family functioning. Participants are then randomised to the intervention group or treatment as usual comparator group. Families in the intervention group attend two face-to-face sessions and a follow-up phone call with a trained clinician, where families are provided with individually tailored behavioural sleep strategies to help manage the child’s sleep problems. Teacher reports of sleep, behavioural and social functioning are collected, and cognitive ability assessed to provide measures blind to treatment group. The primary outcome is children’s sleep problems as measured by the Children’s Sleep Habits Questionnaire at 3 months post-randomisation. Secondary outcomes include parent and child quality of life; child social, emotional, behavioural and cognitive functioning; and parenting stress and parent mental health. Cost-effectiveness of the intervention is also evaluated.Ethics and disseminationFindings from this study will be published in peer-reviewed journals and disseminated at national and international conferences, local networks and online.Trial registration number I SRCTN14077107 (ISRCTN registry dated on 3 March 2017).

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“…In contrast, a recent Cochrane review—generally considered to represent the highest standard of evidence synthesis in health care—found weak evidence to support early intensive behavioral intervention for young children with ASD (Reichow, Hume, Barton, & Boyd, ), although studies published since then have demonstrated positive treatment effects of parent‐mediated interventions on prodromal ASD symptoms in high‐risk infants (Green et al., , ; Jones, Dawson, Kelly, Estes, & Webb, ). Recent research on sleep difficulties across NDDs has shown how a transdiagnostic framework can be applied to identify treatment targets relevant across disorders (Rigney et al., ); additional potential candidates include executive function (Dajani et al., ) and parenting stress (Castel et al., ). More research is needed to determine the efficacy of preemptive interventions in which treatment strategies are matched to individuals’ behavioral or biological profiles.…”

Section: Preemptive and Adaptive Intervention For Nddsmentioning

confidence: 99%

Very Early Identification and Intervention for Infants at Risk of Neurodevelopmental Disorders: A Transdiagnostic Approach

Finlay‐Jones

Varcin

Leonard

et al. 2019

Child Dev Perspectives

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Neurodevelopmental disorders (NDDs) begin in the earliest months of life, but the clinical manifestations of many such disorders-including intellectual disability, autism spectrum disorder, attention-deficit hyperactivity disorder, and fetal alcohol spectrum disorder-are often not seen until much later. Theoretically, very early intervention provides the best chance for optimizing outcomes for children at risk. However, opportunities for early intervention may be thwarted by a dependence on assessing overt phenotypic or behavioral symptoms that often emerge later in childhood. In this article, we examine the utility of a transdiagnostic, dimensional approach to very early identification and intervention for infants at risk of NDDs. We consider how insights from epidemiology, systems biology, and developmental neuroscience may be integrated to aid identifying at-risk infants and developing targeted, adaptive interventions. We also highlight directions for research.

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A systematic review to explore the feasibility of a behavioural sleep intervention for insomnia in children with neurodevelopmental disorders: A transdiagnostic approach

Cited by 80 publications

References 67 publications

Insomnia in Adolescence

Insomnia in Adolescence

Sleeping sound with autism spectrum disorder (ASD): study protocol for an efficacy randomised controlled trial of a tailored brief behavioural sleep intervention for ASD

Very Early Identification and Intervention for Infants at Risk of Neurodevelopmental Disorders: A Transdiagnostic Approach

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