An Open-Label Pilot Trial of a Brief, Parent-Based Sleep Intervention in Children With ADHD

Author:

Li Xiao1,Lau Fanny Lok Fan1,Chiu Waiyan Vivian1,Wong Ching Kwong Dino1,Li Albert Martin2,Wing Yun Kwok3,Lai Yee Ching Kelly4,Shea Ka Sin Caroline5,Li Shirley Xin16ORCID

Affiliation:

1. Sleep Research Clinic and Laboratory, Department of Psychology, The University of Hong Kong, Hong Kong SAR

2. Department of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR

3. Li Chiu Kong Family Sleep Assessment Unit, Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR

4. Department of Psychiatry, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR

5. Department of Psychiatry, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR

6. State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong SAR

Abstract

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.

Funder

health care and promotion fund

Publisher

SAGE Publications

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