An evaluation of a stepped-care telehealth program for improving the sleep of autistic children / Monique A. C. CLARKE in Research in Autism Spectrum Disorders, 112 (April 2024)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 112 (April 2024) . - p.102356 Titre : An evaluation of a stepped-care telehealth program for improving the sleep of autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Monique A. C. CLARKE, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur Article en page(s) : p.102356 Langues : Anglais (eng) Mots-clés : Telemedicine  Telehealth  Child  Autistic Disorder  Sleep Initiation and Maintenance Disorders  Intervention Index. décimale : PER Périodiques Résumé : Background Sleep problems are prevalent in Autistic children, adversely affecting their development, well-being and quality of life. Traditional face-to-face behavioral interventions are hindered by accessibility. Using a single-case design, this study evaluated the efficacy of a stepped-care telehealth-delivered behavioral sleep intervention (TDBSI). Method Seven Autistic children (aged 4-8) and their parents participated in a 12-week program consisting of baseline plus three sequential intervention phases: (1) self-directed online parent psychoeducation, (2) small group parent coaching via video conferencing, and (3) individualized parent coaching via video conferencing. Parent strategy selection and implementation fidelity were closely monitored and rated across intervention phases. Child sleep outcomes were assessed through daily parent-reported sleep diaries and the Children's Sleep Habits Questionnaire. Results Five of seven parents used online parent education to independently select antecedent strategies (e.g., sleep hygiene, stimulus control) and/or rewards that were appropriate for their child?s sleep and implemented them with high fidelity. This resulted in reductions in sleep onset latency, night wakings, early wakings, and bedsharing for their children. Parent implementation fidelity and child sleep outcomes were further improved for all participants with group or individualized coaching, and results were maintained at 12 weeks and six months post-intervention. Conclusions TDBSIs show promise in addressing sleep difficulties in Autistic children, warranting further investigation and replication. En ligne : https://doi.org/10.1016/j.rasd.2024.102356 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=524 [article] An evaluation of a stepped-care telehealth program for improving the sleep of autistic children [Texte imprimé et/ou numérique] / Monique A. C. CLARKE, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur . - p.102356. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 112 (April 2024) . - p.102356 Mots-clés : Telemedicine  Telehealth  Child  Autistic Disorder  Sleep Initiation and Maintenance Disorders  Intervention Index. décimale : PER Périodiques Résumé : Background Sleep problems are prevalent in Autistic children, adversely affecting their development, well-being and quality of life. Traditional face-to-face behavioral interventions are hindered by accessibility. Using a single-case design, this study evaluated the efficacy of a stepped-care telehealth-delivered behavioral sleep intervention (TDBSI). Method Seven Autistic children (aged 4-8) and their parents participated in a 12-week program consisting of baseline plus three sequential intervention phases: (1) self-directed online parent psychoeducation, (2) small group parent coaching via video conferencing, and (3) individualized parent coaching via video conferencing. Parent strategy selection and implementation fidelity were closely monitored and rated across intervention phases. Child sleep outcomes were assessed through daily parent-reported sleep diaries and the Children's Sleep Habits Questionnaire. Results Five of seven parents used online parent education to independently select antecedent strategies (e.g., sleep hygiene, stimulus control) and/or rewards that were appropriate for their child?s sleep and implemented them with high fidelity. This resulted in reductions in sleep onset latency, night wakings, early wakings, and bedsharing for their children. Parent implementation fidelity and child sleep outcomes were further improved for all participants with group or individualized coaching, and results were maintained at 12 weeks and six months post-intervention. Conclusions TDBSIs show promise in addressing sleep difficulties in Autistic children, warranting further investigation and replication. En ligne : https://doi.org/10.1016/j.rasd.2024.102356 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=524

Cognitive-behavioral treatment of sleep disturbance in children and adolescents with autism: Eight case studies using functional behavior assessment / Jenna R. VAN DEURS in Research in Autism Spectrum Disorders, 86 (August 2021)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 86 (August 2021) . - 101823 Titre : Cognitive-behavioral treatment of sleep disturbance in children and adolescents with autism: Eight case studies using functional behavior assessment Type de document : Texte imprimé et/ou numérique Auteurs : Jenna R. VAN DEURS, Auteur ; Karyn G. FRANCE, Auteur ; Laurie K. MCLAY, Auteur ; Neville M. BLAMPIED, Auteur Article en page(s) : 101823 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder (ASD)  Functional behavior assessment (FBA)  Cognitive behavioral sleep intervention  Child-implemented  Adolescent-implemented Index. décimale : PER Périodiques Résumé : Background Individuals with autism spectrum disorder (ASD) experience high rates of sleep problems. Parent-implemented behavioral sleep interventions for young children with ASD are increasingly supported by research. Few studies have evaluated such interventions for older children and adolescents, nor has research investigated the effectiveness of having the young person collaborate in the design and implementation of their intervention (hereafter termed ‘young person-implemented interventions’). Method Functional behavioral assessment (FBA) was used to identify putative cognitive-behavioral factors maintaining sleep disturbance in eight 9- to 15-year-old participants with ASD. A series of case studies is presented that investigated the effectiveness of individualized, FBA-informed, young person-implemented sleep interventions, with parent-implemented treatments provided as necessary. Results Treatment was effective in reducing sleep disturbance (e.g., extended night wakings, unwanted co-sleeping) for all participants, with results mostly maintained at follow-up. Young people and their parents generally viewed treatments favorably. Conclusions Results demonstrate the feasibility, effectiveness, and acceptability of treating sleep disturbance in ASD via young person-implemented, parent-assisted, treatment. En ligne : https://doi.org/10.1016/j.rasd.2021.101823 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 [article] Cognitive-behavioral treatment of sleep disturbance in children and adolescents with autism: Eight case studies using functional behavior assessment [Texte imprimé et/ou numérique] / Jenna R. VAN DEURS, Auteur ; Karyn G. FRANCE, Auteur ; Laurie K. MCLAY, Auteur ; Neville M. BLAMPIED, Auteur . - 101823. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 86 (August 2021) . - 101823 Mots-clés : Autism spectrum disorder (ASD)  Functional behavior assessment (FBA)  Cognitive behavioral sleep intervention  Child-implemented  Adolescent-implemented Index. décimale : PER Périodiques Résumé : Background Individuals with autism spectrum disorder (ASD) experience high rates of sleep problems. Parent-implemented behavioral sleep interventions for young children with ASD are increasingly supported by research. Few studies have evaluated such interventions for older children and adolescents, nor has research investigated the effectiveness of having the young person collaborate in the design and implementation of their intervention (hereafter termed ‘young person-implemented interventions’). Method Functional behavioral assessment (FBA) was used to identify putative cognitive-behavioral factors maintaining sleep disturbance in eight 9- to 15-year-old participants with ASD. A series of case studies is presented that investigated the effectiveness of individualized, FBA-informed, young person-implemented sleep interventions, with parent-implemented treatments provided as necessary. Results Treatment was effective in reducing sleep disturbance (e.g., extended night wakings, unwanted co-sleeping) for all participants, with results mostly maintained at follow-up. Young people and their parents generally viewed treatments favorably. Conclusions Results demonstrate the feasibility, effectiveness, and acceptability of treating sleep disturbance in ASD via young person-implemented, parent-assisted, treatment. En ligne : https://doi.org/10.1016/j.rasd.2021.101823 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458

Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study / Laurie K. MCLAY in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101948 Titre : Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study Type de document : Texte imprimé et/ou numérique Auteurs : Laurie K. MCLAY, Auteur ; Nicholas J. BOWDEN, Auteur ; Matthew J. F. EGGLESTON, Auteur ; Hiran THABREW, Auteur ; Rhiannon BRAUND, Auteur ; Philip J. SCHLUTER, Auteur Article en page(s) : 101948 Langues : Anglais (eng) Mots-clés : Autism  Attention deficit hyperactivity disorder  Melatonin  Sleep  Polypharmacy Index. décimale : PER Périodiques Résumé : Background Chronic insomnia is common in children with autism and Attention Deficit Hyperactivity Disorder (ADHD). Melatonin is often used to treat childhood insomnia. However, it may interact with other medications being used to manage other symptoms. This pharmacoepidemiological study examined the rates of general and psychotropic polypharmacy among children with autism and/or ADHD, stratified by melatonin dispensing. The impact of sociodemographic and child characteristics on such dispensing was also examined. Method Linked national health and pharmaceutical administrative data for children aged 0?18 years in 2019 was utilized. Overall and melatonin dispensing stratified polypharmacy rates were calculated. Ordinal logistic regression models were employed to compare groups and adjust for confounders. Results Data were acquired for 10,209 children with autism (18.5% were dispensed melatonin), 5970 with ADHD (22.3% were dispensed melatonin), 2064 with autism and ADHD (29.9% were dispensed melatonin), and 1156,296 without a diagnosis of autism or ADHD (a control group; 0.5% dispensed melatonin). Relative to controls, rates of melatonin dispensing and polypharmacy were higher in children with autism and ADHD, and highest among those with both conditions. Children dispensed melatonin experienced the greatest rates of polypharmacy, especially if they had both autism and ADHD. Conclusions Children with autism and ADHD experience significant medication burden and potentially adverse interactions between psychotropic and sleep-related medication, raising important questions regarding their clinical care. En ligne : https://doi.org/10.1016/j.rasd.2022.101948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study [Texte imprimé et/ou numérique] / Laurie K. MCLAY, Auteur ; Nicholas J. BOWDEN, Auteur ; Matthew J. F. EGGLESTON, Auteur ; Hiran THABREW, Auteur ; Rhiannon BRAUND, Auteur ; Philip J. SCHLUTER, Auteur . - 101948. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101948 Mots-clés : Autism  Attention deficit hyperactivity disorder  Melatonin  Sleep  Polypharmacy Index. décimale : PER Périodiques Résumé : Background Chronic insomnia is common in children with autism and Attention Deficit Hyperactivity Disorder (ADHD). Melatonin is often used to treat childhood insomnia. However, it may interact with other medications being used to manage other symptoms. This pharmacoepidemiological study examined the rates of general and psychotropic polypharmacy among children with autism and/or ADHD, stratified by melatonin dispensing. The impact of sociodemographic and child characteristics on such dispensing was also examined. Method Linked national health and pharmaceutical administrative data for children aged 0?18 years in 2019 was utilized. Overall and melatonin dispensing stratified polypharmacy rates were calculated. Ordinal logistic regression models were employed to compare groups and adjust for confounders. Results Data were acquired for 10,209 children with autism (18.5% were dispensed melatonin), 5970 with ADHD (22.3% were dispensed melatonin), 2064 with autism and ADHD (29.9% were dispensed melatonin), and 1156,296 without a diagnosis of autism or ADHD (a control group; 0.5% dispensed melatonin). Relative to controls, rates of melatonin dispensing and polypharmacy were higher in children with autism and ADHD, and highest among those with both conditions. Children dispensed melatonin experienced the greatest rates of polypharmacy, especially if they had both autism and ADHD. Conclusions Children with autism and ADHD experience significant medication burden and potentially adverse interactions between psychotropic and sleep-related medication, raising important questions regarding their clinical care. En ligne : https://doi.org/10.1016/j.rasd.2022.101948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Systematic review of the collateral effects of behavioral sleep interventions in children and adolescents with autism spectrum disorder / Jolene E. HUNTER in Research in Autism Spectrum Disorders, 79 (November 2020)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 79 (November 2020) . - 101677 Titre : Systematic review of the collateral effects of behavioral sleep interventions in children and adolescents with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Jolene E. HUNTER, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur Article en page(s) : 101677 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Sleep problems  Behavioral sleep interventions  Collateral treatment effects  Daytime functioning  Review Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorder (ASD) experience high rates of sleep problems. Interventions based on the principles of Applied Behavior Analysis (ABA) significantly reduce such sleep problems. Insufficient sleep is linked to a variety of adverse consequences for children with ASD, such as ASD symptom severity and internalizing and externalizing difficulties. In spite of these associations, no systematic reviews have been conducted that explore the collateral benefits of behavioral sleep interventions. Aim To evaluate the empirical evidence investigating the collateral effects of behavioral sleep interventions in children and adolescents with ASD. Methods To meet inclusion criteria, studies included participants between 2–18 years with a diagnosis of ASD, directly treated sleep problems and included at least one measure of collateral treatment effects. Data were extracted on participant characteristics, research design, intervention characteristics, sleep measures and results, social validity, collateral effect measures and results. Methodological rigor was evaluated and each study was coded as strong, adequate or weak. Results Ten studies met inclusion criteria and all reported an improvement in at least one aspect of children’s sleep. Eight of the 10 studies demonstrated collateral improvement in one or more aspects of children’s daytime functioning following a behavioral sleep intervention. This included a reduction in stereotypic behaviors, internalizing and externalizing difficulties and quality of life. Conclusions While the mechanisms underlying change are not known, outcomes of this review suggest that behavioral sleep interventions may be followed by collateral improvement in children’s daytime functioning and wellbeing. However, only four studies had strong or adequate methodological rigor, indicating the necessity of further research. En ligne : https://doi.org/10.1016/j.rasd.2020.101677 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434 [article] Systematic review of the collateral effects of behavioral sleep interventions in children and adolescents with autism spectrum disorder [Texte imprimé et/ou numérique] / Jolene E. HUNTER, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur . - 101677. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 79 (November 2020) . - 101677 Mots-clés : Autism spectrum disorder  Sleep problems  Behavioral sleep interventions  Collateral treatment effects  Daytime functioning  Review Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorder (ASD) experience high rates of sleep problems. Interventions based on the principles of Applied Behavior Analysis (ABA) significantly reduce such sleep problems. Insufficient sleep is linked to a variety of adverse consequences for children with ASD, such as ASD symptom severity and internalizing and externalizing difficulties. In spite of these associations, no systematic reviews have been conducted that explore the collateral benefits of behavioral sleep interventions. Aim To evaluate the empirical evidence investigating the collateral effects of behavioral sleep interventions in children and adolescents with ASD. Methods To meet inclusion criteria, studies included participants between 2–18 years with a diagnosis of ASD, directly treated sleep problems and included at least one measure of collateral treatment effects. Data were extracted on participant characteristics, research design, intervention characteristics, sleep measures and results, social validity, collateral effect measures and results. Methodological rigor was evaluated and each study was coded as strong, adequate or weak. Results Ten studies met inclusion criteria and all reported an improvement in at least one aspect of children’s sleep. Eight of the 10 studies demonstrated collateral improvement in one or more aspects of children’s daytime functioning following a behavioral sleep intervention. This included a reduction in stereotypic behaviors, internalizing and externalizing difficulties and quality of life. Conclusions While the mechanisms underlying change are not known, outcomes of this review suggest that behavioral sleep interventions may be followed by collateral improvement in children’s daytime functioning and wellbeing. However, only four studies had strong or adequate methodological rigor, indicating the necessity of further research. En ligne : https://doi.org/10.1016/j.rasd.2020.101677 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=434

The Lighter Touch: Less-Restriction in Sequentially Implemented Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions / Emma C. WOODFORD ; Laurie K. MCLAY ; Karyn G. FRANCE ; Neville M. BLAMPIED in Journal of Autism and Developmental Disorders, 55-2 (February 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-2 (February 2025) . - p.547-568 Titre : The Lighter Touch: Less-Restriction in Sequentially Implemented Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions : Journal of Autism and Developmental Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Emma C. WOODFORD, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur Article en page(s) : p.547-568 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The prevalence of sleep difficulties among children with rare genetic neurodevelopmental conditions (RGNC) is high. Behavioral interventions are commonly used in the treatment of sleep difficulties in children with neurodevelopmental conditions such as autism, however, research is scarce in children with RGNC. The range of co-occurring complexities within this population, means there is a need for research to not only determine the effectiveness of behavioral sleep interventions, but also which components might be the least restrictive (i.e., intensive/aversive) and minimally sufficient. En ligne : https://doi.org/10.1007/s10803-024-06234-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548 [article] The Lighter Touch: Less-Restriction in Sequentially Implemented Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions : Journal of Autism and Developmental Disorders [Texte imprimé et/ou numérique] / Emma C. WOODFORD, Auteur ; Laurie K. MCLAY, Auteur ; Karyn G. FRANCE, Auteur ; Neville M. BLAMPIED, Auteur . - p.547-568. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-2 (February 2025) . - p.547-568 Index. décimale : PER Périodiques Résumé : The prevalence of sleep difficulties among children with rare genetic neurodevelopmental conditions (RGNC) is high. Behavioral interventions are commonly used in the treatment of sleep difficulties in children with neurodevelopmental conditions such as autism, however, research is scarce in children with RGNC. The range of co-occurring complexities within this population, means there is a need for research to not only determine the effectiveness of behavioral sleep interventions, but also which components might be the least restrictive (i.e., intensive/aversive) and minimally sufficient. En ligne : https://doi.org/10.1007/s10803-024-06234-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548

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