A randomised group comparison controlled trial of ‘preschoolers with autism’: A parent education and skills training intervention for young children with autistic disorder / Bruce TONGE in Autism, 18-2 (February 2014)  

Public ISBD [article]  inAutism > 18-2 (February 2014) . - p.166-177 Titre : A randomised group comparison controlled trial of ‘preschoolers with autism’: A parent education and skills training intervention for young children with autistic disorder Type de document : texte imprimé Auteurs : Bruce TONGE, Auteur ; Avril V. BRERETON, Auteur ; Melissa KIOMALL, Auteur ; Andrew J. MACKINNON, Auteur ; Nicole J. RINEHART, Auteur Article en page(s) : p.166-177 Langues : Anglais (eng) Mots-clés : autism  autism spectrum disorders  parent education  evidence-based  preschoolers Index. décimale : PER Périodiques Résumé : Aim: To determine the effect of parent education on adaptive behaviour, autism symptoms and cognitive/language skills of young children with autistic disorder.Method: A randomised group comparison design involving a parent education and counselling intervention and a parent education and behaviour management intervention to control for parent skills training and a control sample. Two rural and two metropolitan regions were randomly allocated to intervention groups (n = 70) or control (n = 35). Parents from autism assessment services in the intervention regions were randomly allocated to parent education and behaviour management (n = 35) or parent education and counselling (n = 35).Results: Parent education and behaviour management resulted in significant improvement in adaptive behaviour and autism symptoms at 6 months follow-up for children with greater delays in adaptive behaviour. Parent education and behaviour management was superior to parent education and counselling. We conclude that a 20-week parent education programme including skills training for parents of young children with autistic disorder provides significant improvements in child adaptive behaviour and symptoms of autism for low-functioning children. En ligne : http://dx.doi.org/10.1177/1362361312458186 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224 [article] A randomised group comparison controlled trial of ‘preschoolers with autism’: A parent education and skills training intervention for young children with autistic disorder [texte imprimé] / Bruce TONGE, Auteur ; Avril V. BRERETON, Auteur ; Melissa KIOMALL, Auteur ; Andrew J. MACKINNON, Auteur ; Nicole J. RINEHART, Auteur . - p.166-177. Langues : Anglais (eng) in Autism > 18-2 (February 2014) . - p.166-177 Mots-clés : autism  autism spectrum disorders  parent education  evidence-based  preschoolers Index. décimale : PER Périodiques Résumé : Aim: To determine the effect of parent education on adaptive behaviour, autism symptoms and cognitive/language skills of young children with autistic disorder.Method: A randomised group comparison design involving a parent education and counselling intervention and a parent education and behaviour management intervention to control for parent skills training and a control sample. Two rural and two metropolitan regions were randomly allocated to intervention groups (n = 70) or control (n = 35). Parents from autism assessment services in the intervention regions were randomly allocated to parent education and behaviour management (n = 35) or parent education and counselling (n = 35).Results: Parent education and behaviour management resulted in significant improvement in adaptive behaviour and autism symptoms at 6 months follow-up for children with greater delays in adaptive behaviour. Parent education and behaviour management was superior to parent education and counselling. We conclude that a 20-week parent education programme including skills training for parents of young children with autistic disorder provides significant improvements in child adaptive behaviour and symptoms of autism for low-functioning children. En ligne : http://dx.doi.org/10.1177/1362361312458186 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=224

The effects of a sleep-focused smartphone application on insomnia and depressive symptoms: a randomised controlled trial and mediation analysis / Aliza WERNER-SEIDLER in Journal of Child Psychology and Psychiatry, 64-9 (September 2023)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 64-9 (September 2023) . - p.1324-1335 Titre : The effects of a sleep-focused smartphone application on insomnia and depressive symptoms: a randomised controlled trial and mediation analysis Type de document : texte imprimé Auteurs : Aliza WERNER-SEIDLER, Auteur ; Sophie H. LI, Auteur ; Samantha SPANOS, Auteur ; Lara JOHNSTON, Auteur ; Bridianne O'DEA, Auteur ; Michelle TOROK, Auteur ; Lee RITTERBAND, Auteur ; Jill M. NEWBY, Auteur ; Andrew J. MACKINNON, Auteur ; Helen CHRISTENSEN, Auteur Article en page(s) : p.1324-1335 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Rates of depression are increasing among adolescents. A novel way to reduce depression is by improving sleep. We evaluated whether an app-based intervention for insomnia improved sleep and depression, and whether changes in insomnia mediated changes in depression. Methods We conducted a 2-arm single-blind randomised controlled trial at the Black Dog Institute in Australia. Adolescents 12-16 years experiencing insomnia symptoms were randomly allocated to receive Sleep Ninja, an app-delivered cognitive behavioural therapy program for insomnia, or to an active control group involving weekly text message sleep tips. Assessments took place at baseline, 6 weeks (post-intervention) and 14 weeks (post-baseline). Co-primary outcomes were symptoms of insomnia and depression at post-intervention (primary endpoint). Intent-to-treat analyses were conducted. The trial is registered with the Australian and New Zealand Clinical Trials Registry, number ACTRN12619001462178. Results Between October 25, 2019, and September 6, 2020, 264 participants were randomised to receive Sleep Ninja (n=131) or to the control group (n=133). Relative to the control group, those allocated to the intervention reported a greater reduction in insomnia symptoms at 6 weeks (95% CI: 2.96 to 0.41, d=.41) and 14 weeks (95% CI: 3.34 to 0.19, d=.39), and a greater reduction in depression symptoms at 6 weeks (95% CI: 3.46 to 0.56, d=.28) but not 14 weeks (p<1). Change in insomnia mediated change in depression. No adverse events were reported. Conclusions An app-delivered program for insomnia could be a practical, non-stigmatising and scalable way to reduce symptoms of insomnia and depression among adolescents experiencing difficulties getting enough good quality sleep. En ligne : https://doi.org/10.1111/jcpp.13795 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] The effects of a sleep-focused smartphone application on insomnia and depressive symptoms: a randomised controlled trial and mediation analysis [texte imprimé] / Aliza WERNER-SEIDLER, Auteur ; Sophie H. LI, Auteur ; Samantha SPANOS, Auteur ; Lara JOHNSTON, Auteur ; Bridianne O'DEA, Auteur ; Michelle TOROK, Auteur ; Lee RITTERBAND, Auteur ; Jill M. NEWBY, Auteur ; Andrew J. MACKINNON, Auteur ; Helen CHRISTENSEN, Auteur . - p.1324-1335. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 64-9 (September 2023) . - p.1324-1335 Index. décimale : PER Périodiques Résumé : Background Rates of depression are increasing among adolescents. A novel way to reduce depression is by improving sleep. We evaluated whether an app-based intervention for insomnia improved sleep and depression, and whether changes in insomnia mediated changes in depression. Methods We conducted a 2-arm single-blind randomised controlled trial at the Black Dog Institute in Australia. Adolescents 12-16 years experiencing insomnia symptoms were randomly allocated to receive Sleep Ninja, an app-delivered cognitive behavioural therapy program for insomnia, or to an active control group involving weekly text message sleep tips. Assessments took place at baseline, 6 weeks (post-intervention) and 14 weeks (post-baseline). Co-primary outcomes were symptoms of insomnia and depression at post-intervention (primary endpoint). Intent-to-treat analyses were conducted. The trial is registered with the Australian and New Zealand Clinical Trials Registry, number ACTRN12619001462178. Results Between October 25, 2019, and September 6, 2020, 264 participants were randomised to receive Sleep Ninja (n=131) or to the control group (n=133). Relative to the control group, those allocated to the intervention reported a greater reduction in insomnia symptoms at 6 weeks (95% CI: 2.96 to 0.41, d=.41) and 14 weeks (95% CI: 3.34 to 0.19, d=.39), and a greater reduction in depression symptoms at 6 weeks (95% CI: 3.46 to 0.56, d=.28) but not 14 weeks (p<1). Change in insomnia mediated change in depression. No adverse events were reported. Conclusions An app-delivered program for insomnia could be a practical, non-stigmatising and scalable way to reduce symptoms of insomnia and depression among adolescents experiencing difficulties getting enough good quality sleep. En ligne : https://doi.org/10.1111/jcpp.13795 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

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