An evaluation of the collateral child and parent outcomes of telehealth-delivered behavioral sleep intervention for Autistic children / Monique CLARKE in Research in Autism Spectrum Disorders, 119 (January 2025)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 119 (January 2025) . - p.102514 Titre : An evaluation of the collateral child and parent outcomes of telehealth-delivered behavioral sleep intervention for Autistic children Type de document : Texte imprimé et/ou numérique Auteurs : Monique CLARKE, Auteur ; Laurie MCLAY, Auteur ; Karyn FRANCE, Auteur ; Neville BLAMPIED, Auteur Article en page(s) : p.102514 Langues : Anglais (eng) Mots-clés : Sleep  Collateral outcomes  Secondary outcomes  Telehealth  Autism  Neurodivergence Index. décimale : PER Périodiques Résumé : Purpose This research follows two studies that examined the efficacy and acceptability of a stepped-care model of behavioral sleep intervention (BSI) delivered to parents of Autistic children via telehealth (Clarke et al., 2024a, 2024b). The current study investigated the collateral benefits of these interventions on Autistic children?s internalizing and externalizing behaviors, health-related quality of life, and parent ratings of relationship quality, depression, anxiety, stress, and personal sleep quality. Methods and Results Data were available for 17 Autistic children (aged 3-17 years) and 22 parent participants (16 mothers, six fathers) who had received a telehealth-delivered behavioral sleep intervention (TDBSI). Parents completed a range of psychometric assessments at baseline and within six weeks of completing the program. Alongside reduced sleep problem severity (SPS), significant improvements, as indexed by non-negligible Cohen?s d values whose 95?% confidence intervals did not cross zero, were observed in children?s emotional and behavioral difficulties and health-related quality of life. Parents also reported that improvement in their child?s sleep positively influenced their own sleep quality and emotional well-being. There were no significant changes in parental relationship quality post-intervention, probably a ceiling effect. Conclusion TDBSIs have the potential to generate collateral benefits for Autistic children and their families. This finding is consistent with the limited existent research, suggesting that improved sleep may enhance child and parent well-being. Future research should focus on understanding the mechanisms underlying collateral change, including variations in effects among children and parents, and the durability across different telehealth modalities (i.e., self-directed versus therapist-guided) and follow-up intervals. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102514 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545 [article] An evaluation of the collateral child and parent outcomes of telehealth-delivered behavioral sleep intervention for Autistic children [Texte imprimé et/ou numérique] / Monique CLARKE, Auteur ; Laurie MCLAY, Auteur ; Karyn FRANCE, Auteur ; Neville BLAMPIED, Auteur . - p.102514. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 119 (January 2025) . - p.102514 Mots-clés : Sleep  Collateral outcomes  Secondary outcomes  Telehealth  Autism  Neurodivergence Index. décimale : PER Périodiques Résumé : Purpose This research follows two studies that examined the efficacy and acceptability of a stepped-care model of behavioral sleep intervention (BSI) delivered to parents of Autistic children via telehealth (Clarke et al., 2024a, 2024b). The current study investigated the collateral benefits of these interventions on Autistic children?s internalizing and externalizing behaviors, health-related quality of life, and parent ratings of relationship quality, depression, anxiety, stress, and personal sleep quality. Methods and Results Data were available for 17 Autistic children (aged 3-17 years) and 22 parent participants (16 mothers, six fathers) who had received a telehealth-delivered behavioral sleep intervention (TDBSI). Parents completed a range of psychometric assessments at baseline and within six weeks of completing the program. Alongside reduced sleep problem severity (SPS), significant improvements, as indexed by non-negligible Cohen?s d values whose 95?% confidence intervals did not cross zero, were observed in children?s emotional and behavioral difficulties and health-related quality of life. Parents also reported that improvement in their child?s sleep positively influenced their own sleep quality and emotional well-being. There were no significant changes in parental relationship quality post-intervention, probably a ceiling effect. Conclusion TDBSIs have the potential to generate collateral benefits for Autistic children and their families. This finding is consistent with the limited existent research, suggesting that improved sleep may enhance child and parent well-being. Future research should focus on understanding the mechanisms underlying collateral change, including variations in effects among children and parents, and the durability across different telehealth modalities (i.e., self-directed versus therapist-guided) and follow-up intervals. En ligne : https://dx.doi.org/10.1016/j.rasd.2024.102514 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=545

Telehealth-delivered behavioral sleep interventions for Autistic children: An evaluation of an enhanced stepped-care approach / Laurie MCLAY ; Karyn FRANCE ; Neville BLAMPIED in Research in Autism Spectrum Disorders, 117 (September 2024)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 117 (September 2024) . - p.102456 Titre : Telehealth-delivered behavioral sleep interventions for Autistic children: An evaluation of an enhanced stepped-care approach Type de document : Texte imprimé et/ou numérique Auteurs : Laurie MCLAY, Auteur ; Karyn FRANCE, Auteur ; Neville BLAMPIED, Auteur Article en page(s) : p.102456 Langues : Anglais (eng) Mots-clés : Telemedicine  Telehealth  Child  Autism  Sleep initiation and maintenance problems  Intervention Index. décimale : PER Périodiques Résumé : Background Sleep problems are common among Autistic children and can have adverse effects on their development, well-being and quality of life. Telehealth offers a cost-effective and accessible model of delivering evidence-based sleep support. This study used a single-case design to evaluate the efficacy of telehealth-delivered behavioral sleep intervention (TDBSI), with intervention phases designed based according to a stepped-care approach. Method Fourteen Autistic children (3-17 years) and their parents participated in a 12-week program consisting of three sequential intervention phases: 1) self-directed online parent education supplemented with individualized intervention tip sheets, 2) group parent coaching via video conferencing, and 3) individualized parent coaching via video conferencing. The appropriateness of parent strategy selection and implementation fidelity was rated throughout. Sleep problem severity (SPS) scores are reported for each child as a measure of effect across intervention phases. The Children's Sleep Habits Questionnaire (CSHQ) and CSHQ-Autism are reported as measures of change from baseline to post-intervention. Results Online parent education and tip sheets facilitated early success in parent strategy selection and implementation fidelity. SPS scores demonstrated large and statistically significant improvements in child sleep following the self-directed phase. Parent implementation fidelity and child sleep outcomes were further improved with group and individualized coaching. Post-intervention, the CSHQ and CSHQ-Autism revealed large and statistically significant improvements across subscales and participants compared to baseline. Conclusions Online parent education supplemented with individualized tip sheets demonstrates potential for addressing sleep problems in Autistic children. Therapist-led group and individualized parent coaching via videoconferencing show promise as higher intensity support for parents who do not achieve satisfactory results initially. En ligne : https://doi.org/10.1016/j.rasd.2024.102456 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534 [article] Telehealth-delivered behavioral sleep interventions for Autistic children: An evaluation of an enhanced stepped-care approach [Texte imprimé et/ou numérique] / Laurie MCLAY, Auteur ; Karyn FRANCE, Auteur ; Neville BLAMPIED, Auteur . - p.102456. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 117 (September 2024) . - p.102456 Mots-clés : Telemedicine  Telehealth  Child  Autism  Sleep initiation and maintenance problems  Intervention Index. décimale : PER Périodiques Résumé : Background Sleep problems are common among Autistic children and can have adverse effects on their development, well-being and quality of life. Telehealth offers a cost-effective and accessible model of delivering evidence-based sleep support. This study used a single-case design to evaluate the efficacy of telehealth-delivered behavioral sleep intervention (TDBSI), with intervention phases designed based according to a stepped-care approach. Method Fourteen Autistic children (3-17 years) and their parents participated in a 12-week program consisting of three sequential intervention phases: 1) self-directed online parent education supplemented with individualized intervention tip sheets, 2) group parent coaching via video conferencing, and 3) individualized parent coaching via video conferencing. The appropriateness of parent strategy selection and implementation fidelity was rated throughout. Sleep problem severity (SPS) scores are reported for each child as a measure of effect across intervention phases. The Children's Sleep Habits Questionnaire (CSHQ) and CSHQ-Autism are reported as measures of change from baseline to post-intervention. Results Online parent education and tip sheets facilitated early success in parent strategy selection and implementation fidelity. SPS scores demonstrated large and statistically significant improvements in child sleep following the self-directed phase. Parent implementation fidelity and child sleep outcomes were further improved with group and individualized coaching. Post-intervention, the CSHQ and CSHQ-Autism revealed large and statistically significant improvements across subscales and participants compared to baseline. Conclusions Online parent education supplemented with individualized tip sheets demonstrates potential for addressing sleep problems in Autistic children. Therapist-led group and individualized parent coaching via videoconferencing show promise as higher intensity support for parents who do not achieve satisfactory results initially. En ligne : https://doi.org/10.1016/j.rasd.2024.102456 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=534

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