None listed
Conditions
Brief summary
Attention deficit hyperactivity disorder (ADHD) affects up to 7.5% of Australian children. Between 50 and 70% of parents also report that their ADHD child has a sleep problem. Such sleep problems are associated with poorer child behaviour, concentration, and school attendance as well as poorer parent mental health and work attendance. We want to know if managing sleep problems in ADHD children can improve these outcomes. We plan to conduct a pilot study to determine the acceptability and feasibility of two different models of managing sleep problems in children with ADHD. Model 1 will consist of a single consultation about normal sleep and sleep cycles, sleep hygiene advice, and providing parents with generic written information around common child sleep problems. Model 2 will consist of 2 to 3 consultations including normal sleep and sleep cycles, sleep hygiene advice and behavioural strategies tailored to the child’s specific sleep problem(s). Results will inform a planned, randomised controlled trial (RCT) to determine the effectiveness of the most acceptable and feasible approach.
Interventions
The aim of this pilot study is to determine the acceptability and feasibility of two different models of managing sleep problems in children with ADHD. The models differ in level of intensity of the treatment given. The first model (intensive model) consists of basic sleep hygiene strategies, education about normal sleep and sleep cycles, tailored sleep management plan, and sleep diary. These interventions will be delivered in the first consultation (each consultation will be 40 minutes long). The second session will take place approximately two weeks after their initial consultation to reinforce strategies and monitor progress. Families will be contacted by telephone approximately two weeks after this visit to refine strategies and to make a third appointment if the family are continuing to have difficulties.
Sponsors
Study design
Eligibility
Inclusion criteria
1) School aged children with ADHD who have a moderate/severe sleep problem by primary caregiver report 2) Children must meet the American Academy of Sleep Medicine diagnostic criteria for any of the following: sleep onset association disorder, limit setting disorder, delayed sleep phase, primary insomnia or anxiety.
Exclusion criteria
Children with suspected obstructive sleep apnoea identified from parental responses to the 3 items in the Child Sleep Habits Questionnaire, (which screens for obstructive sleep apnoea) will be excluded.