Child Sleep
Conditions
Keywords
Feasibility trial, Bedtime Resistance, Bedtime Pass, Primary Care, Integrated Care
Brief summary
This is non-controlled feasibility study testing the delivery of a brief sleep intervention for children aged 3-7 who struggle to fall asleep independently. The interventions is designed to be delivered by a behavioral health consultant during routine primary care visits. The treatment components consist of education about good sleep hygiene and the "Bedtime Pass." The hypotheses are that the intervention will be delivered with fidelity in the time allotted, and that parents will rate the intervention as feasible and acceptable.
Interventions
The Bedtime Pass is a small paper card that children will be allowed to exchange for a trip out of their bedroom after bedtime. Once the card has been exchanged, participants will be instructed to ignore any additional pleas from their child. Participants will also be provided with general information about good sleep hygiene.
Sponsors
Study design
Eligibility
Inclusion criteria
* Caregiver of a child aged 3-7 years who receives primary care services who endorses their child demonstrating bedtime resistance; English-speaking; receiving primary care at the study locations.
Exclusion criteria
* Existing receipt of more intensive sleep intervention; severe intellectual disability or other condition precluding participation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptability Survey | Immediately post-intervention and 30 days post-intervention |
| Treatment Fidelity Checklist | Immediately post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Insomnia Severity Index | 30 days post-intervention | The Pediatric Insomnia Severity Index (PISI) is a 6-item, parent-report questionnaire (for children 4-10 years old) designed to measure the severity of insomnia symptoms, including difficulty falling asleep, staying asleep, and daytime impairment. It uses a 6-point scale to measure frequency, with higher scores (0-30) indicating more severe insomnia, and has demonstrated reliability and validity. |
Countries
United States
Contacts
Oregon Health and Science University