A Brief Parent-based Sleep Intervention for ADHD Children
- Conditions
- ADHDInsomnia
- Interventions
- Behavioral: Sleep hygiene practices and behavioural intervention
- Registration Number
- NCT03263156
- Lead Sponsor
- The University of Hong Kong
- Brief Summary
Sleep problems are very common in children with ADHD, with a prevalence rate as high as 73%, and often pose significant challenges and stress to the families. Sleep problems in ADHD children are strongly associated with the exacerbation of daytime symptoms, impaired physical health, and poor parental mental health. The present study is a randomised controlled trial to compare the effects of a parent-based sleep intervention for children with ADHD (aged 6-12). Eligible participants will be randomised to either intervention (two face-to-face consultation sessions and one follow-up phone call) or waiting-list control condition. Assessments will be conducted at pre-treatment (baseline), one-week after the intervention (post-treatment), and 3 months after the intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
- Aged 6-12 years old;
- With a clinical diagnosis of ADHD (any subtype), as confirmed by the Diagnostic Interview Schedule for Children-version-IV (DISC-IV);
- With parent-reported insomnia (difficulty initiating sleep and/or maintaining sleep).
- Children with a serious medical condition (e.g. severe cerebral palsy) or intellectual disability (IQ<70);
- Children with a neurological and/or medical condition that may lead to disordered sleep;
- Suspected clinical sleep disorders (e.g. obstructive sleep apnea, OSA) that may potentially contribute to a disruption in sleep continuity and quality, as assessed by the Children's Sleep Habits Questionnaire (CSHQ). If the child is suspected of a clinical sleep disorder, he/she will be referred to appropriate services;
- Children who are already receiving specialised help (behavioural intervention) for their sleep from a psychologist or at a specialized sleep clinic.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention group Sleep hygiene practices and behavioural intervention The intervention will involve two face-to-face consultation sessions and one follow-up phone call with parents to help them learn sleep hygiene practices and specific behavioural strategies to improve their child's sleep and follow up on the progress.
- Primary Outcome Measures
Name Time Method Child: Change of child's sleep Baseline, 1-week and 3-month posttreatment Change of the child's sleep measured by the Children's Sleep Habits Questionnaire (CSHQ), and sleep problems rated by parent (none, mild, moderate, severe)
- Secondary Outcome Measures
Name Time Method Child: Change of ADHD symptoms Baseline, 1-week and 3-month posttreatment Strengths and Weaknesses of ADHD Symptoms (SWAN) - parent report
Child: Change of cognitive performance (sustained attention) Baseline, 1-week and 3-month posttreatment Continuous Performance Test (CPT)
Child: Change of cognitive performance (planning skills) Baseline, 1-week and 3-month posttreatment Tower of London (TOL)
Change of parental self-reported sleep quality Baseline, 1-week and 3-month posttreatment Pittsburgh Sleep Quality Index (PSQI)
Change of parental sleep hygiene practice Baseline, 1-week and 3-month posttreatment Sleep Hygiene Index (SHI)
Change of parental insomnia symptoms Baseline, 1-week and 3-month posttreatment Insomnia Severity Index (ISI)
Change of parental stress Baseline, 1-week and 3-month posttreatment Parental Stress Index - Short Form (PSI-SF)
Child: Change of daytime sleepiness Baseline, 1-week and 3-month posttreatment Pediatric Daytime Sleepiness Scale (PDSS) - parent report
Child: Change of other sleep measures Baseline, 1-week and 3-month posttreatment Daily sleep diary and actigraphic assessment for consecutive seven days
Child: Change of cognitive performance (cognitive flexibility) Baseline, 1-week and 3-month posttreatment Bergs Card Sorting Test (BCST)
Change of parental sleep parameters as measured by actigraphy Baseline, 1-week and 3-month posttreatment Actigraphic sleep parameters
Change of parental mood symptoms Baseline, 1-week and 3-month posttreatment Depression Anxiety Stress Scales - 21 item (DASS-21)
Child: Change of child's behaviour & other clinical symptoms Baseline, 1-week and 3-month posttreatment Strengths and Difficulties Questionnaire - parent report; Child Behavior Checklist (CBCL) - parent report
Child: Change of cognitive performance (working memory) Baseline, 1-week and 3-month posttreatment N-back
Change of parental daytime sleepiness Baseline, 1-week and 3-month posttreatment Epworth Sleepiness Questionnaire (ESS)
Change of parental daytime fatigue Baseline, 1-week and 3-month posttreatment Multidimensional Fatigue Inventory (MFI)
Parent's satisfaction to the treatment Baseline, 1-week and 3-month posttreatment Treatment satisfaction rating scale
Child: Change of quality of life Baseline, 1-week and 3-month posttreatment Pediatric Quality of Life Inventory 4.0 - parent proxy report (PedsQL) - parent report
Child: Change of cognitive performance (auditory attention span) Baseline, 1-week and 3-month posttreatment Digit Span
Child: Change of cognitive performance (cognitive processing) Baseline, 1-week and 3-month posttreatment Letter-digit substitution task
Trial Locations
- Locations (2)
Sleep Research Clinic & Laboratory, Department of Psychology, The University of Hong Kong
🇭🇰Hong Kong, Hong Kong
Child and Adolescent Psychiatric Service Clinic, New Territories East Cluster (NTEC), Hospital Authority
🇭🇰Hong Kong, Hong Kong