Study protocol: the sleeping sound with attention-deficit/hyperactivity disorder project

BMC Pediatrics

Study Protocol

Emma Sciberras¹  Bibi Gerner¹  Frank Oberklaid²  Harriet Hiscock²  Daryl Efron²  Fiona Mensah³  Margot Davey⁴ 

[1] Centre for Community Child Health, Murdoch Childrens Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria, Australia;Centre for Community Child Health, Murdoch Childrens Research Institute, Royal Children's Hospital, Victoria, Australia; Department of Paediatrics, University of Melbourne, Victoria, Australia;Clinical Epidemiology and Biostatistics Unit, Murdoch Childrens Research Institute, Royal Children's Hospital, Flemington Road, Parkville, Victoria, Australia;Melbourne Children's Sleep Unit, Monash Medical Centre, Clayton SouthVictoria, Australia;

关键词: Oppositional Defiant Disorder;    ADHD Symptom;    Sleep Problem;    Obstructive Sleep Apnoea;    Parent Mental Health;   

DOI  :  10.1186/1471-2431-10-101

 received in 2010-12-08, accepted in 2010-12-30,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundUp to 70% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) experience sleep problems including difficulties initiating and maintaining sleep. Sleep problems in children with ADHD can result in poorer child functioning, impacting on school attendance, daily functioning and behaviour, as well as parental mental health and work attendance. The Sleeping Sound with ADHD trial aims to investigate the efficacy of a behavioural sleep program in treating sleep problems experienced by children with ADHD. We have demonstrated the feasibility and the acceptability of this treatment program in a pilot study.Methods/DesignThis randomised controlled trial (RCT) is being conducted with 198 children (aged between 5 to 12 years) with ADHD and moderate to severe sleep problems. Children are recruited from public and private paediatric practices across the state of Victoria, Australia. Upon receiving informed written consent, families are randomised to receive either the behavioural sleep intervention or usual care. The intervention consists of two individual, face-to-face consultations and a follow-up phone call with a trained clinician (trainee consultant paediatrician or psychologist), focusing on the assessment and management of child sleep problems. The primary outcome is parent- and teacher-reported ADHD symptoms (ADHD Rating Scale IV). Secondary outcomes are child sleep (actigraphy and parent report), behaviour, daily functioning, school attendance and working memory, as well as parent mental health and work attendance. We are also assessing the impact of children's psychiatric comorbidity (measured using a structured diagnostic interview) on treatment outcome.DiscussionTo our knowledge, this is the first RCT of a behavioural intervention aiming to treat sleep problems in children with ADHD. If effective, this program will provide a feasible non-pharmacological and acceptable intervention improving child sleep and ADHD symptoms in this patient group.Trial RegistrationCurrent Controlled Trials ISRCTN68819261.ISRCTN: ISRCTN68819261

【 授权许可】

Unknown   
© Sciberras et al; licensee BioMed Central Ltd. 2010. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.