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Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children with Down Syndrome
Parents of 30 school-age children with Down syndrome participated in a small-scale randomized clinical trial of a behavioral sleep treatment designed specifically for children with Down syndrome. The aim was to improve child sleep, child daytime behavior problems, caregiver sleep, and caregiver stre...
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Published in: | American journal on intellectual and developmental disabilities 2022-03, Vol.127 (2), p.149-164 |
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container_title | American journal on intellectual and developmental disabilities |
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creator | Esbensen, Anna J Hoffman, Emily K Beebe, Dean W Byars, Kelly Carle, Adam C Epstein, Jeffery N Johnson, Cynthia |
description | Parents of 30 school-age children with Down syndrome participated in a small-scale randomized clinical trial of a behavioral sleep treatment designed specifically for children with Down syndrome. The aim was to improve child sleep, child daytime behavior problems, caregiver sleep, and caregiver stress. The intervention spanned 5-8 weeks, and assessments occurred pre-treatment, immediately post-treatment, and three months post-treatment using a double-blinded design. Both the active treatment and a treatment-as-usual attention-controlled comparison group showed improvements in actigraphy and parent-report measures of child sleep, parent-reported child internalizing behaviors, and actigraphy measures of parent-sleep. The behavioral sleep treatment did not yield significantly different outcomes than a treatment-as-usual approach supplemented with non-sleep-specific behavioral or education sessions. Possible interpretations of study findings are discussed. |
doi_str_mv | 10.1352/1944-7558-127.2.149 |
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The aim was to improve child sleep, child daytime behavior problems, caregiver sleep, and caregiver stress. The intervention spanned 5-8 weeks, and assessments occurred pre-treatment, immediately post-treatment, and three months post-treatment using a double-blinded design. Both the active treatment and a treatment-as-usual attention-controlled comparison group showed improvements in actigraphy and parent-report measures of child sleep, parent-reported child internalizing behaviors, and actigraphy measures of parent-sleep. The behavioral sleep treatment did not yield significantly different outcomes than a treatment-as-usual approach supplemented with non-sleep-specific behavioral or education sessions. Possible interpretations of study findings are discussed.</description><identifier>ISSN: 1944-7515</identifier><identifier>EISSN: 1944-7558</identifier><identifier>DOI: 10.1352/1944-7558-127.2.149</identifier><identifier>PMID: 35180779</identifier><language>eng</language><publisher>United States: American Association on Intellectual and Developmental Disabilities</publisher><subject>Actigraphy ; Age ; Behavior ; Behavior Modification ; Behavior problems ; Caregiver burden ; Caregivers ; Child ; Child Behavior ; Children & youth ; Clinical research ; Clinical trials ; Comorbidity ; Down Syndrome ; Down Syndrome - therapy ; Families & family life ; Humans ; Intellectual disabilities ; Internalization ; Intervention ; Mental Age ; Parent Attitudes ; Parents & parenting ; Parents - education ; Pediatrics ; Problem Behavior ; Program Effectiveness ; Sleep ; Sleep apnea ; Sleep disorders ; Stress ; Stress Variables</subject><ispartof>American journal on intellectual and developmental disabilities, 2022-03, Vol.127 (2), p.149-164</ispartof><rights>AAIDD.</rights><rights>Copyright American Association of Intellectual & Developmental Disabilities Mar 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-4cf14e696fd97aaf3809ab8bcf4a53027aa04ac4a371918fc20d71bdd695461c3</citedby><cites>FETCH-LOGICAL-c455t-4cf14e696fd97aaf3809ab8bcf4a53027aa04ac4a371918fc20d71bdd695461c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2630386099/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2630386099?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,315,783,787,888,12858,21390,21406,21407,27936,27937,31011,33623,33624,33889,33890,34542,34543,43745,43892,44127,74549,74725,74967</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1334477$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35180779$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Esbensen, Anna J</creatorcontrib><creatorcontrib>Hoffman, Emily K</creatorcontrib><creatorcontrib>Beebe, Dean W</creatorcontrib><creatorcontrib>Byars, Kelly</creatorcontrib><creatorcontrib>Carle, Adam C</creatorcontrib><creatorcontrib>Epstein, Jeffery N</creatorcontrib><creatorcontrib>Johnson, Cynthia</creatorcontrib><title>Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children with Down Syndrome</title><title>American journal on intellectual and developmental disabilities</title><addtitle>Am J Intellect Dev Disabil</addtitle><description>Parents of 30 school-age children with Down syndrome participated in a small-scale randomized clinical trial of a behavioral sleep treatment designed specifically for children with Down syndrome. The aim was to improve child sleep, child daytime behavior problems, caregiver sleep, and caregiver stress. The intervention spanned 5-8 weeks, and assessments occurred pre-treatment, immediately post-treatment, and three months post-treatment using a double-blinded design. Both the active treatment and a treatment-as-usual attention-controlled comparison group showed improvements in actigraphy and parent-report measures of child sleep, parent-reported child internalizing behaviors, and actigraphy measures of parent-sleep. The behavioral sleep treatment did not yield significantly different outcomes than a treatment-as-usual approach supplemented with non-sleep-specific behavioral or education sessions. Possible interpretations of study findings are discussed.</description><subject>Actigraphy</subject><subject>Age</subject><subject>Behavior</subject><subject>Behavior Modification</subject><subject>Behavior problems</subject><subject>Caregiver burden</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child Behavior</subject><subject>Children & youth</subject><subject>Clinical research</subject><subject>Clinical trials</subject><subject>Comorbidity</subject><subject>Down Syndrome</subject><subject>Down Syndrome - therapy</subject><subject>Families & family life</subject><subject>Humans</subject><subject>Intellectual disabilities</subject><subject>Internalization</subject><subject>Intervention</subject><subject>Mental Age</subject><subject>Parent Attitudes</subject><subject>Parents & parenting</subject><subject>Parents - education</subject><subject>Pediatrics</subject><subject>Problem Behavior</subject><subject>Program Effectiveness</subject><subject>Sleep</subject><subject>Sleep apnea</subject><subject>Sleep disorders</subject><subject>Stress</subject><subject>Stress Variables</subject><issn>1944-7515</issn><issn>1944-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7SW</sourceid><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>HEHIP</sourceid><sourceid>M0P</sourceid><recordid>eNpdkV9rFDEUxYNYbK1-AlECvvgy22Ty_0XQtWpLoWDro4RsknFTZpJtMrOlfnqzbjuoL0nuvb97yOEA8AqjBSasPcGK0kYwJhvcikW7wFQ9AUdz9-n8xuwQPC_lBiFOqOLPwCFhWCIh1BH48c1El4bwyzv40a_NNqRsenjVe7-Byz7EYGt5nUM9xwTPhk1OWw8vp9GmwRcYIlyuQ--yj_AujGv4Kd1FeHUfXa7zF-CgM33xLx_uY_D98-n18mtzcfnlbPnhorGUsbGhtsPUc8U7p4QxHZFImZVc2Y4aRlBbe4gaSw0RWGHZ2RY5gVfOccUox5Ycg_d73c20GryzPo7Vhd7kMJh8r5MJ-t9JDGv9M221lFwIyqvAuweBnG4nX0Y9hGJ935vo01R0ywlSbSukrOjb_9CbNOVY7f2hiORIqUqRPWVzKiX7bv4MRnoXn96Fo3dB6RqfrjXdbb3528e885hXBV7vAZ-Dncen55gQSoUgvwGkHaAr</recordid><startdate>20220301</startdate><enddate>20220301</enddate><creator>Esbensen, Anna J</creator><creator>Hoffman, Emily K</creator><creator>Beebe, Dean W</creator><creator>Byars, Kelly</creator><creator>Carle, Adam C</creator><creator>Epstein, Jeffery N</creator><creator>Johnson, Cynthia</creator><general>American Association on Intellectual and Developmental Disabilities</general><general>American Association of Intellectual & Developmental Disabilities</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K6X</scope><scope>K9.</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2S</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20220301</creationdate><title>Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children with Down Syndrome</title><author>Esbensen, Anna J ; Hoffman, Emily K ; Beebe, Dean W ; Byars, Kelly ; Carle, Adam C ; Epstein, Jeffery N ; Johnson, Cynthia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-4cf14e696fd97aaf3809ab8bcf4a53027aa04ac4a371918fc20d71bdd695461c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Actigraphy</topic><topic>Age</topic><topic>Behavior</topic><topic>Behavior Modification</topic><topic>Behavior problems</topic><topic>Caregiver burden</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child Behavior</topic><topic>Children & youth</topic><topic>Clinical research</topic><topic>Clinical trials</topic><topic>Comorbidity</topic><topic>Down Syndrome</topic><topic>Down Syndrome - therapy</topic><topic>Families & family life</topic><topic>Humans</topic><topic>Intellectual disabilities</topic><topic>Internalization</topic><topic>Intervention</topic><topic>Mental Age</topic><topic>Parent Attitudes</topic><topic>Parents & parenting</topic><topic>Parents - education</topic><topic>Pediatrics</topic><topic>Problem Behavior</topic><topic>Program Effectiveness</topic><topic>Sleep</topic><topic>Sleep apnea</topic><topic>Sleep disorders</topic><topic>Stress</topic><topic>Stress Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Esbensen, Anna J</creatorcontrib><creatorcontrib>Hoffman, Emily K</creatorcontrib><creatorcontrib>Beebe, Dean W</creatorcontrib><creatorcontrib>Byars, Kelly</creatorcontrib><creatorcontrib>Carle, Adam C</creatorcontrib><creatorcontrib>Epstein, Jeffery N</creatorcontrib><creatorcontrib>Johnson, Cynthia</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Education Database (ProQuest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database</collection><collection>Sociology Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - 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Possible interpretations of study findings are discussed.</abstract><cop>United States</cop><pub>American Association on Intellectual and Developmental Disabilities</pub><pmid>35180779</pmid><doi>10.1352/1944-7558-127.2.149</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Actigraphy Age Behavior Behavior Modification Behavior problems Caregiver burden Caregivers Child Child Behavior Children & youth Clinical research Clinical trials Comorbidity Down Syndrome Down Syndrome - therapy Families & family life Humans Intellectual disabilities Internalization Intervention Mental Age Parent Attitudes Parents & parenting Parents - education Pediatrics Problem Behavior Program Effectiveness Sleep Sleep apnea Sleep disorders Stress Stress Variables |
title | Randomized Behavioral Sleep Clinical Trial to Improve Outcomes in Children with Down Syndrome |
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