sciberras-doesabrief-2017.pdf (1.17 MB)
Does a brief, behavioural intervention, delivered by paediatricians or psychologists improve sleep problems for children with ADHD? Protocol for a cluster-randomised, translational trial
journal contribution
posted on 2017-04-04, 00:00 authored by Emma SciberrasEmma Sciberras, M Mulraney, H Heussler, Nicole Rinehart, T Schuster, Lisa GoldLisa Gold, N Hayes, H HiscockINTRODUCTION: Up to 70% of children with attention-deficit/hyperactivity disorder (ADHD) experience sleep problems. We have demonstrated the efficacy of a brief behavioural intervention for children with ADHD in a large randomised controlled trial (RCT) and now aim to examine whether this intervention is effective in real-life clinical settings when delivered by paediatricians or psychologists. We will also assess the cost-effectiveness of the intervention. METHODS AND ANALYSIS: Children aged 5-12 years with ADHD (n=320) are being recruited for this translational cluster RCT through paediatrician practices in Victoria and Queensland, Australia. Children are eligible if they meet criteria for ADHD, have a moderate/severe sleep problem and meet American Academy of Sleep Medicine criteria for either chronic insomnia disorder or delayed sleep-wake phase disorder; or are experiencing sleep-related anxiety. Clinicians are randomly allocated at the level of the paediatrician to either receive the sleep training or not. The behavioural intervention comprises 2 consultations covering sleep hygiene and standardised behavioural strategies. The primary outcome is change in the proportion of children with moderate/severe sleep problems from moderate/severe to no/mild by parent report at 3 months postintervention. Secondary outcomes include a range of child (eg, sleep severity, ADHD symptoms, quality of life, behaviour, working memory, executive functioning, learning, academic achievement) and primary caregiver (mental health, parenting, work attendance) measures. Analyses will address clustering at the level of the paediatrician using linear mixed effect models adjusting for potential a priori confounding variables. ETHICS AND DISSEMINATION: Ethics approval has been granted. Findings will determine whether the benefits of an efficacy trial can be realised more broadly at the population level and will inform the development of clinical guidelines for managing sleep problems in this population. We will seek to publish in leading international paediatric journals, present at major conferences and through established clinician networks. TRIAL REGISTRATION NUMBER: ISRCTN50834814, Pre-results.
History
Journal
BMJ openVolume
7Issue
4Article number
e014158Pagination
1 - 10Publisher
BMJ GroupLocation
London, Eng.Publisher DOI
eISSN
2044-6055Language
engPublication classification
C1 Refereed article in a scholarly journal; C Journal articleCopyright notice
2017, The AuthorsUsage metrics
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attention deficit disorder with hyperactivitychildeffectivenessrandomised controlled trialsleeptreatmentScience & TechnologyLife Sciences & BiomedicineMedicine, General & InternalGeneral & Internal MedicineATTENTION-DEFICIT\/HYPERACTIVITY DISORDERMENTAL-HEALTHPSYCHOMETRIC PROPERTIESSCHOOLPREVALENCEREGRESSIONMELATONINANXIETYHABITS
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