An eHealth insomnia intervention for children with neurodevelopmental disorders: Results of a usability study.


Journal

Research in developmental disabilities
ISSN: 1873-3379
Titre abrégé: Res Dev Disabil
Pays: United States
ID NLM: 8709782

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 12 12 2018
revised: 17 11 2019
accepted: 06 01 2020
pubmed: 27 1 2020
medline: 15 12 2020
entrez: 27 1 2020
Statut: ppublish

Résumé

Sleep problems, particularly insomnia, are highly prevalent in children with neurodevelopmental disorders (NDD) and can negatively affect health and development. eHealth interventions may increase access to evidence-based care for insomnia for children with NDD, as programs are rare in most communities. Better Nights, Better Days (BNBD) is an online, parent-implemented intervention for pediatric insomnia in typically developing 1- to 10-year-olds. The present study examined whether parents of children with NDD perceived the original BNBD to be usable, acceptable, and feasible, and what modifications might be necessary to adapt it for children with NDD. Twenty Canadian parents/caregivers of children aged 4-10 years with NDD and insomnia implemented the BNBD intervention with their children, and completed usability questionnaires. Questionnaire data were analyzed quantitatively (descriptive statistics) and qualitatively (thematic analysis). Participants reported the intervention to be usable, useful, acceptable, and feasible. Several modifications were suggested to make the intervention more appropriate and acceptable for use with children with NDD. Results support a largely transdiagnostic approach to treating sleep in children with NDD, and will inform the development of BNBD for Children with Neurodevelopmental Disorders (BNBD-NDD).

Sections du résumé

BACKGROUND BACKGROUND
Sleep problems, particularly insomnia, are highly prevalent in children with neurodevelopmental disorders (NDD) and can negatively affect health and development. eHealth interventions may increase access to evidence-based care for insomnia for children with NDD, as programs are rare in most communities. Better Nights, Better Days (BNBD) is an online, parent-implemented intervention for pediatric insomnia in typically developing 1- to 10-year-olds.
AIMS OBJECTIVE
The present study examined whether parents of children with NDD perceived the original BNBD to be usable, acceptable, and feasible, and what modifications might be necessary to adapt it for children with NDD.
METHODS AND PROCEDURES METHODS
Twenty Canadian parents/caregivers of children aged 4-10 years with NDD and insomnia implemented the BNBD intervention with their children, and completed usability questionnaires. Questionnaire data were analyzed quantitatively (descriptive statistics) and qualitatively (thematic analysis).
OUTCOMES AND RESULTS RESULTS
Participants reported the intervention to be usable, useful, acceptable, and feasible. Several modifications were suggested to make the intervention more appropriate and acceptable for use with children with NDD.
CONCLUSIONS AND IMPLICATIONS CONCLUSIONS
Results support a largely transdiagnostic approach to treating sleep in children with NDD, and will inform the development of BNBD for Children with Neurodevelopmental Disorders (BNBD-NDD).

Identifiants

pubmed: 31982826
pii: S0891-4222(20)30003-2
doi: 10.1016/j.ridd.2020.103573
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

103573

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Should the Better Nights, Better Days for Children with Neurodevelopmental Disorders (BNBD-NDD) intervention prove to be effective after a randomized controlled trial, we will pursue commercialization of the intervention in order to ensure its sustainability and access.

Auteurs

Kim M Tan-MacNeill (KM)

Department of Psychology & Neuroscience, Dalhousie University, Canada.

Isabel M Smith (IM)

Department of Psychology & Neuroscience, Dalhousie University, Canada; Department of Pediatrics, Dalhousie University, Canada; IWK Health Centre, Canada; Autism Research Centre, IWK Health Centre, Canada.

Shelly K Weiss (SK)

Division of Neurology, Department of Paediatrics, University of Toronto, Canada.

Shannon A Johnson (SA)

Department of Psychology & Neuroscience, Dalhousie University, Canada.

Jill Chorney (J)

Department of Psychology & Neuroscience, Dalhousie University, Canada; IWK Health Centre, Canada; Department of Anesthesia, Pain, and Perioperative Medicine, Dalhousie University, Canada; Centre for Pediatric Pain Research, IWK Health Centre, Canada.

Evelyn Constantin (E)

Department of Pediatrics, McGill University, Canada.

Sarah Shea (S)

Department of Pediatrics, Dalhousie University, Canada; IWK Health Centre, Canada.

Ana Hanlon-Dearman (A)

Faculty of Health Sciences, University of Manitoba, Canada.

Cary A Brown (CA)

Faculty of Rehabilitation Medicine, University of Alberta, Canada.

Roger Godbout (R)

Department of Psychiatry, Université de Montréal, Canada.

Osman Ipsiroglu (O)

Faculty of Medicine, University of British Columbia, Canada.

Graham J Reid (GJ)

Department of Psychology, Western University, Canada; Department of Family Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, Canada; Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, Canada; Children's Health Research Institute & Lawson Health Research Institute, Canada.

Penny V Corkum (PV)

Department of Psychology & Neuroscience, Dalhousie University, Canada; IWK Health Centre, Canada; Department of Psychiatry, Dalhousie University, Canada. Electronic address: penny.corkum@dal.ca.

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