Parent-Mediated Home Intervention for Delayed Sleep-Onset and Night Waking in a Child With Autism Spectrum Disorder

Abstract

We report the case of a 10-year-old boy with autism spectrum disorder who had difficulty initiating and maintaining sleep. Through home consultation, his parents were trained to implement a multicomponent sleep intervention that included (a) faded bedtime, (b) regimented pre-bedtime routines, and (c) elimination of positive social consequences contingent on sleep problems including unwanted co-sleeping. A critical element in the case was functional assessment of the conditions associated with poor sleeping and matching intervention to parent preferences. Compared to a baseline phase, intervention reduced night waking frequency and duration as well as the time required for the boy to fall asleep. Follow-up results one and 2 months post-intervention documented sustained improvement.

The Effect of Napping on the Function of Problem Behavior for One Child With an Acquired Brain Injury

“…The American Academy of Pediatrics recommends that school-aged children receive between 8 and 10 hrs of sleep per night (Paruthi et al, 2016). Sleep disorders are, unfortunately, common within the pediatric population (Del Rosso et al, 2021; Linnehan et al, 2021). Del Rosso and colleagues reported approximately 20–40% of school-age children experience sleep disturbance.…”

Grandparent-Implemented Interventions to Reduce Challenging Behavior of an Adult With Autism: A Pilot Telehealth Case Study

“…Specifically, telehealth-mediated services increase access to services by building capacity within families to deliver behaviorally based challenging behavior treatment through evidence-based caregiver training and coaching. Recent research has shown that tele-delivered training that includes components of behavioral skills training, and in-vivo coaching is effective in training caregivers to implement behaviorally based treatment with fidelity (Drew et al, 2022a;Drew et al, 2022b) and improving behavioral outcomes for children with ASD (Lindgren et al, 2016;Linnehan et al, 2022;Neely et al, 2021;Suess et al, 2014;Tomlinson et al, 2018). The extant data on telehealth behaviorally based challenging behavior treatment indicate that telehealthmediated services hold promise for improving both access to and quality of challenging behavior treatment for individuals with ASD.…”