Sleep Hygiene and Related Interventions: Their Impact on Sleep

Loring, Whitney; Malow, Beth A.

doi:10.1007/978-3-030-99134-0_9

Cited by 2 publications

(2 citation statements)

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“…Antecedent modifications included changes to the sleep environment to minimize precipitants of the sleep difficulties, for example, physical environmental (e.g., the addition of light switch coverings), discriminative stimuli (i.e., consistent sleep setting, visual supports, and use of discriminative stimuli for sleep/wake times), and sleep hygiene modifications (i.e., a consistent bedtime routine, sleep-conducive environment) (Loring & Malow, 2022). In addition, visual prompts (e.g., Gro-clocks™, Social Stories™;Gray, 2010) were used to facilitate sleep conducive behavior.…”

Section: Behavioral Case Formulation and Interventionmentioning

confidence: 99%

“…Specifically, the behavioral model of sleep disturbance posits that sleep onset occurs at the end of a behavior chain, motivated by sleep pressure, that starts with a bedtime routine and ends with the behavioral quietude necessary for sleep to occur (Blampied, 2013;Blampied & van Deurs, 2022). Antecedent variables (i.e., variables that precede and/or regulate a behavior) can affect this behavior chain by altering motivation and cues for sleep (Loring & Malow, 2022). Homeostatic sleep pressure arising from sleep deprivation, delayed bedtime, or excessive daytime activity can increase an individual's motivation to sleep and, thus, the reinforcing value of sleep (Borbély et al, 2016;Laraway et al, 2003).…”

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confidence: 99%

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Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions: A Retrospective Analysis of Overall Outcomes for 26 Cases

Woodford,

France,

Blampied

et al. 2024

Adv Neurodev Disord

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Objectives Sleep difficulties are highly prevalent among children with rare genetic neurodevelopmental conditions (RGNC) such as Angelman and Smith-Magenis syndromes. Behavioral interventions are commonly used in the treatment of sleep difficulties in children; however, research is limited in children with RGNC. This study evaluated the overall effectiveness and acceptability of function-based behavioral sleep interventions for children with RGNC. Methods Data was collated from a series of experimental single-case research studies with 26 children (18 months to 19 years of age) with a range of RGNC, who received a behavioral sleep intervention. Intervention strategies included circadian (e.g., sleep/wake rescheduling), antecedent (e.g., sleep hygiene), and/or consequence (e.g., positive reinforcement of sleep-conducive behavior and modified extinction) modifications implemented by parents. Clinicians provided support for parents mostly via telehealth methods. Overall outcomes were examined using modified Brinley plots and effect size estimates. The effect of age, gender, and a range of psychological variables on intervention response was also examined. Results Improvements in sleep problem severity were observed for 24/26 participants, and gains were maintained at long-term follow-up for 13/16. Interestingly, 50% of the children achieved clinically significant change with less restrictive strategies (e.g., circadian, antecedent and positive reinforcement strategies), suggesting extinction procedures may be used as the last option in a sequence of interventions. Parents generally perceived interventions to be acceptable. There was minimal evidence of any differential response to intervention as a function of age, gender, or psychological variables. Conclusions Results suggest function-based behavioral interventions offer an effective and socially valid method for treating sleep disturbance in children with RGNC.

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Section: Behavioral Case Formulation and Interventionmentioning

confidence: 99%

mentioning

confidence: 99%