Treatment efficacy in behavioral pediatric sleep medicine

Kuhn, Brett R.; Elliott, Amy J.

doi:10.1016/s0022-3999(03)00061-8

Cited by 156 publications

(117 citation statements)

References 91 publications

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“…In comparison, the median number in the current study was 17 wakes (range 8-34). Thus, the evidence from a range of studies is that the incremental procedure is often slower than unmodified planned ignoring to produce clinically significant change in ISD (Kuhn & Elliot, 2003).…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, both the advantages and disadvantages of the graduated checking procedure need to be carefully considered by both clinicians and parents as they make informed decisions about treatment options for ISD (France, 1994;, 2005France et al, 1996;Kuhn & Elliot, 2003;Mindell, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…Most infants are able to sleep through the night without regular parental care by approximately 6 months of age (Henderson, 2001;Moore & Ucko, 1957) but some experience infant sleep disturbance (ISD; Blampied & France, 1993;France, Henderson, & Hudson, 1996;France & Hudson, 1990), a subset of pediatric sleep disturbance (France & Blampied, 2004;Kuhn & Elliot, 2003). ISD involves long delays in initial sleep onset, with crying and oppositional behavior while settling to sleep when first put to bed (initial sleep-onset delay), and chronic repeated waking and difficulty in settling to sleep again without parental attention (night waking).…”

Section: Introductionmentioning

confidence: 99%

“…There are a number of interventions for ISD judged as well established by empirical criteria (France & Hudson, 1993;Kuhn & Elliot, 2003;Mindell, 1999;Owens, France, & Wiggs, 1999;Ramchandani, Wiggs, Webb, & Stores, 2000). Research demonstrates that parental attention functions as positive reinforcement for the infant's sleep disturbances (see Blampied & France, 1993;, France, Blampied, & Henderson, 2003Williams, 1959) and that withdrawal of attention constitutes an extinction procedure.…”

Section: Introductionmentioning

confidence: 99%

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Treating sleep disturbance in infants: What generalizes?

Healey

Blampied

2008

Behavioral Interventions

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When treating infant sleep problems implementing treatment procedures at bedtime-only might be easier and more efficient than requiring parents to implement procedures throughout the night, but only if improvements at bedtime generalize to later in the night. This study investigated the immediate and generalized effect of treating bedtime settling problems and later night waking in infants and whether it was parent or child behavior that generalized. Parents recorded sleep problems of seven infants (6-20 months) who exhibited chronic sleep disturbance, then implemented a graduated checking procedure at bedtime-only (Setting 1). A multiple-baseline across-settings and participants design was employed. Immediate (in Setting 1) and any generalized effects (in Setting 2) on wakings and other changes in parent and child behavior were assessed by diary information and all-night infra-red video recordings. Clinically significant reductions in sleep problems were evident for five out of seven infants, but these were not consistently observed until parents generalized their use of the procedure throughout the night. There was no evidence that the infants generalized changes in self-soothing from bedtime to later. It is concluded that changes in infant sleep problems are unlikely to occur unless parents actually alter their management of the problems across all settings in which the problems occur.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Treating sleep disturbance in infants: What generalizes?

Healey

Blampied

2008

Behavioral Interventions

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“…sleep duration in both treatment conditions while there was no change in controls. Comparing the total sleep duration of the Mini-KiSS Online clinical subgroup (M=704 minutes) with a healthy subgroup of Iglowstein et al [69] (M=798 minutes, children aged 0.5 to 4 years) it becomes obvious that our clinical sample shows less overall sleep before and after treatment. However, this could also be cohort effects (1974-1978 vs. 2012-2013) or measurement effects (telephone interview vs. sleep diary).…”

Section: Discussionmentioning

confidence: 71%

Telephone Support in an Internet-Based Treatment for Sleep Problems in Early Childhood

Schlarb¹,

Brandhorst²,

Peters³

et al. 2017

J Psychiatry

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Journal of Psychiatry AbstractStudy background: Mild to severe sleep problems are reported in 3% to 56% of young children. Behaviourbased treatments are highly effective in improving children´s sleep. The purpose of this work was to examine the efficacy of an Internet-based intervention for young children´s sleep disturbances (Mini-KiSS Online) and to assess the effect of telephone support for parents. Methods:Two intervention conditions (written information with or without additional weekly telephone support) were compared to a waiting-list control condition. N=199 parents with their children (aged 6-63 months) were randomly assigned to one of the study conditions. The treatment consisted of six written information modules based on a cognitive-behavioural approach. One of the treatment groups had additional weekly telephone support. Data of sleep diary, parental behaviour, CBCL 1.5-5 (pre, post, 3-month follow-up) and treatment evaluation were collected.Results: Acceptance of Mini-KiSS Online was high. Children in both treatment conditions showed significant increase in sleep efficacy and reductions in sleep onset latency, duration of night waking, or subjective global ratings while there was no or less change in the control condition. Parents of both treatment conditions reduced their parental presence and physical contact to the child. A benefit of personal assistance was found for treatment evaluation and dropout rates. Conclusion:Mini-KiSS Online is an effective and highly accepted internet-based intervention to reduce sleep problems in young children. Personal telephone assistance counted for higher satisfaction and lower dropouts but not for further improvement of the sleep behaviour of the child.

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