Stuttard Lucy, Beresford Bryony, Clarke Sue, Beecham Jeni, Curtis Julie
University of York, UK
University of York, UK.
J Intellect Disabil. 2015 Dec;19(4):342-55. doi: 10.1177/1744629515576610. Epub 2015 Mar 19.
Sleep problems are more prevalent and severe among children with intellectual disabilities and autism compared to typically developing children. Training parents in behavioural approaches to manage sleep problems is advocated. However, delivering such interventions via groups is novel. This article reports the findings from a preliminary evaluation of a group-delivered intervention routinely delivered by a Child and Adolescent Mental Health Service Learning Disability team in England. For this purpose, parents (n = 23) of children with intellectual disabilities were recruited. The Children's Sleep Habits Questionnaire, Parents' Sense of Competence Scale and parent-set goals captured outcomes at pre-intervention, post-intervention and 3- and 6-month follow-up. Intervention delivery costs were collected. Take-up was high (86%), and no parent dropped out. Statistically significant improvements in night wakings, parent-set goals and parents' sense of efficacy were observed. The estimated mean cost of delivering each intervention was British (GBP) £1570. Findings suggest the intervention is a low-cost, acceptable service warranting further evaluation.
与发育正常的儿童相比,智力障碍和自闭症儿童的睡眠问题更为普遍和严重。提倡对家长进行行为方法培训以管理睡眠问题。然而,通过小组形式提供此类干预是新颖的。本文报告了英格兰儿童和青少年心理健康服务学习障碍团队常规提供的小组干预初步评估结果。为此,招募了智力障碍儿童的家长(n = 23)。儿童睡眠习惯问卷、家长能力感量表和家长设定的目标在干预前、干预后以及3个月和6个月随访时记录结果。收集了干预实施成本。参与率很高(86%),没有家长退出。观察到夜间醒来、家长设定的目标和家长效能感有统计学上的显著改善。每次干预的估计平均成本为1570英镑。研究结果表明,该干预是一种低成本、可接受的服务,值得进一步评估。