Department of Psychology & Neuroscience, Dalhousie University, Canada.
Department of Psychology & Neuroscience, Dalhousie University, Canada; Department of Pediatrics, Dalhousie University, Canada; IWK Health Centre, Canada; Autism Research Centre, IWK Health Centre, Canada.
Res Dev Disabil. 2020 Mar;98:103573. doi: 10.1016/j.ridd.2020.103573. Epub 2020 Jan 24.
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).
睡眠问题，尤其是失眠，在神经发育障碍（NDD）儿童中非常普遍，会对健康和发育产生负面影响。电子健康干预措施可能会增加患有 NDD 的儿童获得基于证据的失眠治疗的机会，因为在大多数社区中，此类项目都非常罕见。“更好的夜晚，更好的日子”（Better Nights, Better Days，BNBD）是一种针对典型发展的 1 至 10 岁儿童的在线、家长实施的小儿失眠干预措施。
本研究旨在探讨患有 NDD 的儿童的父母是否认为原始 BNBD 具有可用性、可接受性和可行性，以及为了使其适用于患有 NDD 的儿童，需要进行哪些修改。
20 名加拿大患有 NDD 和失眠的 4-10 岁儿童的父母/照顾者与他们的孩子一起实施 BNBD 干预，并完成了可用性问卷。问卷数据进行了定量分析（描述性统计）和定性分析（主题分析）。
参与者报告称该干预措施具有可用性、有用性、可接受性和可行性。还提出了一些修改建议，以使干预措施更适合和更能被患有 NDD 的儿童接受。
结果支持了一种针对 NDD 儿童睡眠问题的广泛的跨诊断治疗方法，并将为 BNBD-NDD 的开发提供信息。
