Schlarb Angelika A, Schulte Hannah, Selbmann Anika, Och Ina
Department of Psychology and Sports Science, Bielefeld University, Universitätsstraße 25, 33615 Bielefeld, Germany.
HaKiJu Hochschulambulanz für Kinder und Jugendliche und ihre Familien, Bielefeld University, Morgenbreede 12, 33615 Bielefeld, Germany.
Somnologie (Berl). 2020;24(4):259-266. doi: 10.1007/s11818-020-00280-7. Epub 2020 Nov 9.
Due to the SARS-CoV‑2 crisis, online adaptation of sleep trainings is necessary. As sleep disturbances in school children are common, prevention of chronification is essential. The aim of this study was to adapt an established age-oriented cognitive behavioral therapy for insomnia (CBT-I) group training for 5-10-year-old children with insomnia and their parents to an online version (group iCBT-I).
The adaptation procedure and structure of the iCBT‑I are described. To assess acceptance the Online Sleep Treatment Acceptance questionnaire (OSTA) and the Online Sleep Treatment Feedback questionnaire (OSTF) were implemented. In addition, trainers filled in the Adherence and Feasibility Questionnaire for Online Sleep Treatment (AFOST). Sleep problems were assessed using a structured interview for sleep disorders in children and clinical interview, and the Children's Sleep Habit Questionnaire (CSHQ-DE). Emotional problems were evaluated with the Child Behavior Checklist (CBCL 4-18).
This pilot study included 12 parents and 6 children fulfilling insomnia criteria prior to online training. The adapted online version consisted of three parental sessions, whereas child-oriented sessions were transferred into videoclips. The new group iCBT‑I was well accepted by parents. Parents scored the online version as helpful and time saving based on the OSTA and trainers estimated the adapted version to be feasible and effective. According to AFOST, adherence was given. After training, 67% of children showed reduced sleep problems according to parental rating.
Parental acceptance of a group iCBT‑I for school children and their parents was very good and parents scored the videos for their children as very helpful. Trainers declared the adapted version to be feasible. A further study with a larger sample is necessary.
由于新型冠状病毒肺炎疫情，睡眠训练的在线调整很有必要。鉴于学龄儿童睡眠障碍很常见，预防病情慢性化至关重要。本研究的目的是将一种既定的针对失眠的、面向特定年龄段的认知行为疗法（CBT-I）团体训练，调整为适用于患有失眠的5至10岁儿童及其父母的在线版本（团体iCBT-I）。
描述了iCBT-I的调整程序和结构。为评估接受度，实施了在线睡眠治疗接受度问卷（OSTA）和在线睡眠治疗反馈问卷（OSTF）。此外，培训师填写了在线睡眠治疗的依从性和可行性问卷（AFOST）。使用儿童睡眠障碍结构化访谈、临床访谈以及儿童睡眠习惯问卷（CSHQ-DE）评估睡眠问题。使用儿童行为检查表（CBCL 4-18）评估情绪问题。
这项初步研究纳入了12名父母和6名在在线训练前符合失眠标准的儿童。调整后的在线版本包括三个家长课程，而面向儿童的课程被转换为视频片段。新的团体iCBT-I受到家长的广泛接受。根据OSTA，家长们认为在线版本很有帮助且节省时间，培训师估计调整后的版本可行且有效。根据AFOST，依从性良好。训练后，根据家长评分，67%的儿童睡眠问题有所减少。
家长对面向学龄儿童及其父母的团体iCBT-I接受度很高，家长们认为给孩子看的视频非常有帮助。培训师称调整后的版本可行。有必要进行一项更大样本的进一步研究。
