Feasibility and effectiveness of a clinical model of sleep education for children with IDD: a record review
Abstract
Introduction: This study was undertaken to evaluate the effectiveness and feasibility of implementing a brief community-based sleep education intervention within a collaborative clinical in academic medical setting for children with intellectual and developmental disabilities.
Methods: Record reviews were conducted from a behavioral sleep clinic serving children with IDD (age ≤ 18 years). Sixty-five children and caregiver received individualized insomnia recommendations. A follow-up visit occurred 1-3 months later. Clinical notes were evaluated using a modified Pediatric Sleep and Autism Clinical Global Impressions Scale to assess effectiveness and feasibility.
Results: At first follow-up, 85% of caregivers reported compliance with recommendations; 85% of whom reported significant sleep improvement. Only 20% of non-compliant families reported improvement. Compliance at first follow-up was significantly associated with improvement in insomnia (Pearson chi-square and Fisher's exact test p < 0.0001).
Conclusion: Brief collaborative sleep education interventions are feasible and effective for improving insomnia in most children with IDD.
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