An open trial of bedtime fading for sleep disturbances in preschool children: a parent group education approach

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dc.contributor.authorFinlay, Michele R
dc.contributor.authorShort, Michelle A
dc.contributor.authorGradisar, Michael Shane
dc.date.accessioned2018-07-02T05:26:31Z
dc.date.available2018-07-02T05:26:31Z
dc.date.issued2018-03-04
dc.description© 2017 Elsevier BV. This manuscript version is made available under the CC-BY-NC-ND 4.0 license: http://creativecommons.org/licenses/by-nc-nd/4.0/ This author accepted manuscript is made available following 12 month embargo from date of publication (March 2018) in accordance with the publisher’s archiving policyen_US
dc.description.abstractStudy Objectives: To evaluate the efficacy of bedtime fading to reduce sleep disturbances in preschool aged children, using a group parent education format. Design: A repeated-measures design (pre-treatment, treatment, post-treatment and 2-year follow-up). Setting: Flinders University Child & Adolescent Sleep Clinic, Adelaide, South Australia Participants: Participants were 21 children (mean age=3.0±0.80 years, range=1.5-4.0 yrs; 60% girls) identified as having difficulty initiating sleep, night waking, or a combination of both, and their mothers (M age=36.1±4.2 years). Interventions: Mothers attended two group sessions which included basic sleep education (sleep needs, sleep architecture, sleep homeostasis) and bedtime fading instruction. Measurements and Results: Primary outcome variables were sleep onset latency (SOL), wake after sleep onset (WASO), and bedtime tantrums, measured using 2-week maternal report sleep diaries. Immediate improvements were observed over pre-treatment to treatment in average SOL per night (M=23.2±11.3min vs M=13.0±7.3min, d=0.91), average WASO per night (M=32.4±23.1min vs. M=24.0±18.3min, d=0.41), and number of bedtime tantrums per week (M=1.7±3.0 vs. M=0.4±0.7, d=0.43). Treatment gains were maintained at 2-year follow-up. Mothers rated bedtime fading highly in terms of usefulness and satisfaction, and could successfully re-implement treatment when needed. Conclusions: Bedtime fading is a brief and promising intervention for pre-schoolers’ sleep difficulties. This simple intervention can be easily implemented by parents in the home with little instruction, resulting in improvements to sleep and bedtime tantrums.en_US
dc.identifier.citationCooney, M. R., Short, M. A., & Gradisar, M. (2018). An open trial of bedtime fading for sleep disturbances in preschool children: a parent group education approach. Sleep Medicine, 46, 98–106. https://doi.org/10.1016/ j.sleep.2018.03.003en_US
dc.identifier.doihttps://doi.org/10.1016/j.sleep.2018.03.003
dc.identifier.issn1389-9457
dc.identifier.urihttp://hdl.handle.net/2328/38114
dc.language.isoenen_US
dc.oaire.license.condition.licenseCC-BY-NC-ND
dc.publisherElsevieren_US
dc.rights© 2017 Elsevier BV.en_US
dc.rights.holderElsevier BVen_US
dc.subjectbedtime fadingen_US
dc.subjectpre-schoolersen_US
dc.subjecttoddlersen_US
dc.subjectparent educationen_US
dc.subjectsleep disturbanceen_US
dc.subjectgroup therapyen_US
dc.titleAn open trial of bedtime fading for sleep disturbances in preschool children: a parent group education approachen_US
dc.typeArticleen
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