Tailored Behavioral Intervention for Insomnia in Children with Autism Spectrum Disorder

Abstract

Children with Autism Spectrum Disorder (ASD) often have chronic insomnia. Based on the idea that a subset of children with ASD are in a hyper-aroused state, we developed a Tailored Behavioral Intervention (TAB) for insomnia that includes positive routines, a calming module (developed to decrease arousal levels) and faded bedtime protocol that would supplement the Standard Care (SC) established by the ATN: Sleep Tool Kit. The TAB developed for this study is novel and includes a detailed Calming Module with12 soothing and relaxing activities to choose from and Performance feedback procedures (PFP). Based on a child's arousal profile, 4-5 activities were tailored and incorporated into an evening routine, to decrease their arousal level and help them fall asleep. The purpose of this pilot study is to determine the feasibility of implementing a TAB and SC n=20 or SC only n=20 protocol for children with ASD and insomnia. We plan to evaluate the recruitment, randomization, retention, and implementation of these interventions by a multi-disciplinary team with parents of a child with ASD (2) complete a comparative cost analysis of the interventions, in terms of training and parent resources needed to teach the interventions, measure fidelity and collect data on the primary outcome, sleep, as measured by actigraphy.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2015
Accession Number
ADA624468

Entities

People

  • Margaret C. Souders

Organizations

  • University of Pennsylvania

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Autism
  • Body Regions
  • Cost Analysis
  • Diseases And Disorders
  • Ear
  • Education
  • Health Services
  • Medical Personnel
  • Pilot Studies
  • Professional Development
  • Psychophysiology
  • Reliability
  • Sleep Disorders
  • Standards
  • Students
  • Tool Kits
  • Training

Readers

  • Child and Adolescent Substance Abuse Science in Autism Spectrum Disorders.
  • Circadian Sleep-Wake Regulation and Chronobiology
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.