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Tailored Behavioral Intervention for Insomnia in Children with Autism Spectrum Disorder

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Final rept. 1 Jul 2013-30 Jun 2015

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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 childs 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 n20 or SC only n20 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.

Subject Categories:

  • Psychology
  • Medicine and Medical Research
  • Stress Physiology

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