In the Netherlands, there is no accesible evidence-based method for the prevention and treatment of sleepingproblems in young children, that can be carried out by Youth Healthcare nurses. This study will, in addition to existing knowlede about the…
ID
Source
Brief title
Condition
- Other condition
- Lifestyle issues
Synonym
Health condition
gedragsstoornis
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Reduction of sleeping problems
- reduction of bedtime problems
- reduction of night wakings
- reduction of sleepshortage
- reduction of behavioural problems related to sleep.
Secondary outcome
- improvement of parenting style
- reduction of parenting problems
- improvement of well-being and psychosocial problems of the parents (reduction
of stress, tiredness, depression)
Background summary
Sleepingproblems are common in young children. Correlations have been shown
between sleepshortage in children and behavioural, cognitive and social
problems, parental stress, family problems and childabuse. Furthermore, in
children of all ages, a consistent relationship has been found between
sleepshortage and overweight and obesity. It can be expected that when sleep
improves in children, these problems can be reduced, and health and well-being
of both child and parent can be improved. A recent meta-analysis study showed
that giving parents information about sleep prior to the existence of
sleepingproblems can have a preventive effect on the development of
sleepingproblems in children. When sleepingproblems are already present,
behavioural therapy based on extintion and stimuluscontrol is most effective.
Study objective
In the Netherlands, there is no accesible evidence-based method for the
prevention and treatment of sleepingproblems in young children, that can be
carried out by Youth Healthcare nurses.
This study will, in addition to existing knowlede about the treatment of
excessive crying in Youth Healthcare, lead to: an accesible evidence-based
intervention for children with sleepingproblems, which can be carried out by
Youth Healthcare nurses, and is applicable to families from different ethnical
backgrounds and different socio-economical status.
Study design
10 Youth Healthcare teams will be randomly assigned to the intervention group
or the control group (care-as-usual).
Each team will include 35 children with mild to severe sleepingproblems, aged
from 6 months to 4 years.
The intervention consists of behavioural treatment applied for two weeks. This
will be intensively supported by trained Youth Healthcare nurses through an
extensive anamnesis, three home-visits and four consults by telephone, spread
over six weeks.
Intervention
Behavioural therapeutical intervention:
Modified intervention 'sleeping problems in children' of Schregardus (2001),
with patient-preference (parents can choose between direct extinction and
gradual extinction). Control group receives care-as-usual as offered by the
Youth Healthcare organisation.
Study burden and risks
Negative effects are not expected.
Wassenaarseweg 56, Postbus 2215
2333 AL, Leiden
NL
Wassenaarseweg 56, Postbus 2215
2333 AL, Leiden
NL
Listed location countries
Age
Inclusion criteria
Children aged 6 months to 4 years who have sleeping problems:
- mild to severe bedtime problems
- mild to severe night wakings
- mild to severe sleep shortage
(also see research protocol page 12-13)
Exclusion criteria
Infants with a somatic cause for their sleeping problems, infants with severe family problems (abuse, neglect) as a cause for their sleeping problems, infants who are ill of who have a form of mental retardation, or infants whose parents have psychopathological problems (f.e. a psychosis). Multiproblem families can be excluded when the healthcare worker feels the need to refer to more intensive care.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL27488.028.09 |
| Other | NTR nummer in aanvraag |